基于亲子互动的行为管理培训,为幼儿园ADHD儿童的家长提供行为管理培训:多中心随机控制后续研究
Min Feng1, Juncai Xu2, Mengyao Zhai1
1Nanjing Rehabilitation Medical Center, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, China.
这项研究表明,基于系统的家长培训有效地减少了学龄前儿童的多动症症状. 干预改善了儿童的行为和社会功能,具有持久的积极影响.
科学领域:
- 儿童心理学 儿童心理学
- 行为科学 行为科学
- 临床心理学 临床心理学
背景情况:
- 患有注意力缺陷多动症 (ADHD) 的学龄前儿童需要基于证据的家长培训.
- 需要优化程序来管理ADHD症状并改善儿童的行为.
- 系统理论为理解ADHD中父母与孩子的互动提供了一个框架.
研究的目的:
- 探索一个行为管理培训计划,为父母的学龄前儿童与ADHD.
- 从系统理论的角度分析亲子互动.
- 评估干预对学龄前儿童ADHD症状和相关问题的影响.
主要方法:
- 一项多中心随机对照研究,涉及62名患有ADHD的学龄前儿童 (4-6岁) 的父母.
- 对干预组实施了基于系统的小组治疗.
- 使用ADHD评分表 (ADHD-RS),优点和困难问卷 (SDQ) 和问卷-有困难的儿童 (QCD) 进行了基线,2个月和6个月的评估.
主要成果:
- 干预组对注意力缺陷,过度活跃和冲动性 (P <0.05) 的ADHD-RS得分明显较低.
- 对行为问题,过度活跃和同行互动的SDQ分数显著下降 (P <0.05).
- 与对照组相比,干预组的QCD总得分仍然明显高 (P <0.05).
结论:
- 八周的基于系统的家长培训显著改善了学龄前儿童的ADHD症状,情绪,行为和社会功能.
- 在四个月后的随访中,积极效应仍然存在.
- 基于系统的行为管理 (PTBM) 的家长培训适用于并推用于治疗学前多动症.
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