Is early intervention effective in preventing ADHD?
Is early intervention effective in preventing ADHD?
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早期干预能有效预防多动症吗？
DOI：
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发表时间：
1998
影响因子：
0.4
通讯作者：
A. Tenenbaum
中科院分区：
文献类型：
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作者：
G. C. Rappaport;A. Ornoy;A. Tenenbaum
本研究的目的是检查是否早期干预的非药物手段（职业治疗和语言治疗）可以降低ADHD的发病率在一组学龄前儿童在发展这种综合征的高风险。对51名2 ~ 4.5岁时有注意力不集中、言语和/或运动迟缓伴或不伴多动的儿童在8-10岁时进行复查（平均8.9 +/- 1.0岁），由发育儿科医生和发育心理学家使用以下测试和问卷进行：WISC-R智商测试，Touwen和Prechtl神经系统检查的软神经系统体征和DSM-III-R问卷的家长和教师的注意力不集中和多动的评估。还完成了一份详细的医疗调查问卷。在51名儿童中，20名（39%）患有ADHD。在这20名儿童中，有8名在其他兄弟姐妹中有ADHD病史。我们发现，在有这种综合征家族史的儿童中，早期干预可以降低学龄期ADHD的发病率，尽管数量较少限制了结论，需要进一步复制。
The purpose of this study was to examine whether early intervention by non-pharmacologic means (occupational therapy and speech therapy) can decrease the incidence of ADHD in a group of preschool children at high risk for developing this syndrome. Fifty-one children who suffered at the age of 2-4.5 years from inattention, speech delay and/or motor delay with or without hyperactivity were reexamined at the age of 8-10 years (average 8.9 +/- 1.0 years) by a developmental pediatrician and a developmental psychologist, using the following tests and questionnaires: WISC-R IQ test, Touwen and Prechtl neurological examination for soft neurological signs and the DSM-III-R questionnaire for parents and teachers for the assessment of inattention and hyperactivity. A detailed medical questionnaire was also completed. Of 51 children, 20 (39%) had ADHD. Of these 20 children, 8 had a history of ADHD in other siblings. We found that in children with a family history of this syndrome early intervention reduced the incidence of ADHD at school age although the small numbers limit conclusions and need further replication.