心理行为干预联合生物反馈治疗学龄前儿童注意缺陷多动障碍的临床效果

[Clinical effect of psychological and behavioral intervention combined with biofeedback in the treatment of preschool children with attention deficit hyperactivity disorder].

作者信息

Huang Xin-Xin, Ou Ping, Qian Qin-Fang, Huang Yan, Yang Shi-Wei, Wang Yan-Xia, Huang Shan, Wang Zhang-Qiong, Xie Yan-Qin

机构信息

Department of Health Care, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou 350001, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2019 Mar;21(3):229-233. doi: 10.7499/j.issn.1008-8830.2019.03.008.

DOI:10.7499/j.issn.1008-8830.2019.03.008

PMID:30907345

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7389360/

Abstract

OBJECTIVE

To study the clinical effect of psychological and behavioral intervention combined with biofeedback in the treatment of preschool children with attention deficit hyperactivity disorder (ADHD).

METHODS

Sixty children each with inattentive, hyperactive/impulsive or combined type ADHD were enrolled. According to the intervention measure, they were randomly divided into 4 groups: control, psychological and behavioral intervention, biofeedback treatment and comprehensive treatment (psychological and behavioral intervention + biofeedback). Attention concentration time and impulse/hyperactivity and hyperactivity index scores of the Conners Parent Symptom Questionnaire (PSQ) were evaluated after 4 months of treatment.

RESULTS

The attention concentration time increased in all types children with ADHD after psychological and behavioral intervention, biofeedback treatment or comprehensive treatment (P<0.05). In children with inattentive ADHD, hyperactive/impulsive ADHD or combined-type ADHD, biofeedback or comprehensive treatment reduced the impulse/hyperactivity index score (P<0.05). In children with inattentive or combined-type ADHD, psychological and behavioral intervention or comprehensive treatment reduced the hyperactivity index score (P<0.05). In children with hyperactive/impulsive ADHD, biofeedback treatment, psychological and behavioral intervention or comprehensive treatment reduced the hyperactivity index score (P<0.05).

CONCLUSIONS

In children with ADHD, psychological and behavioral intervention combined with biofeedback treatment can improve the attention concentration and impulsive/hyperactive and hyperactive symptoms. The treatment strategies are slightly different for children with different types of ADHD.

摘要

目的

探讨心理行为干预联合生物反馈治疗学龄前注意缺陷多动障碍（ADHD）患儿的临床效果。

方法

选取60例注意力不集中、多动/冲动或混合型ADHD患儿。根据干预措施将其随机分为4组：对照组、心理行为干预组、生物反馈治疗组和综合治疗组（心理行为干预+生物反馈）。治疗4个月后，评估Conners父母症状问卷（PSQ）中的注意力集中时间、冲动/多动及多动指数得分。

结果

心理行为干预、生物反馈治疗或综合治疗后，各类ADHD患儿的注意力集中时间均增加（P<0.05）。在注意力不集中型ADHD、多动/冲动型ADHD或混合型ADHD患儿中，生物反馈或综合治疗降低了冲动/多动指数得分（P<0.05）。在注意力不集中或混合型ADHD患儿中，心理行为干预或综合治疗降低了多动指数得分（P<0.05）。在多动/冲动型ADHD患儿中，生物反馈治疗、心理行为干预或综合治疗降低了多动指数得分（P<0.05）。