Whalen C K, Henker B, Hinshaw S P
J Abnorm Child Psychol. 1985 Sep;13(3):391-409. doi: 10.1007/BF00912724.
The impetus for the widespread use of CBT for children with attention deficit disorder (hyperactivity) is examined, followed by an evaluation of various facets of treatment efficacy. The many "unknowns" concerning treatment ingredients, targets of change, domain specificity, individual differences, palatability, and treatment-emergent side effects are then reviewed. The final section focuses on future directions, specifying some reasons for optimism despite the disappointing outcomes to date. Nontraditional uses of CBT are also proposed, including the implementation of cognitive strategies to counteract undesirable emanative effects of extant treatments and to facilitate drug discontinuance in children taking psychoactive medication.
本文探讨了将认知行为疗法（CBT）广泛应用于患有注意力缺陷多动障碍儿童的推动因素，随后评估了治疗效果的各个方面。接着回顾了关于治疗要素、改变目标、领域特异性、个体差异、可接受性以及治疗中出现的副作用等诸多“未知因素”。最后一部分聚焦于未来方向，明确了尽管目前结果令人失望但仍有乐观理由的一些原因。还提出了CBT的非传统用途，包括实施认知策略以抵消现有治疗产生的不良发散效应，并促进服用精神活性药物儿童的药物停用。
