Multimodal integrated intervention for children with attentiondeficit/hyperactivity disorder  

作　　者：Ying-Bo Lv Wei Cheng Meng-Hui Wang Xiao-Min Wang Yan-Li Hu Lan-Qiu Lv 

机构地区：[1]Pediatric Health Care Section,Ningbo Women and Children's Hospital,Ningbo 315000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2023年第18期4267-4276,共10页世界临床病例杂志

基　　金：Supported by Ningbo Medical Key Fostering Discipline Child Health Science,No.2022-F26;Ningbo Science and Technology Plan Project Public Welfare Plan,No.2019C50099.

摘　　要：BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20 years,effective treatments are still lacking.Instead,the concept of ADHD seems to have become broader and more heterogeneous.Therefore,the diagnosis and treatment of ADHD remains challenging for clinicians.AIM To investigate the effects of a multimodal integrated intervention for children with ADHD.METHODS Between March 2019 and September 2020,a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility,two of whom revoked their consent.A case-control study was conducted in which the children were equally assigned,using a randomized number table,to either a medication group(methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets)or a multimodal integrated intervention group(medication+parent training+behavior modification+sensory integration therapy+sand tray therapy),with 49 patients in each group.The clinical endpoint was the efficacy of the different intervention modalities.RESULTS The two groups of children with ADHD had comparable patient characteristics(P>0.05).Multimodal integrated intervention resulted in a significantly higher treatment efficacy(91.84%)than medication alone(75.51%)(P<0.05).Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone(P<0.05).The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group(P<0.05).Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone(P<0.05).CONCLUSION Multimodal integrated interventio

关 键 词：Attention-deficit/hyperactivity disorder Multimodal integrated intervention MEDICATION Behavior modification Sensory integration therapy Sand tray therapy 

分 类 号：R749.94[医药卫生—神经病学与精神病学]