Ialongo N S, Horn W F, Pascoe J M, Greenberg G, Packard T, Lopez M, Wagner A, Puttler L
School of Hygiene and Public Health, Department of Mental Hygiene, Johns Hopkins University, Baltimore, MD 21205.
J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):182-9. doi: 10.1097/00004583-199301000-00026.
Using a double-blind, placebo design, we evaluated 96 attention-deficit hyperactivity disordered children for the effects of methylphenidate alone and in combination with behavioral parent training plus child self-control instruction. Seventy one of the children completed the treatment protocol. As reported previously, main effects were found for medication at posttest; however, there was no evidence of additive effects. Nine months after the termination of the behavioral interventions and the withdrawal of the stimulant medication, we found limited support for the hypothesis that the combined conditions would produce greater maintenance of treatment gains than would medication alone.
我们采用双盲、安慰剂设计，评估了96名注意力缺陷多动障碍儿童单独使用哌甲酯以及联合行为家长培训和儿童自我控制指导的效果。其中71名儿童完成了治疗方案。如先前报道，在测试后发现药物有主要效果；然而，没有证据表明存在相加效应。在行为干预结束和停用刺激性药物9个月后，我们发现对于联合治疗条件比单独使用药物能产生更大的治疗效果维持率这一假设，仅有有限的支持证据。
