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针对成人注意力缺陷多动障碍的认知功能远程团体干预:一项可行性研究。

Cognitive Functional Remote Group intervention for adults with attention deficit hyperactivity disorder: A feasibility study.

作者信息

Galili-Simhon Shoval, Maeir Adina

机构信息

School of Occupational Therapy, The Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

出版信息

Br J Occup Ther. 2023 Oct;86(10):686-696. doi: 10.1177/03080226231177842. Epub 2023 Jun 5.

Abstract

INTRODUCTION

Attention deficit hyperactivity disorder among adults has been associated with deficits in executive functioning and poor quality of life. The purpose of this study is to examine feasibility of the Cognitive Functional Remote Group intervention among adults with attention deficit hyperactivity disorder.

METHOD

Mixed-method feasibility study. Five adults with attention deficit hyperactivity disorder received 16 weekly sessions of Cognitive Functional Remote Group.

RESULTS

The target population was easily recruited and showed interest in the treatment. All participants completed the intervention and were moderately-very highly satisfied with different aspects of the intervention. Additionally, pre-post measures demonstrated high rates of clinically significant improvements in the quality of life measure and less so in executive functioning. Three central themes emerged from qualitative analyses of participants experiences relating to (a) ; (b) of self-awareness and cognitive functional strategies and (c) and relating to advantages and disadvantages of remote (Zoom) format.

CONCLUSION

This study supported Cognitive Functional Remote Group feasibility among adults with attention deficit hyperactivity disorder. Quantitative findings point to the responsiveness of quality-of-life measures. Qualitative findings suggest gains in identity development, awareness and acquisition of cognitive functional strategies through occupation-based learning in a telerehabilitation group therapy format. Further controlled studies are warranted.

摘要

引言

成人注意力缺陷多动障碍与执行功能缺陷及生活质量差有关。本研究的目的是检验认知功能远程团体干预对患有注意力缺陷多动障碍的成年人的可行性。

方法

混合方法可行性研究。五名患有注意力缺陷多动障碍的成年人接受了为期16周的认知功能远程团体治疗。

结果

目标人群很容易招募到,并且对治疗表现出兴趣。所有参与者都完成了干预,并且对干预的不同方面表示中度至极高度满意。此外,前后测量结果表明,生活质量测量指标有很高比例的临床显著改善,而执行功能方面的改善较少。对参与者经历的定性分析出现了三个中心主题,分别与(a);(b)自我意识和认知功能策略;以及(c)与远程(Zoom)形式的优缺点有关。

结论

本研究支持认知功能远程团体干预对患有注意力缺陷多动障碍的成年人的可行性。定量研究结果表明生活质量测量指标具有反应性。定性研究结果表明,通过远程康复团体治疗形式的基于职业的学习,在身份发展、意识和认知功能策略的获得方面有所收获。有必要进行进一步的对照研究。

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