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基于视频会议的认知行为疗法在治疗注意力缺陷/多动障碍的成年人中:一个随机的,评估者盲目的,受控的试验

Aiko Eto^1,2, Ayumu Endo^1,2,3, Tokiko Yoshida^2,4,5

¹Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan.

Psychotherapy and psychosomatics

|June 5, 2025

概括

与标准护理相比,基于视频会议的认知行为疗法 (vCBT) 在成人中显著降低了ADHD症状. 这种可获得的治疗改善了注意力缺陷/多动症障碍 (ADHD) 的成年人的生活质量和功能结果.

科学领域:

神经科学是一个神经科学.
精神病学是一个精神病学.
数字健康数字健康

背景情况:

注意缺陷/多动障碍 (ADHD) 是一种流行的神经发育障碍,延伸到成年期.
虽然药物治疗对于ADHD是常见的,但它们会带来诸如副作用和退学等挑战.
基于视频会议的认知行为疗法 (vCBT) 为ADHD管理提供了一个有希望的,可访问的替代方案.

研究的目的:

为了评估vCBT对ADHD成年人的疗效.
为了比较vCBT加常规治疗 (TAU) 与单独的TAU.
评估vCBT对ADHD症状,生活质量和功能障碍的影响.

主要方法:

进行了一项随机的,评估者盲目的,受控的试验.
三十名患有多动症的成年人被随机分配到12次vCBT + TAU或单独TAU的会议中.
主要结局:ADHD评分表-IV (ADHD-RS-IV) 总得分在12周的变化.

主要成果:

与TAU组相比,vCBT组的ADHD-RS-IV得分显著减少 (p=0.0007).与TAU组相比,vCBT组的ADHD-RS-IV得分显著减少 (p=0.0007).
vCBT导致自我报告的注意力不集中,过度活跃和冲动性显著改善.
在vCBT组中观察到生活质量和工作/学校表现的提高.

结论:

对于患有多动症的成年人来说,vCBT是一种有效且易于获得的干预措施.
vCBT在减少核心ADHD症状和改善功能结果方面表现出有效性.
对于ADHD的成年人来说,vCBT是一种有价值的替代治疗方法,特别是那些药物治疗后残留症状的成年人.

关键词:

注意力缺陷/多动症障碍注意力缺陷/多动症认知行为疗法是一种认知行为疗法.认知疗法是一种认知疗法.随机对照试验是随机对照试验.基于视频会议的认知行为疗法.

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