Pills or skills for hyperactive children.
Pills or skills for hyperactive children.
复制标题
针对多动儿童的药物或技能。
DOI：
10.1901/jaba.1980.13-191
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发表时间：
1980
影响因子：
2.9
通讯作者：
K. O'Leary
中科院分区：
文献类型：
--
作者：
K. O'Leary
讨论了多动症药物治疗的争议性，多动症的发生率和后遗症，以及多动症和攻击性的鉴别诊断问题。综述了心理刺激药物和行为疗法对多动症儿童的社会行为和学习行为的影响。这两种疗法都对社会行为产生了明显的短期改变，但这两种疗法都没有显示出长期的学术效果或长期的社会影响。对学术行为的短期影响来自行为干预，而不是心理刺激剂。然而，这些干预措施过于简短，不能让人对行为疗法的临床疗效得出明确的结论。虽然已经有对心理刺激疗法的长期评估，但还没有对针对多动症儿童的长期行为治疗计划进行任何评估。考虑到行为疗法对多动症儿童的短期效果是有益的，行为疗法的扩展临床试验需要进行。最后，对未来的研究提出了具体的方向。
The controversial nature of drug treatment of hyperactivity, the incidence and sequelae of hyperactivity, and problems of differential diagnosis of hyperactivity versus aggression were discussed. The effects of psychostimulant medication and behavior therapy on hyperactive children were reviewed with regard to effects on their social and academic behavior. Both treatments have resulted in clear short-term changes in social behavior but neither long-term academic nor long-term social effects have been shown with either treatment. Short-term effects on academic behavior have resulted from behavioral interventions but not from psychostimulants. However, the interventions have been too brief to allow one to draw unequivocal conclusions about the clinical efficacy of behavioral treatments. Although there have been long-term evaluations of psychostimulant therapy, there have not been any evaluations of long-term behavioral treatment programs for hyperactive children. Given the salutary short-term effects of behavior therapy with hyperactive children, extended clinical trials of behavior therapy need to be conducted. Finally, specific directions are suggested for future research.