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对注意力缺陷多动障碍(ADHD)治疗的态度:家长和孩子的观点。

Attitudes toward attention-deficit hyperactivity disorder (ADHD) treatment: parents' and children's perspectives.

作者信息

Berger Itai, Dor Talia, Nevo Yoram, Goldzweig Gil

机构信息

Neuro-Pediatric Unit, Hadassah-Hebrew University Medical Center, Jerusalem 91240, Israel.

出版信息

J Child Neurol. 2008 Sep;23(9):1036-42. doi: 10.1177/0883073808317726. Epub 2008 May 16.

Abstract

Attitudes toward pharmacological treatment may be a major factor contributing to adherence to such treatment. In the current study, attitudes toward methylphenidate treatment among 50 children diagnosed with attention-deficit hyperactivity disorder (ADHD) and their parents were assessed. Authors of this study have found that the study population is concerned and suspicious toward methylphenidate treatment. Most participants were exposed to negative information even before treatment initiation, which caused many participants to consult other sources and postpone the treatment initiation. Although experiencing methylphenidate as safe and effective (after 23.5 months of treatment), the leading cause of negative attitudes is the concern regarding long-term effects. The single most effective factor regarding the attitude toward methylphenidate treatment is the neurologist's explanation. It is concluded that the pediatric neurologist has a crucial role in affecting attitudes of children and parents toward methylphenidate treatment.

摘要

对药物治疗的态度可能是影响坚持此类治疗的一个主要因素。在本研究中,对50名被诊断患有注意力缺陷多动障碍(ADHD)的儿童及其父母对哌甲酯治疗的态度进行了评估。本研究的作者发现,研究人群对哌甲酯治疗既关注又持怀疑态度。大多数参与者甚至在开始治疗前就接触到了负面信息,这导致许多参与者咨询其他信息来源并推迟开始治疗。尽管在治疗23.5个月后体验到哌甲酯安全有效,但负面态度的主要原因是对长期影响的担忧。关于对哌甲酯治疗态度的唯一最有效因素是神经科医生的解释。得出的结论是,儿科神经科医生在影响儿童和父母对哌甲酯治疗的态度方面起着关键作用。

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