The effectiveness of child-centered play therapy for executive functions in children with attention-deficit/hyperactivity disorder.

IF 1.8 4区医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2023-07-01 DOI:10.1177/13591045221128399

Tsz-Yan Wong, Yu-Tzu Chang, Ming-Yu Wang, Yun-Hsuan Chang

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引用次数: 2

Abstract

Introduction: Child-centered play therapy (CCPT) is a practical and recommended non-medication intervention for children with Attention-deficit/hyperactivity disorder (ADHD) but the mechanism in between is unclear.

Aim: This study proposed to examine the effectiveness of CCPT on neuropsychological deficits and behavioral symptoms in ADHD.

Methods: Participants with ADHD diagnosis were referred from senior child and adolescent psychiatrists, and typical developmental children (TD) were recruited from community as a control group. All participants' executive functions were evaluated using Cambridge Neuropsychological Test Automated Battery. First of all, the participants were evaluated using Child Behavior Checklist (CBCL) by their parents. The ADHD participants were assigned into CCPT (ADHDc) and waitlist (ADHDw) group; and the ADHDc group then received CCPT weekly for 12 sessions, while the ADHDw continuously received their regular treatment (i.e., medication treatment or other alternative treatments) as usual.

Results: Total 52 participants were recruited (17 with ADHD and 35 typically developed children, TD). The results showed that overall the ADHD groups had worse neuropsychological performance and more behavioural disturbance than did the TD (ps < .05). After receiving the CCPT, the results showed that the ADHDc group had significant improvement in the cognitive flexibility (p < .05); while the ADHDw group had no changes.

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以儿童为中心的游戏治疗对注意缺陷/多动障碍儿童执行功能的影响。

以儿童为中心的游戏治疗(CCPT)是一种实用和推荐的非药物干预儿童注意力缺陷/多动障碍(ADHD)，但两者之间的机制尚不清楚。目的:本研究旨在探讨CCPT治疗ADHD患者神经心理缺陷和行为症状的有效性。方法:从资深儿童和青少年精神病学家处转介ADHD诊断的参与者，从社区招募典型发育儿童(TD)作为对照组。所有参与者的执行功能都使用剑桥神经心理测试自动化电池进行评估。首先由家长使用儿童行为量表(Child Behavior Checklist, CBCL)对被试进行评估。将ADHD参与者分为CCPT (ADHDc)组和等候名单(ADHDw)组;然后，ADHDw组每周接受12次CCPT治疗，而ADHDw组继续接受常规治疗(即药物治疗或其他替代治疗)。结果:共招募了52名参与者(17名ADHD和35名典型发育儿童，TD)。结果显示，总体而言，ADHD组比TD组有更差的神经心理表现和更多的行为障碍(ps < 0.05)。接受CCPT后，结果显示，ADHDc组在认知灵活性方面有显著改善(p < 0.05);而ADHDw组则没有变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.