Improving outcomes for youth with ADHD: a conceptual framework for combined neurocognitive and skill-based treatment approaches.
Improving outcomes for youth with ADHD: a conceptual framework for combined neurocognitive and skill-based treatment approaches.
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DOI：
10.1007/s10567-014-0171-5
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发表时间：
2014-12
影响因子：
6.9
通讯作者：
Jarrett M
中科院分区：
文献类型：
--
作者：
Chacko A;Kofler M;Jarrett M
注意力缺陷/多动障碍 (ADHD) 是一种普遍存在的慢性心理健康状况，通常会导致一生的严重损害。尽管针对多动症存在基于证据的药物和心理社会治疗方法，但这些治疗的效果很严重，通常不会推广到未经治疗的环境，很少能持续一段时间，并且对功能障碍（即家庭、社会和学术功能）和执行功能的关键领域影响不够。当前循证治疗的局限性可能是由于这些治疗无法解决与多动症症状和相关功能障碍区域相关的潜在神经认知缺陷。尽管已经做出努力直接针对多动症潜在的神经认知缺陷，但现有的神经认知干预措施效果有限，可能是由于训练目标的错误指定和效力不足。我们在此认为，尽管存在这些局限性，但更精确、更有效地针对神经认知缺陷的下一代神经认知训练计划，与基于特定技能的多动症心理社会治疗相结合，可能会带来最佳结果。我们讨论了这种联合治疗方法的基本原理、这种联合治疗方法治疗其他精神健康疾病的突出例子，以及儿童多动症的潜在联合治疗方法。最后，我们总结了未来研究的方向，为患有多动症的青少年开发一种神经认知+基于技能的综合治疗方法。
Attention-deficit/hyperactivity disorder (ADHD) is a prevalent and chronic mental health condition that often results in substantial impairments throughout life. Although evidence-based pharmacological and psychosocial treatments exist for ADHD, effects of these treatments are acute, do not typically generalize into non-treated settings, rarely sustain over time, and insufficiently affect key areas of functional impairment (i.e., family, social, and academic functioning) and executive functioning. The limitations of current evidence-based treatments may be due to the inability of these treatments to address underlying neurocognitive deficits that are related to the symptoms of ADHD and associated areas of functional impairment. Although efforts have been made to directly target the underlying neurocognitive deficits of ADHD, extant neurocognitive interventions have shown limited efficacy, possibly due to misspecification of training targets and inadequate potency. We argue herein that despite these limitations, next-generation neurocognitive training programs that more precisely and potently target neurocognitive deficits may lead to optimal outcomes when used in combination with specific skill-based psychosocial treatments for ADHD. We discuss the rationale for such a combined treatment approach, prominent examples of this combined treatment approach for other mental health disorders, and potential combined treatment approaches for pediatric ADHD. Finally, we conclude with directions for future research necessary to develop a combined neurocognitive + skill-based treatment for youth with ADHD.
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影响因子：
120.7
作者：
Ball, K;Berch, DB;Willis, SL
通讯作者：
Willis, SL
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
作者：
BICKETT, L;MILICH, R
通讯作者：
MILICH, R
影响因子：
3.6
作者：
Alderson, R. Matt;Rapport, Mark D.;Kofler, Michael J.
通讯作者：
Kofler, Michael J.
影响因子：
17.7
作者：
Bowie, CR;Reichenberg, A;Harvey, PD
通讯作者：
Harvey, PD