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哌甲酯对有和没有品行问题的注意力缺陷多动障碍儿童同伴互动及模拟课堂表现影响的剂量反应分析。

A dose-response analysis of the effects of methylphenidate on the peer interactions and simulated classroom performance of ADD children with and without conduct problems.

作者信息

Cunningham C E, Siegel L S, Offord D R

机构信息

Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada.

出版信息

J Child Psychol Psychiatry. 1991 Mar;32(3):439-52. doi: 10.1111/j.1469-7610.1991.tb00322.x.

DOI:10.1111/j.1469-7610.1991.tb00322.x
PMID:2061364
Abstract

To examine the social effects of methylphenidate, groups of 15 attention-deficit disordered boys with (ADD) and 15 ADD boys without conduct problems (ADD/CP) were paired with normal peers. ADD and ADD/CP children showed a different pattern of responses to methylphenidate. While on task behavior in ADD/CP dyads increased at 0.15 mg/kg doses, increases in ADD dyads were not observed until doses reached 0.50 mg/kg. Although controlling interaction in ADD children decreased at 0.15 mg/kg, the controlling behavior of ADD/CP children did not decline at either dose. Peers of both ADD and ADD/CP children showed reciprocal declines in controlling behavior. In both free play and cooperative task situations, 0.15 mg/kg increased social interaction in ADD boys and decreased social interaction in ADD/CP boys.

摘要

为研究哌甲酯的社会效应,将15名患有注意力缺陷障碍(ADD)且有品行问题的男孩和15名患有注意力缺陷障碍但无品行问题(ADD/CP)的男孩分别与正常同龄人配对。ADD组和ADD/CP组儿童对哌甲酯表现出不同的反应模式。在ADD/CP组中,剂量为0.15mg/kg时,任务相关行为增加,而ADD组直到剂量达到0.50mg/kg时任务相关行为才增加。虽然ADD儿童的控制互动在剂量为0.15mg/kg时减少,但ADD/CP儿童的控制行为在这两个剂量下均未下降。ADD组和ADD/CP组儿童的同龄人在控制行为上都出现了相应的下降。在自由玩耍和合作任务情境中,0.15mg/kg的剂量增加了ADD男孩的社交互动,减少了ADD/CP男孩的社交互动。

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A dose-response analysis of the effects of methylphenidate on the peer interactions and simulated classroom performance of ADD children with and without conduct problems.哌甲酯对有和没有品行问题的注意力缺陷多动障碍儿童同伴互动及模拟课堂表现影响的剂量反应分析。
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