社区提供的基于证据的实践和青少年注意力缺陷/多动障碍的常规护理:检查机制性结果
Paulo A Graziano1, Margaret H Sibley2, Stefany J Coxe1
1Florida International University.
Behavior therapy
|February 28, 2024
概括
常规护理 (UC) 在患有多动症的青少年中改善了执行功能,比支持青少年自主日常 (STAND) 干预更好. STAND改善了青少年的动力,但只有在经过授权的治疗师提供时.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为心理学 行为心理学
- 临床心理学 临床心理学
背景情况:
- 青少年多动症的心理社会护理往往缺乏强有力的证据.
- 现有的治疗方法是基于证据的稀释实践 (EBP) 和低价值方法的混合.
- 基于社区的干预措施需要对有效性和机制进行评估.
研究的目的:
- 为了将社区提供的EBP (STAND) 与ADHD青少年的常规护理 (UC) 进行比较.
- 检查行为,心理和认知机制的差异性变化.
- 评估治疗师执照对干预有效性的影响.
主要方法:
- 一个基于社区的随机试验,包括278名患有多动症的青少年 (年龄11-17岁).
- 青少年和治疗师的双重随机化为STAND或UC.
- 通过基线,治疗后和随访的父级,观察和基于任务的评估来测量机制性结果.
主要成果:
- 与STAND相比,UC对执行功能产生了更好的影响.
- 当被授权治疗师交付时,STAND提高了青少年的动机,并减少了父母的侵入性.
- 当未经授权的治疗师提供时,STAND没有证明所提出的机制.
结论:
- 社区提供的UC可以增强ADHD的执行功能.
- STAND的有效性与治疗师执照有关,并可能提高动机.
- 未来的EBP适应需要加强对未经许可的社区治疗师的支持.
更多相关视频
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
13:09Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
Published on: April 1, 2018
10.3K
相关概念视频
Attention-Deficit/Hyperactivity Disorder
67
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....
67
Behavior Modification
148
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
148
Modeling in Therapy
72
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...
72
Operant Conditioning Intervention
56
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...
56
Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K
