注意欠陥/多動性障害を持つ幼稚園児のためのオープンランダム化制御試験比較グループと個々の親子相互作用療法
Sheila Eyberg1, Melanie M Nelson2, Andrew G Guzick3
1Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Evidence-based practice in child and adolescent mental health
|August 26, 2025
まとめ
両親と子供の相互作用療法 (PCIT) は,小児の破壊的な行動とADHDの症状を効果的に治療し,長期にわたって改善します. 個々のPCITではADHDのみの症例において 行動の変化が大きいことが示されました
科学分野:
- 子どもの心理
- 行動療法
- 臨床精神科
背景:
- 親子交流療法 (PCIT) は 破壊的な行動に対する 根拠に基づいた治療法です
- 注意欠陥/多動性障害 (ADHD) に対するPCITの有効性に関する研究は限られている.
研究 の 目的:
- グループ対個人のPCITの有効性を比較する.
- 同時期に発生する破壊的な行動障害 (DBDs) を伴うADHDに対するPCITの影響を調べる.
主な方法:
- 4~6歳のADHD患者の128人を対象としたオープンランダム化制御試験です.
- 治療前の評価,治療後の評価,および1年および2年間の追跡調査が行われました.
- 両親が報告した 破壊的な行動とADHDの症状を評価した
主要な成果:
- グループと個々のPCITは,持続的な改善とともに,破壊的な行動とADHDの症状を軽減しました.
- 個別PCITはADHDの子どもだけの 破壊的な行動の信頼性の高い変化率をもたらしました
- ほとんどの子供は臨床的に有意なADHD症状の改善を示しましたが,破壊的な行動の改善は診断によって異なります.
結論:
- PCITはグループと個人の両方の形式で 子供のADHDと同時発生する破壊的な行動に対する 潜在的に効果的な治療法です
- PCITはADHDの症状の管理のための非薬学的アプローチを提供することができます.
- 発見と一般化性を確認するためにさらなる研究が必要である.
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