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动物辅助干预对改善注意力缺陷多动障碍儿童自尊的作用。

The Role of Animal Assisted Intervention on Improving Self-Esteem in Children With Attention Deficit/Hyperactivity Disorder.

作者信息

Schuck Sabrina E B, Johnson Heather L, Abdullah Maryam M, Stehli Annamarie, Fine Aubrey H, Lakes Kimberley D

机构信息

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.

出版信息

Front Pediatr. 2018 Nov 2;6:300. doi: 10.3389/fped.2018.00300. eCollection 2018.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95d7/6224337/80f580e0584c/fped-06-00300-g0001.jpg

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