对于注意力缺陷/多动障碍的成年人,基于神经肯定性,自决理论的心理社会干预:随机可行性研究
Rebecca Elizabeth Champ1, Rita Wengorovius Meneses2, Marios Adamou1
1University of Huddersfield, Huddersfield, United Kingdom.
JMIR formative research
|October 29, 2025
概括
这项研究发现,基于自决理论的干预改善了注意力缺陷/多动症障碍 (ADHD) 的成年人的生活质量,并减少了心理痛苦. 建议对这种可行,非赤字的方法进行进一步的试验.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 神经发育障碍 神经发育障碍
- 成人ADHD治疗方法 成人ADHD治疗方法
背景情况:
- 注意缺陷/多动症 (ADHD) 经常通过基于缺陷的镜头来看待,专注于执行功能障碍.
- 这种观点可能会导致耻辱和神经类型失调症,突出显示出需要采用替代方法.
- 自决理论 (SDT) 提供了一个跨诊断框架,优先考虑心理需求满足,以改善身份,动机和自我调节.
研究的目的:
- 评估基于SDT的生活质量 (QoL) 干预措施对被诊断患有ADHD的成年人的可行性和有效性.
- 探索超越传统症状减轻的结果,专注于满足心理需求.
主要方法:
- 招募30名ADHD成年人参加11次治疗辅导干预或对照等待列表.
- 通过治疗前和治疗后的 QoL,痛苦,ADHD 症状和自主功能等措施来评估可行性.
- 收集了对干预价值的定性反.
主要成果:
- 很高的坚持率 (91.6%的干预,81.8%的控制).
- 在心理困扰和ADHD症状中观察到临床显著的改善,包括不注意,尽管不是主要目标.
- 质量生活和自我反思的积极趋势,90%的参与者认为干预措施是有用的和可转移的.
结论:
- 对于ADHD成年人来说,基于SDT的心理社会干预是可行的.
- 这种基于非赤字的方法显示了改善质量生活和减少困境的前景.
- 建议进行随机对照试验,以进一步调查这种干预措施的有效性.
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