接受行为疗法在学龄前儿童与多动症和共存的条件:一个DBPNet研究
Shruti Mittal1, Ami Bax2, Nathan J Blum3
1Developmental and Behavioral Pediatrics of the Carolinas, Atrium Health, Charlotte, NC.
Journal of developmental and behavioral pediatrics : JDBP
|September 26, 2023
概括
对患有多动症的学龄前儿童推行为治疗 (BT),但很少有人在药物治疗之前接受它. 这项研究发现BT率较低,特别是行为管理 (PTBM) 的家长培训,强调需要改进.
科学领域:
- 发育行为儿科 儿科
- 儿童心理学 儿童心理学
- 儿童多动症治疗方法
背景情况:
- 实践指南建议以证据为基础的行为疗法 (BT) 作为在药物治疗前对患有ADHD的学龄前儿童的第一线治疗.
- 了解与BT接收相关的频率和因素对于改善遵守指南至关重要.
研究的目的:
- 在开始药物治疗之前,确定在患有多动症的学龄前儿童中医生记录的BT接收频率.
- 为了确定与此人群中BT接收相关的因素.
主要方法:
- 在7个发育行为儿科研究网络 (DBPNet) 网站上回顾性医疗记录审查.
- 在2013年1月1日至2017年7月1日期间开始服用ADHD药物的72个月以下儿童的抽象数据.
- 从叙事文本编码的BT收据:行为管理 (PTBM) 的家长培训,应用行为分析 (ABA),其他或没有.
主要成果:
- 在497名儿童中,45%在服用ADHD药物之前接受了任何BT;15.9%接受了PTBM.
- 与那些没有ASD或破坏性行为障碍同时存在的儿童相比,与那些没有ASD或破坏性行为障碍的儿童相比,接受BT的可能性更高 (59.3%和69.0%).
- 在BT接收 (22.4%至74.1%) 中观察到显著的地点变化;性别和保险与BT率无关.
结论:
- 在所有地点和共存条件下,BT,特别是PTBM的记录收到率很低.
- 这些发现强调了普遍需要增加对被诊断患有多动症的幼儿的基于证据的BT的吸收.
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