Hosainzadeh Maleki Zahra, Mashhadi Ali, Soltanifar Atefeh, Moharreri Fatemeh, Ghanaei Ghamanabad Ali
Tarbiat modares university,of Tehran, Iran.
Ferdowsi university of Mashhad, Mashhad, Iran.
Iran J Psychiatry. 2014 Apr;9(2):47-54.
The aim of the current study was to examine the effectiveness of Barkley's parent training program, working memory training and the combination of these two interventions for children with Attention deficit hyperactivity disorder (ADHD).
In this study, 36 participants with ADHD (aged 6 to 12 years) were selected by convenience sampling. Revision of the Swanson, Nolan and Pelham (SNAP) questionnaire (SNAP-IV), Child Behavior Checklist (CBCL) and clinical interviews were employed to diagnose ADHD. Wechsler Intelligence Scale for Children-Fourth Edition was also implemented. The participants were randomly assigned to the three intervention groups of Barkley's parent training program, working memory training and the combined group. SNAP-IV and CBCL were used as pre-tests and post-tests across all three groups. Data were analyzed using MANCOVA (SPSS version18).
There was a significant difference (p< 0.05) in the decline of attention deficit and hyperactivity /impulsivity symptoms between the combined treatment group and working memory training group and also between the combined treatment group and the parent training group in SNAP. In terms of attention problems (experience-based subscales) of CBCL, there was a significant difference (p< 0.001) between the combined treatment group and working memory training group. Furthermore, compared to the working memory training and parent training groups, the combined group demonstrated a significant decline (p< 0.01) in clinical symptoms of ADHD (based on DSM).
It was revealed that combined treatment in comparison with the other two methods suppressed the clinical symptoms of ADHD more significantly.
本研究旨在检验巴克利家长培训计划、工作记忆训练以及这两种干预措施相结合对注意力缺陷多动障碍（ADHD）儿童的有效性。
在本研究中，通过便利抽样选取了36名ADHD参与者（年龄在6至12岁之间）。采用修订版的斯旺森、诺兰和佩勒姆问卷（SNAP）（SNAP-IV）、儿童行为检查表（CBCL）以及临床访谈来诊断ADHD。还实施了韦氏儿童智力量表第四版。参与者被随机分配到巴克利家长培训计划、工作记忆训练和联合组这三个干预组。所有三组均使用SNAP-IV和CBCL进行前测和后测。使用协方差分析（SPSS 18版）对数据进行分析。
在SNAP中，联合治疗组与工作记忆训练组之间以及联合治疗组与家长培训组之间，注意力缺陷和多动/冲动症状的下降存在显著差异（p<0.05）。就CBCL的注意力问题（基于经验的子量表）而言，联合治疗组与工作记忆训练组之间存在显著差异（p<0.001）。此外，与工作记忆训练组和家长培训组相比，联合组的ADHD临床症状（基于《精神疾病诊断与统计手册》）有显著下降（p<0.01）。
结果显示，与其他两种方法相比，联合治疗能更显著地抑制ADHD的临床症状。
