Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children.
Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children.
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DOI：
10.1080/09297049.2017.1282450
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Ramon M
中科院分区：
文献类型：
--
作者：
Chacko A;Bedard AV;Marks D;Gopalan G;Feirsen N;Uderman J;Chimiklis A;Heber E;Cornwell M;Anderson L;Zwilling A;Ramon M
本研究考察了在诊断为注意力缺陷/多动障碍（ADHD）的学龄儿童（7-11岁）中，用行为父母训练（BPT）进行神经认知干预排序，以改善执行功能、精神症状和多种功能障碍指标的潜力。具体来说，在一项随机对照试验设计中，85名儿童被分配到认知工作记忆训练（CWMT），然后进行经验支持的手动BPT干预，或者接受安慰剂版本的CWMT，然后进行相同的BPT干预。工作记忆维持（即注意控制/短期记忆）、工作记忆加工和操作、ADHD和对立违抗性障碍（ODD）症状、亲子动态损害、家族性损害和整体功能损害作为结果进行评估。本研究的结果表明，CWMT和BPT联合项目对言语和非言语工作记忆存储以及非言语工作记忆处理和操作有特定的影响，但对ADHD症状、ODD症状或功能结果没有增加的益处。目前的研究结果不支持我们关于神经认知和BPT干预对ADHD治疗的补充和增强益处的假设。进一步讨论了这些结果、局限性和未来的发展方向。
The present study examined the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functioning, psychiatric symptoms, and multiple indices of functional impairment in school-age children (ages 7–11) diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent-child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. Results of this study suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and non-verbal working memory processing and manipulation but no incremental benefits on ADHD symptoms, ODD symptoms, or functional outcomes. The present findings do not support our hypothesis regarding complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, limitations, and future directions are further discussed.
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影响因子：
6.9
作者：
Chacko A;Kofler M;Jarrett M
通讯作者：
Jarrett M
影响因子：
16.4
作者：
Borckardt, Jeffrey J.;Nash, Michael R.;O'Neil, Patrick
通讯作者：
O'Neil, Patrick
DOI：
10.1207/15374420360533112
发表时间：
2003-03-01
影响因子：
4.2
作者：
Chronis, AM;Pelham, WE;Aronoff, HR
通讯作者：
Aronoff, HR
DOI：
10.1080/15374416.2013.787622
发表时间：
2013
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Chacko A;Feirsen N;Bedard AC;Marks D;Uderman JZ;Chimiklis A
通讯作者：
Chimiklis A
影响因子：
3.7
作者：
Dovis S;Van der Oord S;Wiers RW;Prins PJ
通讯作者：
Prins PJ