Predictors of Response to Behavioral Treatments Among Children With ADHD-Inattentive Type.
Predictors of Response to Behavioral Treatments Among Children With ADHD-Inattentive Type.
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DOI：
10.1080/15374416.2016.1228461
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Pfiffner L
中科院分区：
文献类型：
--
作者：
Owens EB;Hinshaw SP;McBurnett K;Pfiffner L
检查基线特征-儿童性别，智商，年龄，内化问题，多动/冲动（HI）症状，对立违抗性障碍（ODD）和缓慢的认知克里思，以及父母收入，教育，注意力缺陷/多动障碍（ADHD）严重程度和焦虑/抑郁（A/D）-与ADHD行为治疗反应相关，主要是注意力不集中型。我们在一项随机临床试验中使用了148名儿童（M = 8.7岁）的数据，其中58%为男性，57%为白人。阳性治疗反应定义为（a）5个或更少的注意力不集中症状，和（B）从基线到治疗后至少3个注意力不集中症状减少。儿童HI、父母A/D和儿童IQ与阳性反应相关，如下所示：儿童HI具有主效应，其中其与治疗反应呈负相关（36%的具有两种或更多种HI症状的患者为阳性反应者，而59%的具有一种或更少症状的患者为阳性反应者），其由父母A/D和儿童IQ限定。当儿童有两个或两个以上的HI症状和较高的父母A/D，阳性反应率低25%;当儿童有两个或两个以上的HI症状，父母A/D低，智商105或以上，阳性反应率为85%。此外，反应率最低的一组（25%）的父母自我报告ADHD的严重程度更高，而积极反应率相对较好的一组（59%）的ODD症状数量最少。对我们的ADHD-I行为治疗的积极反应的可能性取决于儿童和父母因素。
To examine baseline characteristics – child gender, IQ, age, internalizing problems, symptoms of hyperactivity/impulsivity (HI), oppositional defiant disorder (ODD), and sluggish cognitive tempo, and parent income, education, attention deficit/hyperactivity disorder (ADHD) severity, and anxiety/depression (A/D) -- associated with response to behavioral treatments for ADHD, predominantly inattentive type. We employed data from 148 children (M = 8.7 years), 58% male, and 57% Caucasian in a randomized clinical trial. Positive treatment response was defined as (a) five or fewer inattentive symptoms, and (b) a decrease of at least three inattentive symptoms from baseline to post-treatment. Child HI, parental A/D, and child IQ were associated with positive response, as follows: Child HI had a main effect in which it was negatively associated with treatment response (36% with two or more HI symptoms were positive responders versus 59% of those with one or fewer symptom) that was qualified by parental A/D and child IQ. When children had two or more symptoms of HI and higher parental A/D, positive response rate was low 25%; when children had two or more symptoms of HI, low parental A/D, and an IQ of 105 or more, positive response rate was 85%. Furthermore, the group with the poorest response rate (25%) had parents who self-reported greater ADHD severity, and the group with a relatively good rate of positive response (59%) had the lowest number of ODD symptoms. Likelihood of positive response to our behavioral treatment for ADHD-I is dependent on child and parent factors.
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影响因子：
5.9
作者：
Beauchaine, TP;Webster-Stratton, C;Reid, MJ
通讯作者：
Reid, MJ
影响因子：
5.3
作者：
Connor, Daniel F.;Ford, Julian D.
通讯作者：
Ford, Julian D.
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
2.7
作者：
Dittman, Cassandra K.;Farruggia, Susan P.;Keown, Louise J.
通讯作者：
Keown, Louise J.
影响因子：
5.9
作者：
Gardner, Frances;Connell, Arin;Wilson, Melvin N.
通讯作者：
Wilson, Melvin N.