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注意缺陷多动障碍的心理社会干预:最新进展

Psychosocial interventions in attention-deficit/hyperactivity disorder: update.

作者信息

Antshel Kevin M

机构信息

Department of Psychology, Syracuse University, 802 University Avenue, Syracuse, NY 13244, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2015 Jan;24(1):79-97. doi: 10.1016/j.chc.2014.08.002. Epub 2014 Oct 3.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is the most common reason for referral to child and adolescent psychiatry clinics. Although stimulant medications represent an evidence-based approach to managing ADHD, psychosocial interventions for child/adolescent ADHD target functional impairments as the intervention goal, and rely heavily on behavioral therapy techniques and operant conditioning principles. Evidence-based psychosocial interventions for managing pediatric ADHD include behavioral parent training, school-based interventions relying on behavioral modification, teaching skills, and operant conditioning principles, and intensive summer treatment programs. The use of conjoint psychosocial treatments with ADHD medications may enable lower doses of each form of treatment.

摘要

注意缺陷多动障碍(ADHD)是转诊至儿童和青少年精神病诊所的最常见原因。尽管兴奋剂药物是治疗ADHD的循证方法,但针对儿童/青少年ADHD的心理社会干预将功能损害作为干预目标,并且严重依赖行为治疗技术和操作性条件反射原理。治疗儿童ADHD的循证心理社会干预包括行为家长培训、基于学校的干预(依靠行为矫正、教学技能和操作性条件反射原理)以及强化暑期治疗项目。将心理社会联合治疗与ADHD药物一起使用可能会降低每种治疗方式的剂量。

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