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多动症儿童的行为矫正疗法。研究与临床意义。

Behavior modification therapy in hyperactive children. Research and clinical implications.

作者信息

Wolraich M L

出版信息

Clin Pediatr (Phila). 1979 Sep;18(9):563, 565-6, 568-70. doi: 10.1177/000992287901800909.

DOI:10.1177/000992287901800909
PMID:466921
Abstract

One hundred fifty-seven studies employing behavior modification in the management of hyperactive and disruptive children were reviewed. The studies were analyzed against standards of scientific validity. The review found: (1) behavior modification was effective in alleviating problem behaviors; (2) token programs were the most commonly used; (3) both positive reinforcement and punishment were effective; positive reinforcement, however, had the advantage of improving self-esteem; (4) behavioral problems occurring in the home most likely require a home-based program; (5) behavior modification and stimulant medication can be used simultaneously, often with additive effects; and (6) long-term benefits beyond one year have not been assessed.

摘要

对157项采用行为矫正方法来管理多动和捣蛋儿童的研究进行了综述。根据科学有效性标准对这些研究进行了分析。综述发现:(1)行为矫正对减轻问题行为有效;(2)代币制方案是最常用的;(3)正强化和惩罚都有效;然而,正强化具有提高自尊的优势;(4)在家中出现的行为问题很可能需要一个基于家庭的方案;(5)行为矫正和兴奋剂药物可以同时使用,且往往具有相加效应;以及(6)尚未评估超过一年的长期益处。

相似文献

1
Behavior modification therapy in hyperactive children. Research and clinical implications.多动症儿童的行为矫正疗法。研究与临床意义。
Clin Pediatr (Phila). 1979 Sep;18(9):563, 565-6, 568-70. doi: 10.1177/000992287901800909.
2
Effects of combining methylphenidate and a classroom token system in modifying hyperactive behavior.
Am J Ment Defic. 1975 Nov;80(3):266-76.
3
Behavior therapy and withdrawal of stimulant medication in hyperactive children.
Pediatrics. 1978 Feb;61(2):211-7.
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Comparing treatment tactics with a hyperactive preschool child: stimulant medication and programmed teacher intervention.比较针对多动学龄前儿童的治疗策略:兴奋剂药物治疗与教师程序化干预。
J Appl Behav Anal. 1977 Spring;10(1):13-20. doi: 10.1901/jaba.1977.10-13.
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Effects of methylphenidate alone and in combination with behavior modification procedures on the behavior and academic performance of hyperactive children.哌甲酯单独使用及与行为矫正程序联合使用对多动症儿童行为及学业表现的影响。
J Abnorm Child Psychol. 1978 Mar;6(1):149-61. doi: 10.1007/BF00915790.
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Behavioral management of the hyperactive child.多动症儿童的行为管理
J Dev Behav Pediatr. 1980 Sep;1(3):108-11.
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The relative efficacy of methylphenidate (ritalin) and behavior-modification techniques in the treatment of a hyperactive child.哌甲酯(利他林)与行为矫正技术治疗多动儿童的相对疗效。
J Appl Behav Anal. 1977 Spring;10(1):21-31. doi: 10.1901/jaba.1977.10-21.
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Behavioral and stimulant treatment of hyperactive children: a therapy study with methylphenidate probes in a within-subject design.多动儿童的行为与兴奋剂治疗:一项在受试者自身设计中使用哌甲酯探针的治疗研究。
J Appl Behav Anal. 1980 Summer;13(2):221-36. doi: 10.1901/jaba.1980.13-221.
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Behav Res Ther. 1973 Aug;11(3):331-4. doi: 10.1016/0005-7967(73)90012-0.

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