SEPARATE AND COMBINED EFFECTS OF METHYLPHENIDATE AND BEHAVIOR-MODIFICATION ON BOYS WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER IN THE CLASSROOM
SEPARATE AND COMBINED EFFECTS OF METHYLPHENIDATE AND BEHAVIOR-MODIFICATION ON BOYS WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER IN THE CLASSROOM
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DOI：
10.1037/0022-006x.61.3.506
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发表时间：
1993-06-01
影响因子：
5.9
通讯作者：
HOZA, B
中科院分区：
文献类型：
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作者：
PELHAM, WE;CARLSON, C;HOZA, B
本研究评估了行为矫正和2种剂量的哌醋甲酯（MPH; 0.3和0.6 mg/kg）与基线（无行为矫正和安慰剂）相比对31名参加夏季治疗计划的ADHD（注意缺陷多动障碍）男孩的课堂行为和学业成绩的单独和联合影响。结果显示，这两种干预措施的显着效果，药物治疗的平均效果大小是行为矫正的两倍多。与低剂量MPH的作用相比，高剂量药物或行为矫正的增加值相对较小。相比之下，添加任何剂量的MPH导致的改善超出了单独的行为改变的效果。这些群体效应反映了个体差异分析中获得的结果。此外，对个体反应性的比较表明，对一种治疗有反应的男孩对另一种治疗也有反应。
This study evaluated the separate and combined effects of behavior modification and 2 doses of methylphenidate (MPH; 0.3 and 0.6 mg/kg) compared with baseline (no behavior modification and a placebo) on the classroom behavior and academic performance of 31 ADHD (attention deficit-hyperactivity disorder) boys attending a summer treatment program. Results revealed significant effects of both interventions, with the mean effect size of medication being more than twice as great as that of behavior modification. Relatively small incremental value was gained by the higher dose of medication or the addition of behavior modification, compared with the effects of the low dose of MPH. In contrast, the addition of either dose of MPH resulted in improvement beyond the effects of behavior modification alone. These group effects reflected those obtained in analyses of individual differences. Furthermore, comparisons of individual responsiveness showed that boys who responded to one treatment also responded to the other.