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抑制控制训练可改善注意缺陷多动障碍症状和外化行为。

Inhibitory Control Training Improves Attention Deficit-Hyperactivity Disorder Symptoms and Externalizing Behavior.

机构信息

Department of Psychology, Shahid Beheshti University, Tehran, Iran.

Department of Psychology, Islamic Azad University, Tehran, Iran.

出版信息

Clin Child Psychol Psychiatry. 2023 Jul;28(3):909-923. doi: 10.1177/13591045221144356. Epub 2022 Dec 6.

DOI:10.1177/13591045221144356
PMID:36474404
Abstract

BACKGROUND

Based on dysexecutive function theory of Attention deficit-hyperactivity disorder (ADHD), inhibitory control plays a crucial role in ADHD symptoms and respective behavioral problems.

METHODS

In the present study, 30 preschoolers with ADHD were recruited in a random clinical trial design in two control and intervention groups. The Flanker and Go/No-Go tasks, Swanson, Nolan, and Pelham Rating Scale, and Child Behavior Checklist were used for assessment at baseline, after the intervention, and 1-month follow-up sessions. The program for attentive rehabilitation of inhibition and selective attention (PARISA) was used for intervention in 10-12 sessions.

RESULTS

Findings showed an improvement in prepotent inhibition and interference control in the intervention group. Furthermore, the hyperactivity/impulsivity symptoms were ameliorated, and the externalizing behavioral problems were improved after the intervention.

CONCLUSION

Inhibitory control in preschoolers with ADHD is trainable, and the training gain could be transferred to ADHD symptoms and externalizing behavior.

摘要

背景

基于注意缺陷多动障碍(ADHD)的执行功能障碍理论,抑制控制在 ADHD 症状和相应的行为问题中起着关键作用。

方法

本研究采用随机临床试验设计,在两个对照组和干预组中招募了 30 名学龄前 ADHD 儿童。在基线、干预后和 1 个月随访时,使用 Flanker 和 Go/No-Go 任务、Swanson、Nolan 和 Pelham 评定量表以及儿童行为检查表进行评估。采用注意抑制和选择性注意的注意力康复方案(PARISA)进行 10-12 次干预。

结果

研究结果表明,干预组在优势反应抑制和干扰控制方面有改善。此外,干预后多动/冲动症状减轻,外化行为问题得到改善。

结论

ADHD 学龄前儿童的抑制控制是可训练的,训练效果可以转移到 ADHD 症状和外化行为上。

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