A Randomized Controlled Trial of an Integrated Brain, Body, and Social Intervention for Children With ADHD.

A Randomized Controlled Trial of an Integrated Brain, Body, and Social Intervention for Children With ADHD.
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针对患有多动症儿童的综合大脑,身体和社会干预的随机对照试验。

DOI:
10.1177/1087054716647490
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发表时间:
2020-03
影响因子:
3
通讯作者:
Leckman JF
Leckman JF
中科院分区:
医学2区
文献类型:
--
作者:
Smith SD;Vitulano LA;Katsovich L;Li S;Moore C;Li F;Grantz H;Zheng X;Eicher V;Aktan Guloksuz S;Zheng Y;Dong J;Sukhodolsky DG;Leckman JF

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这项研究评估了大脑、身体和社交综合 (IBBS) 干预措施对 ADHD 儿童的疗效。治疗包括计算机认知矫正训练、体育锻炼和行为管理策略。 92 名 5 至 9 岁患有 ADHD 的儿童被随机分配接受 15 周的 IBBS 治疗或接受常规治疗。主要结局指标包括临床医生对多动症症状和整体临床功能的盲法评级。次要结果指标包括家长和老师对多动症和神经认知测试的评分。我们的任何主要结局指标均未发现显着的治疗效果。在次要结果指标方面,IBBS 组在言语工作记忆任务上表现出显着改善;然而,这一结果未能通过多组比较的校正。这些结果表明,通过两种训练方式将认知训练扩展到多个领域并不能导致 ADHD 症状的普遍改善。
This study evaluated the efficacy of an Integrated Brain, Body, and Social (IBBS) intervention for children with ADHD. Treatment consisted of computerized cognitive remediation training, physical exercises, and a behavior management strategy. Ninety-two children aged 5 to 9 years with ADHD were randomly assigned to 15 weeks of IBBS or to treatment-as-usual. Primary outcome measures included blinded clinician ratings of ADHD symptoms and global clinical functioning. Secondary outcome measures consisted of parent and teacher ratings of ADHD and neurocognitive tests. No significant treatment effects were found on any of our primary outcome measures. In terms of secondary outcome measures, the IBBS group showed significant improvement on a verbal working memory task; however, this result did not survive correction for multiple group comparisons. These results suggest that expanding cognitive training to multiple domains by means of two training modalities does not lead to generalized improvement of ADHD symptomatology.
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