成人注意缺陷多動(dòng)障礙認(rèn)知行為治療療效相關(guān)因素
發(fā)布時(shí)間:2018-05-10 05:50
本文選題:成人 + 注意缺陷多動(dòng)障礙; 參考:《中國心理衛(wèi)生雜志》2017年12期
【摘要】:目的:初步探討成人注意缺陷多動(dòng)障礙(ADHD)的認(rèn)知行為治療(CBT)療效相關(guān)因素。方法:采用前瞻性開放性、自身對(duì)照設(shè)計(jì),選取符合美國精神障礙診斷與統(tǒng)計(jì)手冊(cè)第4版(DSM-IV)成人ADHD診斷標(biāo)準(zhǔn)的門診患者85例,進(jìn)行12周認(rèn)知行為治療,使用ADHD評(píng)定量表(ADHD-RS)評(píng)估ADHD核心癥狀,根據(jù)治療后ADHD量表減分率≥25%分為治療有效組(n=41例),減分率25%分為治療無效組(n=44例),采用t檢驗(yàn)/χ~2檢驗(yàn)比較治療有效組及治療無效組在人口統(tǒng)計(jì)學(xué)、疾病特征及早期療效(治療第4周ADHD量表減分率≥25%為早期起效)方面的差異,采用logistic回歸分析CBT療效相關(guān)因素。結(jié)果:在治療有效組中,早期起效者比治療無效組更多(P0.05)。Logistic回歸分析顯示,BIS運(yùn)動(dòng)沖動(dòng)分?jǐn)?shù)較高(OR=1.27)、早期起效(OR=11.87)的患者CBT更易起效。結(jié)論:運(yùn)動(dòng)沖動(dòng)癥狀越重、早期起效的成人ADHD患者CBT療效較好。
[Abstract]:Objective: to explore the related factors of cognitive behavior therapy (CBT) for ADHD in adults with attention deficit hyperactivity disorder (ADHD). Methods: a prospective, open, self-controlled design was used to select 85 outpatients who met the diagnostic criteria of ADHD in the fourth edition of the American Handbook for the diagnosis and Statistics of Mental Disorder (DSM-IV4). The patients were treated with cognitive behavioral therapy for 12 weeks. The core symptoms of ADHD were assessed with ADHD rating scale ADHD-RSv. According to the reduction rate of ADHD scale 鈮,
本文編號(hào):1868040
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