目的 比较音乐治疗合并药物治疗与单纯药物治疗对儿童注意缺陷多动障碍(attention deficit and hyperactive disorder,ADHD)的疗效。方法 将66例ADHD儿童随机分为研究组和对照组,研究组给予音乐治疗结合盐酸哌甲酯缓释剂治疗,对照组仅给予盐酸哌甲酯缓释剂治疗。两组均予治疗前及治疗16周后采用Conners父母症状问卷、父母用儿童长处和困难问卷(Strengths and Difficulties Questionnaire,SDQ)评估ADHD的临床症状。结果 1)研究组和对照组治疗后SDQ品行问题、多动注意不能及困难总数因子得分差异具有统计学意义(P<0.05),研究组治疗后SDQ情绪因子得分明显下降,差异达到统计学意义(P<0.05或<0.01);2)研究组和对照组治疗后Conners量表学习问题、品行问题、多动冲动及多动指数因子得分差异具有统计学意义(P<0.05);3)治疗后研究组SDQ因子中的情绪问题、同伴交往和困难总分得分均低于对照组,差异具有统计学意义(P<0.05);4)治疗后研究组Conners父母量表的品行问题因子得分小于对照组,差异具有统计学意义(P<0.05)。结论 音乐治疗合并药物治疗比单纯药物治疗能够更好地改善ADHD儿童的症状。
Abstract
Objective To compare the effect of music therapy combined drug treatment with simple drug treatment for the child with attention deficit hyperactivity disorder (ADHD). Methods A total of 66 ADHD children were randomly divided into study group and control group,the study group received music therapy combined with methylphenidate hydrochloride sustained-release agent(Concerta),the control group only received Concerta.The Conners Parent Symptom Questionnaire (PSQ),Parents version Children Strengths and Difficulties Questionnaire(SDQ) were used to assess ADHD symptoms before treatment and after 16 weeks treatment in the two group. Results 1) The factor scores of SDQ after treatment had significant differences in conduct subtype,hyperactivity subtype,and total difficulty between the study group and control group.The score of mood subtype of SDQ in study group had a significant decrease when received treatment,there was significant difference(P<0.05);2) The factor scores of PSQ after treatment had significant differences in subtype of learning problem,conduct,hyperactivity,and hyperactivity index between the study group and control group(P<0.05).3)After the treatment,the factor scores of mood,peer communication,total difficulty of study group in SDQ were less than those of control group,the differences had statistical significances(P<0.05).4) After the treatment,the factor score of conduct of study group in PSQ was less than that of control group,the difference had a statistical significance (P<0.05). Conclusion The treatment of music therapy combined drug had a better improvement for ADHD symptoms compare to simple drug treatment.
关键词
注意缺陷多动障碍 /
音乐治疗 /
盐酸哌甲酯缓释剂 /
随机对照
Key words
attention deficit hyperactivity disorder /
music therapy /
methylphenidate hydrochloride sustained-release agent /
randomized control
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参考文献
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基金
国家自然科学基金面上项目(81271510);英国Dundee大学研究基金(2008.09-2013.08);上海市精神卫生中心院级课题(2011-YJ-05);上海市卫生局青年项目(20124y042);上海市精神卫生中心特色专科建设项目(2013-YJTSZK-04);上海精神卫生中心院级课题(2011-YJ-07)
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