数字干预对注意缺陷多动障碍（ADHD）的影响：随机对照试验的荟萃分析。
The effect of digital interventions on attention deficit hyperactivity disorder (ADHD): A meta-analysis of randomized controlled trials.
机构信息
School of Education Research, China University of Geosciences, Wuhan, China; Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China; Psychosomatic Department, Wuhan Mental Health Center, Wuhan, China; Psychosomatic Department, Wuhan Hospital for Psychotherapy, Wuhan, China.
Psychosomatic Department, Wuhan Mental Health Center, Wuhan, China; Psychosomatic Department, Wuhan Hospital for Psychotherapy, Wuhan, China.
出版信息
J Affect Disord. 2024 Nov 15;365:563-577. doi: 10.1016/j.jad.2024.08.156. Epub 2024 Aug 25.
BACKGROUND
Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. Individuals with ADHD often encounter heightened emotional and behavioral challenges. This study aims to conduct a meta-analysis of the efficacy of digital interventions in improving symptoms of ADHD.
METHODS
This study searched 6 databases for English articles from database construction until December 4, 2023. Randomized controlled trials employing digital interventions for ADHD were gathered. Following the Cochrane Collaboration criteria, Review Manager 5.3 software was utilized to evaluate the risk of bias present in the included papers. Mean differences for post-intervention and follow-up data were standardized using Stata 18.0 software. Subgroup analysis was employed to investigate the sources of heterogeneity. The study adhered to the PRISMA guidelines and was registered on the PROSPERO platform (CRD42024504134).
RESULTS
This review included a total of 25 randomized controlled trials (RCTs). The combined study population comprised 1780 cases. In the digital intervention groups, there was a significant decrease in overall ADHD symptoms (SMD = -0.33; 95 % CI = [-0.51, -0.16]) compared to the control groups. Furthermore, there was a significant reduction in inattention symptoms (SMD = -0.31; 95 % CI = [-0.46, -0.15]) and hyperactivity/impulsivity symptoms (SMD = -0.15; 95 % CI = [-0.29, -0.02]) within the digital intervention groups.
CONCLUSION
The digital interventions proved beneficial for individuals with ADHD by alleviating symptoms of ADHD, inattention, and hyperactivity/impulsivity.
背景
注意力缺陷多动障碍（ADHD）是一种常见的神经发育障碍，其特征为注意力不集中、多动和冲动等症状。ADHD 患者通常会遇到更高的情绪和行为挑战。本研究旨在对改善 ADHD 症状的数字干预措施进行荟萃分析。
方法
本研究从数据库构建开始至 2023 年 12 月 4 日，在 6 个数据库中搜索英文文章。收集了针对 ADHD 采用数字干预的随机对照试验。根据 Cochrane 协作组织的标准，使用 Review Manager 5.3 软件评估纳入文献的偏倚风险。使用 Stata 18.0 软件对干预后和随访数据的均值差异进行标准化。采用亚组分析来探讨异质性的来源。本研究遵循 PRISMA 指南，并在 PROSPERO 平台（CRD42024504134）上进行了注册。
结果
本综述共纳入 25 项随机对照试验（RCT）。综合研究人群共包括 1780 例病例。在数字干预组中，与对照组相比，ADHD 总体症状（SMD=-0.33；95%CI=-0.51，-0.16）显著下降。此外，在数字干预组中，注意力不集中症状（SMD=-0.31；95%CI=-0.46，-0.15）和多动/冲动症状（SMD=-0.15；95%CI=-0.29，-0.02）也显著减少。
结论
数字干预措施通过缓解 ADHD、注意力不集中和多动/冲动症状，对 ADHD 患者有益。
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