盐酸哌甲酯联合运动干预对注意缺陷多动障碍儿童注意力和行为的改善效果  

Effects of methylphenidate combined with exercise intervention on attention and behavior in children with attention deficit hyperactivity disorder

作　　者：余祖琳 陶婷[1,2] 潘月瑢 王晓雪 方辉 高文斌 YU Zulin;TAO Ting;PAN Yuerong;WANG Xiaoxue;FANG Hui;GAO Wenbin(The Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China;Department of Psychology,University of Chinese Academy of Sciences,Beijing 100049,China;Department of Children′s Neurology,Anhui Provincial Children′s Hospital,Hefei 231299,China;Research Institute of Pediatric Medicine,Anhui Provincial Children′s Hospital,Hefei 231299,China)

机构地区：[1]中国科学院心理研究所,北京100101 [2]中国科学院大学心理学系,北京100049 [3]安徽省儿童医院儿童神经科,合肥231299 [4]安徽省儿童医院儿科医学研究所,合肥231299

出　　处：《中国心理卫生杂志》2025年第5期423-428,共6页Chinese Mental Health Journal

基　　金：国家自然科学基金(62107038);安徽医科大学校科研基金(2021xkj229)。

摘　　要：目的:探讨盐酸哌甲酯联合运动干预对注意缺陷多动障碍儿童的注意力、自我意识及问题行为的影响。方法:回顾性分析106例接受盐酸哌甲酯治疗的注意缺陷多动障碍儿童临床资料,根据是否联合运动干预分为联合干预组(n=49)、对照组(n=57)。采用视听整合连续测试、Piers-Harris儿童自我意识量表、Conners儿童行为问题量表父母卷(PSQ)测量两组儿童的注意力、自我意识及问题行为。结果:干预后,联合干预组儿童在视听整合连续测试中的反应时间、漏报、错报数目及PSQ各维度得分除焦虑抑郁外均低于对照组,综合反应控制商、综合注意力商、听觉反应控制商、视觉反应控制商、听觉注意商、视觉注意商得分、Piers-Harris各维度得分均高于对照组(均P<0.05)。结论:盐酸哌甲酯联合运动干预能有效提升注意缺陷多动障碍儿童注意力、自我意识,改善问题行为。Objective:To investigate the effects of methylphenidate combined with exercise intervention on attention,self-awareness and problem behaviors in children with attention deficit hyperactivity disorder(ADHD).Methods:A retrospective analysis was conducted on 106 children with ADHD receiving methylphenidate treatment.Based on whether exercise intervention was applied,participants were divided into the joint intervention group(n=49)and the control group(n=57).The Integrated Visual and Auditory Continuous Performance Test,Piers-Harris Children′s Self-Concept Scale,and Conners Parent Symptom Questionnaire(PSQ)were used to measure children′s attention,self-awareness,and problem behaviors.Results:After intervention,children in the joint intervention group had shorter reaction time,fewer omissions and errors,and lower PSQ scores(in all dimensions except anxiety and depession)than those in the control group.Additionally,their scores on the full response control quotient,full attention quotient,auditory response control quotient,visual response control quotient,auditory attention quotient and visual attention quotient,and Piers-Harrisscores in each dimension were higher than those in the control group(Ps<0.05).Conclusion:Methylphenidate combined with exercise intervention could effectively enhance attention and self-awareness of children with attention deficit hyperactivity disorder,and reduce problem behaviors.

关 键 词：运动 注意缺陷多动障碍 注意力 自我意识 问题行为 

分 类 号：R749.99[医药卫生—神经病学与精神病学] B842.3[医药卫生—临床医学]