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探索正念课程对患有注意缺陷多动障碍和对立违抗性障碍的男孩的疗效。

Exploring the Efficacy of a Mindfulness Program for Boys With Attention-Deficit Hyperactivity Disorder and Oppositional Defiant Disorder.

机构信息

IRCCS Fondazione Stella Maris, Pisa, Italy.

University of Pisa, Italy.

出版信息

J Atten Disord. 2021 Sep;25(11):1544-1553. doi: 10.1177/1087054720915256. Epub 2020 Apr 26.

DOI:10.1177/1087054720915256
PMID:32338110
Abstract

This study was the first attempt to explore the efficacy of a mindfulness protocol for children with attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), and their parents. Fifty male children with ADHD and ODD diagnosis, aged 8 to 12, were randomly assigned to the mindfulness intervention ( = 25) or the wait-list ( = 25) group. Outcome measures included children, parents', and teachers' reports and objective measures of attention. Children from the intervention group had a greater reduction in hyperactive behaviors in the school context (effect size [ES] = 0.59) and a greater improvement in visual sustained attention (ES = 0.77) and in Avoidance and Fusion Questionnaire scores (ES = 0.43) than those in the wait-list control group. No significant effect of the intervention on aggressive behaviors was revealed. A mindfulness intervention for children and their parents showed partial beneficial effects in children with ADHD + ODD.

摘要

这项研究首次尝试探索正念方案对患有注意缺陷多动障碍(ADHD)和对立违抗性障碍(ODD)的儿童及其父母的疗效。50 名年龄在 8 至 12 岁之间的患有 ADHD 和 ODD 诊断的男性儿童被随机分配到正念干预组(=25)或候补名单组(=25)。结果测量包括儿童、父母和教师的报告以及注意力的客观测量。干预组的儿童在学校环境中多动行为的减少幅度更大(效果量[ES] = 0.59),视觉持续注意力(ES = 0.77)和回避与融合问卷评分(ES = 0.43)的改善幅度更大,而候补名单对照组的儿童则没有明显的改善。干预对攻击性行为没有显示出显著的效果。儿童及其父母的正念干预对 ADHD+ODD 儿童显示出部分有益的效果。

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