{
  "abstract": "Background: Attention-deficit/hyperactivity disorder (ADHD) persisting into adulthood is associated with significant academic and functional impairment among university students in India. However, culturally adapted, scalable psychological interventions remain limited. Objective: To evaluate the effectiveness of a culturally adapted 26-session group CBT compared to a supportive academic group for university students with ADHD. Methods: IEC-approved study (Ref: IEC/IILMU/PSYCH/2026/01, dated 15 March 2026) included 674 university students (21-26 years) meeting DSM-5-TR criteria from Greater Noida. Allocated to Group CBT (n=337) and Supportive Academic Group (n=337) based on counselling centre availability. Primary outcome: CAARS. Secondary outcomes: NIMHANS Battery. Assessments at baseline, post-intervention (12 weeks) and 3-month follow-up. Intent-to-treat analysis with LMM, MLE. Written informed consent obtained. Results: LMM revealed significant Group × Time interactions for all outcomes. CBT showed greater reductions in inattention [F(2,1344)=268.42, p<.001, d=2.31, 95% CI 2.12-2.50, 41.6% reduction] and hyperactivity-impulsivity [F(2,1344)=189.76, p<.001, d=1.58] and improvements in executive function [F(2,1344)=312.55, p<.001, d=1.18, 21.0% increase]. Gains maintained at 3-month follow-up. Mean attendance 89.3%, fidelity 92%, no adverse events. Conclusions: Culturally adapted group CBT is effective, feasible and scalable for Indian university students with ADHD and may be implemented in university counselling settings. Keywords: ADHD, group CBT, executive function, university students, India, culturally adapted",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "name": "Dr Kadim Lovakumari"
    },
    {
      "name": "Prof Tosendra Dwivedi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b3aza497f4540.bib",
  "cited_by": 0,
  "doi": "10.31234/osf.io/9seub_v1",
  "fulltext_url": null,
  "id": "b3aza497f4540",
  "issns": [],
  "landing_url": "https://osf.io/preprints/psyarxiv/9seub_v1/",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "bepress",
      "Clinical Psychology"
    ],
    [
      "bepress",
      "Social and Behavioral Sciences"
    ],
    [
      "openalex",
      "2738|Attention Deficit Hyperactivity Disorder"
    ]
  ],
  "openalex": "W7213516383",
  "pdf_url": "https://osf.io/9seub/download",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-17",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/b3aza497f4540.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:24:33Z",
      "native_id": "9seub",
      "source": "osf",
      "url": "https://osf.io/preprints/psyarxiv/9seub_v1/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "bepress:Clinical Psychology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Culturally Adapted 26-Session Group CBT for Adult ADHD in Indian Universities: A Large-Scale Quasi-Experimental Study from Greater Noida",
  "title_text": "Culturally Adapted 26-Session Group CBT for Adult ADHD in Indian Universities: A Large-Scale Quasi-Experimental Study from Greater Noida",
  "type": "preprint",
  "updated_at": "2026-10-30T12:24:33Z",
  "url": "https://research.draconitic.com/paper/b3aza497f4540",
  "venue": "PsyArXiv",
  "versions": []
}