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一项关于母婴注意力缺陷多动障碍治疗的随机对照多中心试验:研究样本的入组情况及基本特征

A randomized controlled multicentre trial on the treatment for ADHD in mothers and children: enrolment and basic characteristics of the study sample.

作者信息

Jans Thomas, Graf Erika, Jacob Christian, Zwanzger Ulrike, Gross-Lesch Silke, Matthies Swantje, Perlov Evgeniy, Hennighausen Klaus, Jung Melanie, Rösler Michael, Schulte-Altedorneburg Monika, von Gontard Alexander, Hänig Susann, Sobanski Esther, Alm Barbara, Poustka Luise, Bliznak Lucia, Colla Michael, Gentschow Laura, Burghardt Roland, Salbach-Andrae Harriet, Becker Katja, Holtmann Martin, Freitag Christine, Warnke Andreas, Philipsen Alexandra

机构信息

Department of Child and Adolescent Psychiatry, University Hospital Würzburg, Füchsleinstr. 15, 97080 Würzburg, Germany.

出版信息

Atten Defic Hyperact Disord. 2013 Mar;5(1):29-40. doi: 10.1007/s12402-012-0092-4. Epub 2012 Oct 16.

Abstract

Parental ADHD may be a significant barrier to a successful treatment for the child's ADHD. The objective of our randomized controlled trial was to evaluate whether the treatment for maternal ADHD improves the efficacy of a behavioural parent training for children's ADHD. Patient enrolment and a description of the full analysis set (FAS) of mother-child pairs with non-missing baseline data are presented. One hundred and forty-four mother-child pairs were randomized to two treatments for maternal ADHD: cognitive behavioural group psychotherapy plus open methylphenidate treatment or control treatment (supportive counselling). After 3 months of treatment for maternal ADHD, mother-child pairs participated in a behavioural parent-child training. Assessment for eligibility included standardized instruments. After pre-screening out of 444 mother-child pairs, 206 were evaluated for trial participation and 144 were randomized. The FAS was built up by 143 dyads (children: mean age 9.4 years, 73 % males; mothers: mean age: 38.3 years). Fifty-two per cent of the children and 66 % of the mothers had combined ADHD subtype. Current axis-I co-morbidity rates were 48 % in children and 31 % in mothers. Maternal axis-II co-morbidity was 20.1 %. Fifty-seven per cent of the mothers lived together with the father of the index-child, and 29 % were single mothers. Sixty-two per cent had part-time or full-time employment. There was a selection bias excluding mothers with lack of time and effort for participation and mothers affected by coexisting mental and physical illness. Nevertheless, for our trial we were able to collect a sample comparable to routine psychiatric outpatient settings (registration: CCT-ISRCTN73911400, funding: BMBF-01GV0605).

摘要

父母患有注意力缺陷多动障碍(ADHD)可能是孩子ADHD成功治疗的重大障碍。我们随机对照试验的目的是评估对母亲ADHD的治疗是否能提高针对儿童ADHD的行为父母培训的疗效。本文介绍了患者入组情况以及对具有非缺失基线数据的母婴对完整分析集(FAS)的描述。144对母婴被随机分为两种针对母亲ADHD的治疗组:认知行为团体心理治疗加开放的哌甲酯治疗或对照治疗(支持性咨询)。在对母亲的ADHD进行3个月治疗后,母婴对参加了行为亲子培训。资格评估包括标准化工具。在对444对母婴对进行预筛选后,对206对进行了试验参与评估,其中144对被随机分组。FAS由143个二元组组成(儿童:平均年龄9.4岁,73%为男性;母亲:平均年龄38.3岁)。52%的儿童和66%的母亲患有混合型ADHD亚型。目前儿童的轴I共病率为48%,母亲为31%。母亲的轴II共病率为20.1%。57%的母亲与索引儿童的父亲住在一起,29%是单身母亲。62%有兼职或全职工作。存在选择偏倚,排除了没有时间和精力参与的母亲以及受并存的精神和身体疾病影响的母亲。尽管如此,对于我们的试验,我们能够收集到一个与常规精神科门诊环境相当的样本(注册:CCT-ISRCTN73911400,资助:BMBF-01GV0605)。

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