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家长行为管理训练与哌甲酯对减少注意力缺陷多动障碍症状效果的比较

A Comparison of Effectiveness of Parent Behavioral Management Training and Methylphenidate on Reduction of Symptomsof Attention Deficit Hyperactivity Disorder.

作者信息

Mohammadi Mohammad Reza, Soleimani Ali Akbar, Ahmadi Nastaran, Davoodi Elham

机构信息

Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

School of Humanities, University of Science and Culture, Tehran, Iran.

出版信息

Acta Med Iran. 2016 Aug;54(8):503-509.

Abstract

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychological disorders of childhood. Methylphenidate is highly effective in the treatment of ADHD. This study aimed to determine the effectiveness of combined Parent behavioral management training (PBMT) and medication treatment (Methylphenidate) in reducing ADHD symptoms in 6-12-year-old children, using randomized sampling. A total of 50 children with ADHD were assigned into two groups: an experimental group of PBMT and a control group of medication treatment (Methylphenidate) without other interventions. Conners' Parent Rating Scale (CPRS-48) was employed before and after interventions to determine the effects. Descriptive Statistics method (consisting of Mean and Standard deviation) and Statistical inference method, (including t-test and Levene's Test) were used for data analysis.  Findings revealed that the combined behavioral intervention of PBMT and methylphenidate treatment is more effective in reduction of ADHD in children. The difference of means between pre-test and post-test of CPRS in the experimental group was equal to 10.77, and it was equal to 1.88 in the control group. In addition, PBMT was more effective in the case of younger parents (P<0.025). However, parents' education level did not affect the behavioral intervention (P<0.025).The findings suggest that combined intervention of PBMT and methylphenidate is effective in reducing the symptoms of ADHD in children.

摘要

注意缺陷多动障碍(ADHD)是儿童期最常见的心理障碍之一。哌甲酯在治疗ADHD方面非常有效。本研究旨在通过随机抽样确定家长行为管理训练(PBMT)与药物治疗(哌甲酯)相结合在减轻6至12岁儿童ADHD症状方面的有效性。共有50名ADHD儿童被分为两组:一组为接受PBMT的实验组,另一组为仅接受药物治疗(哌甲酯)而无其他干预措施的对照组。在干预前后采用康纳斯父母评定量表(CPRS - 48)来确定效果。数据分析采用描述性统计方法(包括均值和标准差)以及统计推断方法(包括t检验和莱文检验)。研究结果显示,PBMT与哌甲酯治疗相结合的行为干预在减轻儿童ADHD方面更有效。实验组CPRS测试前与测试后的均值差异为10.77,对照组为1.88。此外,对于年轻家长,PBMT更有效(P<0.025)。然而,家长的教育水平并不影响行为干预效果(P<0.025)。研究结果表明,PBMT与哌甲酯相结合的干预措施在减轻儿童ADHD症状方面是有效的。

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