对患有注意力缺陷/多动障碍的儿童进行多式综合干预
Ying-Bo Lv1, Wei Cheng1, Meng-Hui Wang1
1Pediatric Health Care Section, Ningbo Women and Children's Hospital, Ningbo 315000, Zhejiang Province, China.
World journal of clinical cases
|July 14, 2023
概括
与单独服用药物相比,多式综合干预显著提高了患有注意力缺陷/多动障碍 (ADHD) 的儿童的治疗疗效. 这种方法显示出更好的结果,更高的满意度和更少的不良事件.
科学领域:
- 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是儿童中普遍存在的神经发育障碍,影响超过5%的人口.
- 尽管进行了广泛的研究,但ADHD的有效治疗仍然是一个挑战,因为这种疾病的异质性.
- 目前对ADHD的诊断和治疗方法对临床医生来说存在持续的困难.
研究的目的:
- 评估多模式综合干预治疗儿科多动症多动症的有效性.
- 为了比较多式干预与ADHD儿童标准药物治疗的疗效.
主要方法:
- 一项涉及98名被诊断患有多动症的儿童的病例控制研究,随机分为两组:仅用药和多式联络综合干预.
- 多模式组接受了药物治疗与父母培训,行为修改,感官整合疗法和沙盘疗法相结合.
- 使用临床终点评估治疗疗效,包括症状严重程度和功能障碍.
主要成果:
- 多式联络综合干预组的治疗疗效 (91.84%) 与仅用药组 (75.51%) 相比显著更高.
- 多模式治疗组的儿童在康纳斯家长症状问卷和韦斯功能障碍评分表上表现出较低的症状分数.
- 在多式调节干预组中观察到更高的遵守,更高的家庭满意度和更低的不良事件发生率.
结论:
- 多模式综合干预是缓解儿童多动症症状的有效策略.
- 这种方法可以增强诸如记忆和注意力等认知功能,具有良好的安全性和高家长满意度.
- 这些发现表明,对于ADHD多式干预措施的广泛临床采用,有很大的潜力.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
132
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
132
Modeling in Therapy
124
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
124
Autism Spectrum Disorder
161
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
161
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
Oppositional Defiant Disorder
90
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
90
Operant Conditioning Intervention
87
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
87


