Parenting Interventions for ADHD: A Systematic Literature Review and Meta-Analysis
Parenting Interventions for ADHD: A Systematic Literature Review and Meta-Analysis
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DOI：
10.1177/1087054714535952
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发表时间：
2015-10-01
影响因子：
3
通讯作者：
Sayal, Kapil
中科院分区：
文献类型：
--
作者：
Coates, Janine;Taylor, John A.;Sayal, Kapil
目的：评价父母行为干预对注意缺陷多动障碍(ADHD)的有效性。方法：通过多个数据库对患有ADHD或高度ADHD症状的儿童的随机对照试验或非随机但充分对照的试验进行系统综述。对于Meta分析，儿童症状的最近等级被用作主要结果衡量标准。结果：11项研究符合纳入标准(603名儿童，年龄范围33-144个月)。父母教养干预与ADHD症状的减少有关(标准化平均差[SMD]=0.68；95%可信区间[CI][0.32，1.04])。在排除了同时使用药物的研究后，没有证据表明有效性减弱。父母教养干预对共病的行为问题(SMD=0.59；95%CI[0.29，0.90])和养育自尊(SMD=0.93；95%CI[0.48，1.39])也有效。结论：这些发现支持临床实践指南，并提示父母教养干预是有效的。需要确保在社区环境中提供育儿干预措施。
Objective: To evaluate the evidence base relating to the effectiveness of parent-administered behavioral interventions for ADHD. Method: A systematic review of randomized controlled trials or non-randomized but adequately controlled trials for children with ADHD or high levels of ADHD symptoms was carried out across multiple databases. For meta-analyses, the most proximal ratings of child symptoms were used as the primary outcome measure. Results: Eleven studies met inclusion criteria (603 children, age range = 33-144 months). Parenting interventions were associated with reduction in ADHD symptoms (Standardized Mean Difference [SMD] = 0.68; 95% confidence interval [CI] [0.32, 1.04]). There was no evidence of attenuation of effectiveness after excluding studies where medication was also used. Parenting interventions were also effective for comorbid conduct problems (SMD = 0.59; 95% CI [0.29, 0.90]) and parenting self-esteem (SMD = 0.93; 95% CI [0.48, 1.39]). Conclusion: These findings support clinical practice guidelines and suggest that parenting interventions are effective. There is a need to ensure the availability of parenting interventions in community settings.