非药物干预与注意缺陷多动障碍儿童生活质量的关系:一项系统综述

Marie-Louise Jensen MSc, Marianne Vamosi phD
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引用次数: 0

摘要

注意缺陷多动障碍是一种常见的精神疾病,在世界范围内儿童和青少年中患病率约为5%。这种障碍影响了他们生活的大部分方面,如学习成绩和社会关系,与健康的同龄人相比,他们的整体生活质量下降。大多数患有多动症的儿童接受的药物治疗可能效果不足,而且/或经常出现副作用。目的使护士和其他卫生保健专业人员能够根据非药物干预与生活质量之间关系的最佳文献,指导ADHD儿童及其家庭选择治疗方法。在CENTRAL、Embase、PubMed、CINAHL和PsycINFO数据库中进行文献检索。本系统评价纳入了7项随机对照试验。他们调查了多不饱和脂肪酸、体育活动、心理教育、认知疗法、认知训练、海马疗法和行为疗法的使用情况。结论以睡眠干预形式进行行为治疗的研究发现,与对照组相比,生活质量有统计学意义的改善。患有多动症和睡眠障碍的儿童可能会从睡眠干预中获得生活质量的改善。
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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The association between nonpharmacological interventions and quality of life in children with attention deficit hyperactivity disorder: A systematic review

Background

Attention deficit hyperactivity disorder is a common psychiatric disorder with a worldwide prevalence of about five percent among children and adolescents. This disorder affects most aspects of their lives e.g., academic performance and social relations, and their overall quality of life is reduced compared to healthy peers. The majority of children with ADHD are treated with medication that potentially has an insufficient effect and/or frequently occurring side effects.

Objectives

To enable nurses and other health care professionals to guide children with ADHD and their families in their choices of treatment, based on the best available literature on the association between nonpharmacological interventions and quality of life.

Data Sources

A literature search was performed in the databases CENTRAL, Embase, PubMed, CINAHL, and PsycINFO. Seven randomized controlled trials were included in this systematic review. They examined the use of polyunsaturated fatty acids, physical activity, psychoeducation, cognitive therapy, cognitive training, hippotherapy, and behavioral therapy.

Conclusions

The study of behavioral therapy in the form of a sleep intervention detected an improvement in quality of life which was statistically significant compared to the control group.

Implications for Practice

Children with ADHD and a sleep disorder may gain improvement in their quality of life from a sleep intervention.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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