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针对注意缺陷多动障碍儿童和青少年的循证心理社会治疗。

Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder.

机构信息

a Department of Psychology , Ohio University.

出版信息

J Clin Child Adolesc Psychol. 2014;43(4):527-51. doi: 10.1080/15374416.2013.850700. Epub 2013 Nov 18.

Abstract

The purpose of this research was to update the Pelham and Fabiano ( 2008 ) review of evidence-based practices for children and adolescents with attention-deficit/hyperactivity disorder. We completed a systematic review of the literature published between 2007 and 2013 to establish levels of evidence for psychosocial treatments for these youth. Our review included the identification of relevant articles using criteria established by the Society of Clinical Child and Adolescent Psychology (see Southam-Gerow & Prinstein, in press ) using keyword searches and a review of tables of contents. We extend the conceptualization of treatment research by differentiating training interventions from behavior management and by reviewing the growing literature on training interventions. Consistent with the results of the previous review we conclude that behavioral parent training, behavioral classroom management, and behavioral peer interventions are well-established treatments. In addition, organization training met the criteria for a well-established treatment. Combined training programs met criteria for Level 2 (Probably Efficacious), neurofeedback training met criteria for Level 3 (Possibly Efficacious), and cognitive training met criteria for Level 4 (Experimental Treatments). The distinction between behavior management and training interventions provides a method for considering meaningful differences in the methods and possible mechanisms of action for treatments for these youth. Characteristics of treatments, participants, and measures, as well as the variability in methods for classifying levels of evidence for treatments, are reviewed in relation to their potential effect on outcomes and conclusions about treatments. Implications of these findings for future science and practice are discussed.

摘要

这项研究的目的是更新 Pelham 和 Fabiano(2008 年)对注意力缺陷/多动障碍儿童和青少年的循证实践的综述。我们对 2007 年至 2013 年期间发表的文献进行了系统综述,以确定这些年轻人的心理社会治疗的证据水平。我们的综述包括使用临床儿童和青少年心理学协会(见 Southam-Gerow 和 Prinstein,即将出版)制定的标准,通过关键词搜索和目录审查来确定相关文章。我们通过区分培训干预与行为管理,并审查关于培训干预的不断增长的文献,扩展了治疗研究的概念化。与之前的综述结果一致,我们得出结论,行为父母培训、行为课堂管理和行为同伴干预是成熟的治疗方法。此外,组织培训符合成熟治疗的标准。综合培训计划符合 2 级(可能有效)的标准,神经反馈训练符合 3 级(可能有效)的标准,认知训练符合 4 级(实验治疗)的标准。行为管理和培训干预之间的区别为考虑这些年轻人治疗方法的方法和可能的作用机制之间的有意义差异提供了一种方法。治疗的特征、参与者和措施,以及治疗证据水平分类方法的可变性,都与治疗结果及其对治疗的结论有关。讨论了这些发现对未来科学和实践的影响。

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