A 4-YEAR FOLLOW-UP-STUDY OF THE EFFECTS OF METHYLPHENIDATE ON THE BEHAVIOR AND ACADEMIC-ACHIEVEMENT OF HYPERACTIVE-CHILDREN
A 4-YEAR FOLLOW-UP-STUDY OF THE EFFECTS OF METHYLPHENIDATE ON THE BEHAVIOR AND ACADEMIC-ACHIEVEMENT OF HYPERACTIVE-CHILDREN
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DOI：
10.1007/bf00917798
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发表时间：
1981-01-01
影响因子：
3.6
通讯作者：
SCHAIN, R
中科院分区：
文献类型：
--
作者：
CHARLES, L;SCHAIN, R
62名儿童在首次转诊后4年评估多动症症状。行为测量包括家长和老师对行为和社会适应的判断。学业成绩由教师报告、不及格人数、特殊教育服务和2次单独管理的成绩测试来评估。对整个组的数据进行分析，以确定随着时间的推移出现的问题减少的程度以及仍然存在的主要问题。兴奋剂药物治疗对结果的影响是根据服用兴奋剂的时间长短将儿童分成几组来评估的。服用兴奋剂的总时间从< 6个月（组1）到4年（组5）不等。这些儿童的多动症症状明显减轻，但仍高于正常同龄人。行为和社会问题没有学业成绩不佳那么普遍。没有组间差异，表明兴奋剂干预的持续时间对结果没有显著影响。本研究的临床意义是，兴奋剂药物干预的有益作用发生在治疗开始后的第一个月内。长期治疗显然对产生更好的结果没有价值。
Children (62) were evaluated 4 yr after their initial referral for symptoms of hyperactivity. Behavioral measures included parent and teacher judgments of behavior and social adjustment. Academic achievement was assessed by teachers'' reports, number of failed grades, special education services and 2 individually administered achievement tests. Data were analyzed for the total group to determine both the extent to which presenting problems diminished over time and the major problems still present. The effects of stimulant drug therapy on outcome were assessed by dividing the children into groups according to the duration of time they had taken stimulants. Total duration of time on stimulants ranged from < 6 mo. (group 1) to 4 yr (group 5). The symptoms of hyperactivity significantly lessened, but remained higher in these children than in normal peers. Behavioral and social problems were less pervasive than academic underachievement. There were no group differences, indicating that the duration of stimulant intervention did not have a significant effect on outcome. The clinical implication of this study is that the beneficial effects of stimulant drug intervention occur within the 1st months after initiation of therapy. Long-term treatment apparently was not of value in producing better outcome.