[身体导向治疗方法对注意力缺陷多动障碍(ADHD)的治疗效果:一项对照性初步研究的结果]

[The effectiveness of body-oriented methods of therapy in the treatment of attention-deficit hyperactivity disorder (ADHD): results of a controlled pilot study].

作者信息

Haffner Johann, Roos Jeanette, Goldstein Nicole, Parzer Peter, Resch Franz

机构信息

Klinik für Kinder- und Jugendpsychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2006 Jan;34(1):37-47. doi: 10.1024/1422-4917.34.1.37.

Abstract

OBJECTIVES

Randomized controlled studies on the effectiveness of body-oriented methods of treatment for children with attention-deficit hyperactivity disorder (ADHD) are lacking. Our aim was to compare the effectiveness of two methods of treatment (yoga for children vs. conventional motor exercises) in a randomized controlled pilot study.

METHODS

Nineteen children with a clinical diagnosis of ADHD (according to ICD-10 criteria) were included and randomly assigned to treatment conditions according to a 2x2 cross-over design. Effects of treatment were analyzed by means of an analysis of variance for repeated measurements.

RESULTS

For all outcome measures (test scores on an attention task, and parent ratings of ADHD symptoms) the yoga training was superior to the conventional motor training, with effect sizes in the medium-to-high range (0.60-0.97). All children showed sizable reductions in symptoms over time, and at the end of the study, the group means for the ADHD scales did not differ significantly from those for a representative control group. Furthermore, the training was particularly effective for children undergoing pharmacotherapy (MPH).

CONCLUSIONS

The findings from this pilot study demonstrate that yoga can be an effective complementary or concomitant treatment for attention-deficit hyperactivity disorder. The study advocates further research into the impact of yoga or body-oriented therapies on the prevention and treatment of ADHD.

摘要

目的

针对注意力缺陷多动障碍(ADHD)儿童,缺乏关于身体导向治疗方法有效性的随机对照研究。我们的目的是在一项随机对照试验研究中比较两种治疗方法(儿童瑜伽与传统体育锻炼)的有效性。

方法

纳入19名临床诊断为ADHD(根据ICD - 10标准)的儿童,并根据2×2交叉设计随机分配至治疗组。通过重复测量方差分析来分析治疗效果。

结果

对于所有结果指标(注意力任务测试分数以及家长对ADHD症状的评分),瑜伽训练均优于传统体育训练,效应量处于中高范围(0.60 - 0.97)。随着时间推移,所有儿童的症状均有显著减轻,并且在研究结束时,ADHD量表的组均值与一个代表性对照组的均值无显著差异。此外,该训练对接受药物治疗(MPH)的儿童尤为有效。

结论

这项试验研究的结果表明,瑜伽可以作为注意力缺陷多动障碍的一种有效补充或辅助治疗方法。该研究提倡进一步探究瑜伽或身体导向疗法对ADHD预防和治疗的影响。

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