注意缺陷多动障碍的心理及社会心理干预：一项系统评价
Psychological and Psychosocial Interventions in Attention Deficit Hyperactivity Disorder: A Systematic Review.
作者信息
Kahveci Öncü Burcu, İnözü Mermerkaya Müjgan
出版信息
Turk Psikiyatri Derg. 2024 Sep 19;36:78-92. doi: 10.5080/u27201.
OBJECTIVE
Attention Deficit Hyperactivity Disorder (ADHD) is typically treated with medications however psychological and psychosocial interventions are recommended for symptoms that persist despite pharmacological treatment. This study aims to review randomized controlled trials focusing on the psychological and psychosocial interventions in the treatment of ADHD.
METHOD
Eight databases were searched using keyword pairs "ADHD" and "therapy", "ADHD" and "psychological treatment", "ADHD" and "psychosocial treatment", "ADHD" and "CBT", "attention deficit" and "therapy", "attention deficit" and "psychological treatment", "attention deficit" and "psychosocial treatment", "attention deficit" and "CBT". The search was conducted at March 2022.
RESULTS
Forty-five studies met the inclusion criteria. Of these studies, 51% included the child and adolescent age group, 49% included the adult age. In 87% of these studies, psychosocial interventions, when implemented in addition to medication, resulted in significant improvements in ADHD symptoms.
CONCLUSION
The results indicate that the use of psychosocial interventions, in addition to medical approaches, makes significant contributions to the treatment of ADHD. There is a need for studies investigating the effectiveness of psychosocial interventions in the treatment of ADHD in Turkiye.
目的
注意力缺陷多动障碍（ADHD）通常采用药物治疗，然而对于尽管进行了药物治疗症状仍持续存在的情况，建议采用心理和社会心理干预措施。本研究旨在综述聚焦于ADHD治疗中心理和社会心理干预措施的随机对照试验。
方法
使用关键词对“ADHD”和“治疗”、“ADHD”和“心理治疗”、“ADHD”和“社会心理治疗”、“ADHD”和“认知行为疗法（CBT）”、“注意力缺陷”和“治疗”、“注意力缺陷”和“心理治疗”、“注意力缺陷”和“社会心理治疗”、“注意力缺陷”和“CBT”对八个数据库进行检索。检索于2022年3月进行。
结果
45项研究符合纳入标准。在这些研究中，51%纳入了儿童和青少年年龄组，49%纳入了成人年龄组。在这些研究的87%中，社会心理干预措施在与药物治疗同时实施时，ADHD症状有显著改善。
结论
结果表明，除医学方法外，社会心理干预措施的使用对ADHD的治疗有显著贡献。在土耳其，有必要开展研究以调查社会心理干预措施在ADHD治疗中的有效性。
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