青少年正念疗法(MYmind)与群体认知行为疗法在改善注意缺陷多动障碍儿童及其父母的注意力和减少行为问题中的作用:一项随机对照试验。

IF 16.3 1区 医学 Q1 PSYCHIATRY Psychotherapy and Psychosomatics Pub Date : 2023-01-01 Epub Date: 2023-12-01 DOI:10.1159/000534962
Samuel Yeung Shan Wong, Stanley Kam Chung Chan, Benjamin Hon Kei Yip, Wenyue Wang, Herman Hay Ming Lo, Dexing Zhang, Susan M Bögels
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引用次数: 0

摘要

前言:目前还缺乏评估正念干预对儿童注意缺陷多动障碍(ADHD)与循证对照的研究。这项随机对照试验(RCT)评估了青少年正念(MYmind)与认知行为疗法(CBT)相比,在改善儿童注意力、行为和父母相关结果方面的效果。方法:从社区中招募138个8-12岁ADHD儿童家庭,其中69个随机分为MYmind组,69个随机分为CBT组。参与者在基线、干预后立即、3个月和6个月时进行评估。主要结果为儿童日常注意力测试(TEA-Ch)的天空搜索子测试的注意得分。次要结果是儿童行为和父母相关的评估。采用线性混合模型评估MYmind与CBT的疗效。结果:MYmind和CBT均能显著改善儿童6个月时的注意力评分(MYmind: β = 1.48, p = 0.013, Cohen’s d = 0.32;CBT: β = 1.46, p = 0.008, d = 0.27)。组内大多数次要结果均有显著改善。两组在任何时间点的主要或次要结局均无显著差异。结论:MYmind和CBT似乎都能改善儿童的注意力和行为结果,尽管这两种干预措施之间没有发现差异。这是迄今为止比较MYmind和CBT的最大的随机对照试验,尽管在大流行期间失去了后续评估。需要进一步采用非劣效性设计的随机对照试验来验证结果。
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The Effects of Mindfulness for Youth (MYmind) versus Group Cognitive Behavioral Therapy in Improving Attention and Reducing Behavioral Problems among Children with Attention-Deficit Hyperactivity Disorder and Their Parents: A Randomized Controlled Trial.

Introduction: There is a lack of studies evaluating mindfulness-based interventions for children with attention-deficit hyperactivity disorder (ADHD) compared with an evidence-based control. This randomized controlled trial (RCT) evaluated the effects of mindfulness for youth (MYmind) in improving children's attention, behavior, and parent-related outcomes versus cognitive behavioral therapy (CBT).

Methods: A total of 138 families of children with ADHD aged 8-12 years were recruited from the community with 69 randomized to MYmind and 69 to CBT. Participants were assessed at baseline, immediately after intervention, at 3 months and 6 months. The primary outcome was the attention score of the Sky Search subtest of the Test of Everyday Attention for Children (TEA-Ch). Secondary outcomes were child behavior and parent-related assessments. Linear mixed models were used to assess the efficacy of MYmind compared with CBT.

Results: Both MYmind and CBT significantly improved children's attention score at 6 months (MYmind: β = 1.48, p = 0.013, Cohen's d = 0.32; CBT: β = 1.46, p = 0.008, d = 0.27). There were significant within-group improvements in most secondary outcomes. No significant difference was shown for both primary or secondary outcomes between the two arms at any time point.

Conclusions: Both MYmind and CBT appeared to improve children's attention and behavior outcomes, although no difference was found between these two interventions. This is the largest RCT so far comparing MYmind and CBT although there was loss of follow-up assessments during the pandemic. Further RCTs adopting a non-inferiority design are needed to validate the results.

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来源期刊
Psychotherapy and Psychosomatics
Psychotherapy and Psychosomatics 医学-精神病学
CiteScore
29.40
自引率
6.10%
发文量
46
期刊介绍: Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field. As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers. The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.
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