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患有品行问题和共患注意力缺陷多动障碍的儿童:父母管理培训后的行为改善

Children With Conduct Problems and Co-occurring ADHD: Behavioral Improvements Following Parent Management Training.

作者信息

Bjørnebekk Gunnar, Kjøbli John, Ogden Terje

机构信息

Norwegian Center for Child Behavioral Development, University of Oslo , Oslo , Norway.

出版信息

Child Fam Behav Ther. 2015 Jan 2;37(1):1-19. doi: 10.1080/07317107.2015.1000227. Epub 2015 Mar 9.

Abstract

To scale up evidence-based treatment of conduct problems, parent management training, Oregon model (PMTO) has been disseminated throughout Norway. This study examined whether Attention Deficit Hyperactivity Disorder (ADHD) predicted the outcomes of PMTO. Of 253 children and families, 97 were reported to have an ADHD diagnosis. Although different at intake, the groups with and without ADHD had close to an equal change in behavioral status following treatment. Maternal depression and family income predicted the combined group's behavior following PMTO. The study indicates that reductions in conduct problems following PMTO are of the same magnitude in children with or without ADHD. However, some characteristics may differentially predict outcomes for children with combined problems.

摘要

为了扩大基于证据的行为问题治疗方法——俄勒冈模式家长管理培训(PMTO)在挪威的推广,本研究考察了注意力缺陷多动障碍(ADHD)是否能预测PMTO的治疗效果。在253名儿童及其家庭中,有97名儿童被报告患有ADHD。尽管在入组时存在差异,但接受治疗后,患有和未患ADHD的两组儿童在行为状态上的变化几乎相同。母亲的抑郁情况和家庭收入能够预测综合组在接受PMTO后的行为表现。该研究表明,无论是否患有ADHD, 儿童在接受PMTO治疗后行为问题的减少程度是相同的。然而,一些特征可能会对存在多种问题的儿童的治疗效果产生不同的预测作用。

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