The effects of methylphenidate on the mother-child interactions of hyperactive children.
The effects of methylphenidate on the mother-child interactions of hyperactive children.
复制标题
哌甲酯对多动儿童母子互动的影响。
DOI：
10.1001/archpsyc.1979.01780020091010
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发表时间：
1979
影响因子：
--
通讯作者：
C. Cunningham
中科院分区：
文献类型：
--
作者：
R. Barkley;C. Cunningham
在自由游戏和任务期间，观察了20名多动症男孩在三种情况下(不吸毒、不吸毒、不服用安慰剂)与母亲互动的情况。采用三盲、药物-安慰剂交叉设计研究了哌甲酸甲酯对这些相互作用的影响。使用复杂的客观编码系统来评分儿童对各种母性行为的反应以及母亲对各种儿童行为的反应。结果表明，这些儿童在药物治疗过程中更服从母亲的命令。作为回应，母亲们表现出对遵从性的更多关注，同时减少了对男孩的指导性。然而，接受哌醋甲酯治疗的多动症男孩发起的社交互动较少，倾向于表现出更大的无反应。因此，哌醋甲酯可能会改善多动症儿童的依从性，但会降低他们的社交能力。
Twenty hyperactive boys were observed while interacting with their mothers during a free play and task period on each of three occasions (no drug, drug, placebo). A triple-blind, drug-placebo crossover design was used to study the effects of methylphenidate on these interactions. A complex objective coding system was used to score the children's responses to various maternal behaviors as well as the mother's responses to a variety of children's behaviors. Results indicated that these children were more compliant with maternal commands during drug treatment. In response, mothers displayed increased attention to compliance while reducing their directiveness toward the boys. However, the hyperactive boys receiving methylphenidate initiated fewer social interactions and tended to show greater nonresponding. Thus, methylphenidate may improve the compliance of hyperactive children but tends to decrease their sociability.