Hinshaw S P, Henker B, Whalen C K
J Abnorm Child Psychol. 1984 Mar;12(1):55-77. doi: 10.1007/BF00913461.
The effects of cognitive-behavioral intervention and methylphenidate on anger control in hyperactive boys were investigated in two studies. The anger-inducing stimuli in both studies involved verbal provocation from peers. Study 1 assessed a brief intervention using self-control strategies, while Study 2 employed a longer training period and a control intervention that focused on enhancement of empathy. Both studies included methylphenidate versus placebo comparisons. Methylphenidate reduced the intensity of the hyperactive boys' behavior but did not significantly increase either global or specific measures of self-control. Cognitive-behavioral treatment, when compared to control training, was more successful in enhancing both general self-control and the use of specific coping strategies. There was no advantage for the combination of methylphenidate plus cognitive-behavioral intervention. Implications for intervention to ameliorate the social and interpersonal difficulties of hyperactive children are discussed.
两项研究调查了认知行为干预和哌甲酯对多动男孩愤怒控制的影响。两项研究中诱发愤怒的刺激均为同伴的言语挑衅。研究1评估了使用自我控制策略的简短干预，而研究2采用了更长的训练期以及侧重于增强同理心的对照干预。两项研究均包括哌甲酯与安慰剂的对比。哌甲酯降低了多动男孩行为的强度，但并未显著提高整体或特定的自我控制指标。与对照训练相比，认知行为疗法在增强一般自我控制和特定应对策略的使用方面更为成功。哌甲酯加认知行为干预并无优势。文中讨论了改善多动儿童社会和人际困难的干预措施的意义。
