综述:注意力缺陷/多动症儿童的动物辅助干预 - 系统性审查和元分析
Shuxin Yu1, Hui Xue1, Yuqing Xie1
1School of Public Health, Southeast University, Nanjing, China.
Child and adolescent mental health
|January 10, 2025
概括
动物辅助干预 (AAI) 对患有注意力缺陷/多动障碍 (ADHD) 的儿童来说是有前途的,改善了注意力和认知. 然而,在本次元分析中,AAI对核心ADHD症状的治疗并不比传统治疗更有效.
科学领域:
- 儿科心理学 儿科心理学
- 行为科学 行为科学
- 补充医学是一种补充医学.
背景情况:
- 动物辅助干预 (AAI) 正在成为儿童注意力缺陷/多动障碍 (ADHD) 的非药物治疗方法.
- 以前对ADHD的AAI进行的系统性审查主要是叙述性的,缺乏汇总的有效性数据.
- 在治疗ADHD儿童时,AAI的定量有效性需要进一步研究.
研究的目的:
- 进行系统性审查和元分析,以确定AAI对ADHD儿童的综合有效性.
- 评估AAI对各种结果领域的影响,包括行为,精神和身体功能.
- 为了比较AAI与非AAI组和传统治疗的有效性.
主要方法:
- 进行了全面的系统审查和元分析,搜索多个数据库,直到2024年3月.
- 包括17个随机对照试验 (RCT) 或涉及307名ADHD儿童的准实验性研究.
- 随机效应元分析估计了各种结果领域的标准化平均差异 (SMD).
主要成果:
- 艾艾药物显著改善了注意力问题 (SMD = -0.42),自尊 (SMD = 0.46),学习/认知 (SMD = -0.69) 和运动能力 (SMD = 0.77).
- 对于ADHD症状严重程度 (SMD = 0.10) 的AAI和传统治疗方法之间没有发现显著差异.
- 艾艾并没有对社交互动,社交技能,有问题的行为或情绪问题产生显著的积极影响.
结论:
- 对大多数核心结果来说,AAI可以作为一种补充策略,但似乎并不比标准的ADHD治疗更有效.
- 需要严格的研究设计,采用更大的样本大小和标准化的协议,以获得更确的证据.
- 进一步的研究应该集中在确定特定的AAI组件,从而为患有多动症的儿童带来显著的益处.
相关概念视频
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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.
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