Schuck Sabrina E B, Johnson Heather L, Abdullah Maryam M, Stehli Annamarie, Fine Aubrey H, Lakes Kimberley D
Pediatrics, School of Medicine, University of California, Irvine, Irvine, CA, United States.
School Psychology, College of Education, University of Utah, Salt Lake City, UT, United States.
Front Pediatr. 2018 Nov 2;6:300. doi: 10.3389/fped.2018.00300. eCollection 2018.
Attention Deficit/Hyperactivity Disorder (ADHD), the most ubiquitous mental health problem in children, has been associated with poor self-esteem. Psychosocial interventions have aimed to improve self-esteem among this group, with the aim of reducing the development of comorbid depression and anxiety. The present study implemented a randomized control design to examine the possibility of Animal Assisted Interventions (AAI) as a viable approach to improving self-esteem among children with ADHD. Children's self-esteem across multiple domains as measured by the Self-Perception Profile for Children was evaluated ( = 80, ages 7-9, 71% male). To test the hypothesis that AAI improves self-esteem, stratified Wilcoxon Signed-Rank Tests (SAS NPAR1WAY procedure) were used to compare pre- to post-treatment ratings. Analyses indicated that scores of children's self-perceptions in the domains of behavioral conduct, social, and scholastic competence, were significantly increased from baseline to post-treatment in the AAI group ( = 2.320, = .021, = 2.631, = .008, and = 2.541, = .011, respectively), whereas pre-post-treatment differences in self-perceptions were not found for the children in the control group without AAI. Findings suggest that AAI is a viable strategy for improving ratings of self-perceived self-esteem in children with ADHD.
注意力缺陷多动障碍(ADHD)是儿童中最普遍的心理健康问题,与自尊心低下有关。心理社会干预旨在提高这一群体的自尊心,以减少共病抑郁和焦虑的发生。本研究采用随机对照设计,以检验动物辅助干预(AAI)作为提高ADHD儿童自尊心的可行方法的可能性。通过儿童自我认知量表评估了多个领域中儿童的自尊心(n = 80,年龄7 - 9岁,71%为男性)。为了检验AAI能提高自尊心的假设,使用分层Wilcoxon符号秩检验(SAS NPAR1WAY过程)比较治疗前和治疗后的评分。分析表明,在AAI组中,儿童在行为表现、社交和学业能力领域的自我认知得分从基线到治疗后显著提高(分别为z = 2.320,p = .021;z = 2.631,p = .008;z = 2.541,p = .011),而在没有AAI的对照组中,未发现治疗前后自我认知的差异。研究结果表明,AAI是提高ADHD儿童自我感知自尊心评分的可行策略。