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家长和教师对注意缺陷多动障碍(ADHD)患儿进行心理教育是否有效?系统文献回顾。

Is psychoeducation for parents and teachers of children and adolescents with ADHD efficacious? A systematic literature review.

机构信息

Clinical Research, Lilly Research Laboratories, Avenida de la Industria 30, Alcobendas, Spain.

出版信息

Eur Psychiatry. 2011 Apr;26(3):166-75. doi: 10.1016/j.eurpsy.2010.10.005. Epub 2011 Feb 2.

Abstract

OBJECTIVE

To identify evidence from comparative studies on the effects of psychoeducation programs on clinical outcomes in children and adolescents with ADHD.

METHOD

Articles published between January 1980 and July 2010 were searched through electronic databases and hand search. A qualitative systematic review of comparative studies of psychoeducation in ADHD was performed. Psychoeducation was considered if studies use a specific therapeutic program focusing on the didactically communication of information and provide patients and families with coping skills.

RESULTS

Seven studies were identified (four randomized-controlled trials, three uncontrolled pre-post treatment designs). Studies differed on whether psychoeducation approaches were applied to parents of ADHD children (three studies), to ADHD children/adolescents and their families (three studies) or to their teachers (one study). Positive outcomes measured as improvement on a number of different variables, including patient's behavior, parent and child satisfaction, child's knowledge of ADHD, children's opinion of the use of medication and adherence to medical recommendations were found.

CONCLUSIONS

Although available evidence is limited and some findings may be difficult to be interpreted, the positive role of psychoeducation and other educational interventions in children and adolescents with ADHD in regard to several outcome measures is supported by most of the literature referenced in this review.

摘要

目的

确定比较研究中关于心理教育计划对 ADHD 儿童和青少年临床结果影响的证据。

方法

通过电子数据库和手工检索,搜索了 1980 年 1 月至 2010 年 7 月发表的文章。对 ADHD 心理教育的比较研究进行了定性系统评价。如果研究使用了专注于信息教学传播并为患者和家属提供应对技能的特定治疗方案,则认为该研究属于心理教育。

结果

确定了 7 项研究(4 项随机对照试验,3 项无对照前后治疗设计)。研究在心理教育方法是否应用于 ADHD 儿童的父母(3 项研究)、ADHD 儿童/青少年及其家庭(3 项研究)或他们的教师(1 项研究)方面存在差异。研究发现了一些积极的结果,包括患者行为、家长和孩子满意度、孩子对 ADHD 的认识、孩子对药物使用的看法以及对医疗建议的遵守情况等多个不同变量的改善。

结论

尽管现有证据有限,一些发现可能难以解释,但本综述中引用的大多数文献支持心理教育和其他教育干预对 ADHD 儿童和青少年在多个结果测量方面的积极作用。

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