药物联合心理干预治疗儿童多动症患者疗效观察

The effect of drugs combined with psychological intervention on children with attention deficit hyperactivity disorder

目的:探讨药物联合心理干预对儿童多动症患者的疗效。方法:56例多动症患儿随机分为干预组(28例)和对照组(28例),对干预组予哌甲酯治疗外,实施6周心理干预(行为干预、家庭支持治疗及生物反馈);对照组仅予哌甲酯治疗。两组均于治疗开始及治疗6周实施Corners父母问卷测验。结果:治疗6周后,两组症状较治疗前均有改善,差异有统计学意义(P<0.01)。干预组较对照组品行问题、冲动多动问题、多动指数因子分进步更为明显(P<0.01)。结论:心理干预联合药物治疗比单独药物治疗可更好地改善多动症患儿的症状。

Objective： To explore effect of psychological intervention combined with drugs on children with attention-deficit/hyperactivity disorder. Method ：56 children with attention-deficit/hyperactivity disorder were divided into intervention group （ n = 28 ） and control group （ n = 28 ）. The intervention group received both methylphenidate treatment and psychological intervention which included behavioral, family supportive and biofeedback therapy, while the control group received methylphenidate therapy only. All patients were evaluated with Conners parent rating scale before and after 6-week treatment. Results：The symptom of two groups improved significantly after 6-week treatment （ P 〈 0.01 ） , but conduct, hyperactivity and hyperactivity index improved more in the intervention group than in the control group （ P 〈 0.01 ）. Conclusion ： Psychological intervention plus drug treatment may improve symptoms more than single drug treatment in the treatment of children with attention-deficit/hyperactivity.