神经反馈和哌醋甲酯治疗多动症儿童的经验。

Elisa Bousquet, Hala Kerbage, Diane Purper-Ouakil, Erica Fongaro
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引用次数: 0

摘要

注意缺陷多动障碍(ADHD)是一种以注意力不集中、多动和冲动为特征的神经发育障碍。注意力缺陷多动障碍通常采用药物治疗,如哌醋甲酯,但一些家庭和医生更倾向于将心理干预作为一线治疗方法。许多研究都将神经反馈作为治疗多动症的一种潜在的非药物疗法,但关于其有效性的研究结果却相互矛盾。有关神经反馈治疗多动症的定性研究十分有限,而这些研究可以为了解服务使用者的接受程度和感知疗效提供有价值的信息。本研究旨在探讨患有多动症的儿童和青少年对使用神经反馈和哌醋甲酯的看法和经验。对儿童及其家长进行的 11 次访谈探讨了他们的主观体验和感知变化。总体而言,这些家庭对神经反馈的体验是负面的:干预措施没有达到他们的期望,他们报告说观察到的变化微乎其微。然而,使用哌醋甲酯的治疗方法对家庭来说更容易管理,尽管有副作用,但他们认为这种方法更有效。
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Experience of neurofeedback and methylphenidate in children with ADHD.

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. ADHD is commonly treated with medication, such as methylphenidate, but some families and practitioners prefer psychosocial interventions as first line treatments. Many studies have investigated neurofeedback as a potential non-pharmacological treatment for ADHD yielding contradictory findings regarding its efficiency. Qualitative research on neurofeedback in ADHD is limited and can add valuable information on the acceptability and perceived efficacy among service users. This study aimed to explore the perceptions and experiences of children and adolescents with ADHD regarding the use of neurofeedback and methylphenidate. Eleven interviews with children and their parents explored their subjective experiences and perceived changes. Overall, neurofeedback was negatively experienced by those families: the intervention did not meet their expectations, and they reported minimal observed changes. The treatment with methylphenidate, however, was more manageable for families and was perceived to be more efficient despite its side effects.

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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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