儿童临床精神运动性支持的家庭纽带治疗对提高儿童注意缺陷多动障碍自我调节的有效性:一项试点研究

Josefina Larraín-Valenzuela , Mauricio Aspé-Sánchez , Patricia Nieto , Rodrigo C. Vergara , Andrea María Palma Contreras
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引用次数: 0

摘要

被诊断为注意力缺陷多动障碍(ADHD)的女孩和男孩需要通过干预来减轻症状。针对被诊断为多动症的母亲和父亲以及他们的女孩和男孩,进行了一项交叉准实验设计。具体而言,针对母亲和父亲的家庭纽带疗法(FBT)和针对患有多动症的女孩和男孩的临床心理运动疗法(CPT)。样本由3名5岁11个月至9岁的女孩和13名男孩组成,此外还有他们的母亲和父亲。在干预措施开始、中期和结束时对女孩和男孩进行了评估。他们的自我调节能力通过两份针对母亲和父亲的问卷进行了测量(执行功能行为评估/BRIEF-2和儿童行为评估系统/BASC)。两份问卷的指标都将自我监管的变化量化为回应变量。与混合线性模型相关的统计方法已经将效果和治疗顺序作为解释变量进行了测量。此外,纳入了不同的控制变量,反应的初始水平和协变量,如焦虑和适应性。这项研究报告称,多动已被证明是衡量自我调节能力的中心症状,因为根据BASC的测量,在CPT后应用时,多动与PBT有显著关联。总之,基于其顺序的临床干预措施的效果有利于减少多动症,并影响女孩和男孩的自我调节能力。
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Effectiveness of family bonding therapy supported by child clinical psychomotricity to increase self-regulation in children with attention deficit hyperactivity disorder: A pilot study

Girls and boys diagnosed with attention deficit hyperactivity disorder (ADHD) need to reduce their symptoms through interventions. A crossover quasi-experimental design has been carried out aimed at both mothers and fathers and their girls and boys diagnosed with ADHD. Specifically, a Family Bonding Therapy (FBT) for mothers and fathers and a Clinical Psychomotor Therapy (CPT) for girls and boys with ADHD. The sample has been made up of three girls and thirteen boys between 5 years 11 months and 9 years old, in addition to their mothers and fathers. The girls and boys have been evaluated at the beginning, middle, and the end of the interventions. Their capacity of self-regulation has been measured through two questionnaires addressed to mothers and fathers (Behavioral Assessment of Executive Function/BRIEF-2 and Behavior Assessment System for children/BASC). The indicators of both questionnaires quantified the change in self-regulation as the response variable. Statistical methods associated with mixed linear models have measure the effect and the order of treatment as explanatory variables. Furthermore, different control variables were incorporated, the initial level of response and covariates such as the anxiety and the adaptability. This study has reported that hyperactivity has proven to be a central symptom to measure self-regulation capacity because it showed a significant association with PBT when applied after CPT, as measured by the BASC. In conclusion, the effect of clinical interventions based on their order favors the reduction of hyperactivity and influences the self-regulation capacity of girls and boys.

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