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基于正念的训练对 ADHD 儿童注意力、冲动性和情绪调节的影响:家庭参与在随机对照试验中的作用。

Mindfulness-based training effect on attention, impulsivity, and emotional regulation among children with ADHD: The role of family engagement in randomized controlled trials.

机构信息

Lecturer, Psychiatric Nursing and Mental Health, Damanhur University, Damanhur City, Egypt.

Lecturer of Pediatric Nursing Department, Faculty of Nursing, Damanhur University, Egypt.

出版信息

Arch Psychiatr Nurs. 2024 Dec;53:204-214. doi: 10.1016/j.apnu.2024.10.001. Epub 2024 Oct 9.

DOI:10.1016/j.apnu.2024.10.001
PMID:39615936
Abstract

BACKGROUND

Attention Deficit Hyperactivity Disorder (ADHD) is among the most common psychiatric conditions affecting school-aged children, marked by diverse levels of inattention, hyperactivity, and impulsivity. Mindfulness-based training intervention throughout childhood enhances those symptoms, improving emotional regulation and well-being, hence improving their quality of life.

AIM

To investigate the effects of mindfulness-based training on attention, impulsivity, and emotional regulation among children diagnosed with ADHD.

DESIGN

A randomized controlled trial (RCT) was used to carry out this study.

SETTING

This study was conducted at the outpatient Medical National Institute in Damanhur. The subjects were 60 children and their parents for the control and study groups (30 in each group).

TOOLS

Researchers used three tools to collect the necessary data: Tool I, A Socio-demographic and Academic Data Questionnaire; Tool II, the Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS); and Tool III, The Emotion Regulation Questionnaire.

RESULTS

The difference in the level of attention, impulsivity, and emotional regulation between the study and control groups after the mindfulness-based training intervention was statistically significant.

CONCLUSION

Mindfulness-based interventions are effective in improving inattention, impulsivity, and emotional regulation among children with ADHD and increasing their performance in all activities.

RECOMMENDATIONS

Health care professionals should consider incorporating mindfulness-based techniques into standard treatment protocols for children with ADHD. Families should be educated about the benefits of mindfulness as family involvement appears to strengthen the effectiveness of these interventions. These programs should be accessible in schools, community centers, and therapeutic settings to guarantee general distribution. RCT: NCT06131190, Date: 11-9-2023.

摘要

背景

注意缺陷多动障碍(ADHD)是影响学龄儿童最常见的精神疾病之一,其特征为注意力不集中、多动和冲动程度不同。儿童期的正念训练干预可增强这些症状,改善情绪调节和幸福感,从而提高他们的生活质量。

目的

调查正念训练对诊断为 ADHD 的儿童注意力、冲动性和情绪调节的影响。

设计

采用随机对照试验(RCT)进行这项研究。

地点

这项研究在达曼胡尔的国家医学研究所的门诊进行。研究对象为对照组和研究组各 30 名的 60 名儿童及其父母。

工具

研究人员使用三种工具收集必要的数据:工具 I,社会人口统计学和学术数据问卷;工具 II,范德比尔特注意力缺陷多动障碍诊断父母评定量表(VADPRS);工具 III,情绪调节问卷。

结果

正念训练干预后,研究组和对照组在注意力、冲动性和情绪调节水平上的差异具有统计学意义。

结论

正念干预可有效改善 ADHD 儿童的注意力不集中、冲动性和情绪调节,并提高他们在所有活动中的表现。

建议

医疗保健专业人员应考虑将正念技术纳入 ADHD 儿童的标准治疗方案中。应向家庭宣传正念的益处,因为家庭参与似乎增强了这些干预措施的效果。这些方案应在学校、社区中心和治疗环境中提供,以确保广泛分布。RCT:NCT06131190,日期:2023 年 9 月 11 日。

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