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国内注意缺陷/多动障碍儿童干预效果的元分析
  • ISSN号:0439-755X
  • 期刊名称:《心理学报》
  • 时间:0
  • 分类:R395[医药卫生—医学心理学;哲学宗教—心理学;医药卫生—基础医学]
  • 作者机构:[1]东北师范大学教育科学学院儿童发展研究中心,长春130024, [2]长春理工大学心理健康教育与咨询中心,长春130022, [3]天津师范大学心理学系,天津300074
  • 相关基金:国家自然科学基金项目(30570613)和教育部人文社会科学研究“十五”项目(批准号05JCXLX011).
中文摘要:

对国内过去12年间的62项注意缺陷/多动障碍干预研究结果进行了元分析,结果显示:(1)国内现有的ADHD干预措施取得了显著的干预效果;(2)在不同干预措施中,药物治疗与行为疗法或认知行为疗法相结合具有最佳疗效,单独的药物治疗次之,单独的行为疗法或认知行为疗法效果较低;(3)在各种效果指标中,学业指标上的效果量是最大的,这一结果与国外已有的元分析研究发现不一致;(4)在各种效果信息来源中,来自客观观察的效果量最高,来自父母评价的效果量次之,来自教师评定的效果量最差。(5)各种干预措施在不同效果指标上有不同的表现。药物治疗对于学业和行为指标的效果最强烈,而认知行为疗法和脑电反馈疗法对认知指标的效果最明显。最后,结合干预措施的选择、效果指标的采用以及研究质量问题进行了讨论。

英文摘要:

Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder for children. They are at high risk relative to the normal population with respect to scholastic and social failure in school settings. Practice calls for effective interventions to decrease the developmental risk of ADHD. So a comprehensive evaluation on all the existing interventions is needed. There have been many descriptive and meta-analytic reviews on this topic in the West. However, the results from western reviews cannot be applied to China directly. First, the diagnostic criteria are different between the West and China; second, Traditional Chinese Medicine is an important intervention that is not used in the West; third, parents in China have more apprehensions on drug treatment and attach more importance on academic performance. So a meta-analytic approach was used to examine the effects of treatment with Attention deficit/ hyperactivity disorder children in China. A search was made of the CNKI (National Knowledge Infrastructure) databases. In order to decrease the heterogeneity among different treatment outcomes, we limited the search to articles published from 1994 to 2005 (the year in which the meta-analysis was commenced). Criteria for including studies in the sample were that the type of intervention and outcome measures be sufficiently well described to enable classification and that it be possible to calculate an effect size. Additional criteria for selection of studies were that if children have more than one disorder, ADHD should be primary. Besides, the study should employ pretest-posttest design or control group design. We were able to locate 62 unique studies that met these criteria. Studies that met inclusion criteria were systematically coded based on specific features of the article. Coded variables included: number of participants, sex of participants, age range of participants, treatment time, type of intervention, and outcome relating to the type of treatment. The effect size is

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期刊信息
  • 《心理学报》
  • 北大核心期刊(2011版)
  • 主管单位:中国科学院
  • 主办单位:中国心理学会 中国科学院心理研究所
  • 主编:张侃
  • 地址:北京市朝阳区林萃路16号院
  • 邮编:100101
  • 邮箱:xuebao@psych.ac.cn
  • 电话:010-64850861
  • 国际标准刊号:ISSN:0439-755X
  • 国内统一刊号:ISSN:11-1911/B
  • 邮发代号:82-12
  • 获奖情况:
  • 国内外数据库收录:
  • 日本日本科学技术振兴机构数据库,中国中国人文社科核心期刊,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国国家哲学社会科学学术期刊数据库,中国北大核心期刊(2000版)
  • 被引量:33136