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患有注意力缺陷多动障碍男孩的哌甲酯与归因

Methylphenidate and attributions in boys with attention-deficit hyperactivity disorder.

作者信息

Pelham William E, Murphy Debra A, Vannatta Kathryn, Milich Richard, Licht Barbara G, Gnagy Elizabeth M, Greenslade Karen E, Greiner Andrew R, Vodde-Hamilton Mary

机构信息

U Pittsburgh, Western Psychiatric Inst & Clinic, PA.

出版信息

J Consult Clin Psychol. 1992 Apr;60(2):282-292. doi: 10.1037/0022-006X.60.2.282.

DOI:10.1037/0022-006X.60.2.282
PMID:1592959
Abstract

In Experiment 1, 28 attention-deficit hyperactivity disorder (ADHD) boys underwent a double-blind, placebo-controlled medication assessment in a summer day-treatment program. Daily, boys were asked questions to assess their attributions for and evaluations of their behavior. Objective measures showed improved behavior with methylphenidate; however, boys tended to attribute their performance to effort rather than to medication, particularly when medicated. Experiment 2 involved 38 ADHD boys the following summer and replicated the procedures in Experiment 1, with the addition of a no-pill condition and a comparison of attributions for success and failure outcomes. Simply taking a pill (no-pill vs. placebo comparison) did not show significant effects, whereas the results of Experiment 1 were replicated with placebo-methylphenidate comparisons. Across drug conditions a self-enhancing attributional pattern was obtained; the majority of attributions for success were to ability or effort, whereas attributions for failure were to the pill or to counselors.

摘要

在实验1中,28名患有注意力缺陷多动障碍(ADHD)的男孩在一个夏季日间治疗项目中接受了双盲、安慰剂对照的药物评估。每天,男孩们都会被问到一些问题,以评估他们对自己行为的归因和评价。客观测量结果显示,服用哌甲酯后行为有所改善;然而,男孩们倾向于将自己的表现归因于努力而非药物,尤其是在服药时。实验2在接下来的夏天对38名患有ADHD的男孩进行了研究,重复了实验1的程序,并增加了无药丸条件以及对成功和失败结果归因的比较。仅仅服用药丸(无药丸与安慰剂比较)并没有显示出显著效果,而安慰剂 - 哌甲酯比较重复了实验1的结果。在所有药物条件下,都获得了一种自我增强的归因模式;大多数成功的归因是能力或努力,而失败的归因是药丸或辅导员。

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