Warszawski Uniwersytet Medyczny, Klinika Psychiatrii Wieku Rozwojowego.
Warszawski Uniwersytet Medyczny, Zakład Psychologii i Komunikacji Medycznej.
Psychiatr Pol. 2020 Apr 30;54(2):317-332. doi: 10.12740/PP/103618.
To evaluate changes in the intensity of ADHD symptoms and size effects after the completion of the twelve-week "Workshops for Parents of Hyperactive Children".
Intervention group included parents (N = 199) of children and adolescents diagnosed with ADHD, who completed the twelve-week parental training. The reference group included parents (N = 24) of children and adolescents diagnosed with ADHD, who received 1-2 standard psychiatric visits within twelve weeks (treatment-as-usual). The following questionnaires were completed by the participants at the beginning and at the end of the training: CBCLand Conners-IOWA-10 (parent's assessment of the child), TRF and Conners-RCTRS-28 (assessment of the child by the teacher/educator), and YSR (in children of 11 years and over). The same diagnostic regime was used in the reference group - the patients were assessed during the first visit and after twelve weeks.
The majority of attendees were parents of boys diagnosed with: ADHD mixed type with or without ODD and ADHD predominantly inattentive type. The intervention resulted in significant reduction of inattentive-impulsive-hyperactive and oppositional-defiant symptoms in Conners-IOWA-10 and significant reduction of symptoms in the following CBCL scales: "Social problems", "Attention problems", "Aggressive behavior", "Externalizing behavior", as well as the overall score, as rated by mothers. The improvement was age, diagnosis and pharmacotherapy independent.
The therapeutic program used in our study resulted in small to moderate reduction of symptoms in children and adolescents with attention deficit hyperactivity disorder irrespective of subtype, comorbid disorders or pharmacotherapy (if implemented).
评估“儿童多动父母工作坊”完成后 ADHD 症状强度和规模效应的变化。
干预组包括被诊断患有 ADHD 的儿童和青少年的父母（N=199），他们完成了为期 12 周的父母培训。对照组包括被诊断患有 ADHD 的儿童和青少年的父母（N=24），他们在 12 周内接受了 1-2 次标准的精神病学就诊（常规治疗）。参与者在培训开始和结束时完成了以下问卷：CBCL 和 Conners-IOWA-10（父母对孩子的评估）、TRF 和 Conners-RCTRS-28（教师/教育者对孩子的评估）和 YSR（11 岁及以上儿童）。对照组使用相同的诊断方案-患者在第一次就诊时和 12 周后进行评估。
大多数与会者是被诊断患有混合性 ADHD 伴或不伴 ODD 和 ADHD 注意力不集中型的男孩的父母。干预导致 Conners-IOWA-10 中注意力不集中-冲动-多动和对立违抗症状显著减少，以及以下 CBCL 量表中症状显著减少：“社交问题”、“注意力问题”、“攻击性行为”、“外化行为”以及母亲评定的总分。改善与年龄、诊断和药物治疗无关。
我们研究中使用的治疗方案导致注意力缺陷多动障碍儿童和青少年的症状有小到中度的减少，无论亚型、合并症或药物治疗（如果实施）如何。
