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以学校为基础的干预措施对患有注意力缺陷/多动障碍的小学生。

School-Based Interventions for Elementary School Students with Attention-Deficit/Hyperactivity Disorder.

机构信息

Department of Education and Human Services, Lehigh University, 111 Research Drive, Bethlehem, PA 18015, USA.

Department of Education and Human Services, Lehigh University, 111 Research Drive, Bethlehem, PA 18015, USA; University of Nebraska-Lincoln, Lincoln, NE, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2022 Jan;31(1):149-166. doi: 10.1016/j.chc.2021.08.003.

Abstract

Children with attention-deficit/hyperactivity disorder experience significant academic, social, and behavioral impairments in elementary school settings. Although psychopharmacologic treatments can improve symptomatic behaviors, these rarely are sufficient for enhancing school performance. Thus, medication should be supplemented by one or more school interventions, including behavioral strategies, academic interventions, behavioral peer interventions, organizational skills training, and self-regulation strategies. Although all of these school interventions have been found effective, classroom behavioral strategies, organizational skills training, and self-regulation strategies have the strongest empirical support. Clinicians should collaborate with school mental health professionals to encourage implementation of effective school interventions across school years.

摘要

患有注意缺陷多动障碍的儿童在小学环境中会经历显著的学业、社交和行为障碍。虽然精神药理学治疗可以改善症状行为,但这些治疗很少足以提高学习成绩。因此,药物治疗应该辅以一种或多种学校干预措施,包括行为策略、学术干预、行为同伴干预、组织技能训练和自我调节策略。虽然所有这些学校干预措施都被证明是有效的,但课堂行为策略、组织技能训练和自我调节策略具有最强的实证支持。临床医生应与学校心理健康专业人员合作,鼓励在整个学年实施有效的学校干预措施。

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