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哌甲酯可改善患有注意力缺陷多动障碍合并阅读障碍儿童的阅读能力:一项非盲法临床试验。

Methylphenidate improves reading performance in children with attention deficit hyperactivity disorder and comorbid dyslexia: an unblinded clinical trial.

作者信息

Keulers Esther H H, Hendriksen Jos G M, Feron Frans J M, Wassenberg Renske, Wuisman-Frerker Mea G F, Jolles Jelle, Vles Johan S H

机构信息

Department of Psychiatry and Neuropsychology, Brain and Behaviour Institute, Maastricht University, Dr. Tanslaan 12, P.O. Box 616, 6200 MD Maastricht, The Netherlands.

出版信息

Eur J Paediatr Neurol. 2007 Jan;11(1):21-8. doi: 10.1016/j.ejpn.2006.10.002. Epub 2006 Dec 13.

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) and dyslexia are frequently co-occurring disorders. Although methylphenidate (MPH) is the primary treatment for ADHD, the effect on reading in children with these comorbid problems is not yet known. This study was an unblinded clinical trial to evaluate the reading performance before and after treatment with MPH. Reading performance was compared with General Linear Model repeated measures between three groups: (1) an experimental group of children with both ADHD and dyslexia (N = 24), (2) a control group of children with ADHD (N = 9) and (3) a control group of children with dyslexia (N = 10). MPH improved reading performance significantly stronger in the experimental group than in the control groups; the number of correctly read words increased to a larger extent. In conclusion, MPH proved to be an aid in the reading process of children with ADHD and comorbid dyslexia by improving the learning conditions, but MPH cannot cure the reading disorder. Future research should study the effect of MPH on reading in a double-blind clinical trial.

摘要

注意力缺陷多动障碍(ADHD)和诵读困难是经常同时出现的病症。虽然哌甲酯(MPH)是治疗ADHD的主要药物,但对于患有这些共病问题的儿童的阅读能力的影响尚不清楚。本研究是一项非盲临床试验,旨在评估MPH治疗前后的阅读表现。阅读表现通过一般线性模型重复测量在三组之间进行比较:(1)患有ADHD和诵读困难的儿童实验组(N = 24),(2)患有ADHD的儿童对照组(N = 9),以及(3)患有诵读困难的儿童对照组(N = 10)。MPH在实验组中对阅读表现的改善明显强于对照组;正确读出的单词数量增加幅度更大。总之,MPH通过改善学习条件被证明有助于患有ADHD和共病诵读困难的儿童的阅读过程,但MPH不能治愈阅读障碍。未来的研究应该在双盲临床试验中研究MPH对阅读的影响。

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