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Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder
BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common disorders in child and adolescent psychiatry, with a prevalence of more than 5%. Despite extensive research on ADHD in the last 10 to 20 years, effective treat-ments are still lacking. Instead, the concept of ADHD...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336987/ https://www.ncbi.nlm.nih.gov/pubmed/37449233 http://dx.doi.org/10.12998/wjcc.v11.i18.4267 |
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author | Lv, Ying-Bo Cheng, Wei Wang, Meng-Hui Wang, Xiao-Min Hu, Yan-Li Lv, Lan-Qiu |
author_facet | Lv, Ying-Bo Cheng, Wei Wang, Meng-Hui Wang, Xiao-Min Hu, Yan-Li Lv, Lan-Qiu |
author_sort | Lv, Ying-Bo |
collection | PubMed |
description | BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common disorders in child and adolescent psychiatry, with a prevalence of more than 5%. Despite extensive research on ADHD in the last 10 to 20 years, effective treat-ments are still lacking. Instead, the concept of ADHD seems to have become broader and more heterogeneous. Therefore, the diagnosis and treatment of ADHD remains challenging for clinicians. AIM: To investigate the effects of a multimodal integrated intervention for children with ADHD. METHODS: Between March 2019 and September 2020, a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility, two of whom revoked their consent. A case-control study was conducted in which the children were equally assigned, using a randomized number table, to either a medication group (methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets) or a multimodal integrated intervention group (medication + parent training + behavior modification + sensory integration therapy + sand tray therapy), with 49 patients in each group. The clinical endpoint was the efficacy of the different intervention modalities. RESULTS: The two groups of children with ADHD had comparable patient characteristics (P > 0.05). Multimodal integrated intervention resulted in a significantly higher treatment efficacy (91.84%) than medication alone (75.51%) (P < 0.05). Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone (P < 0.05). The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group (P < 0.05). Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone (P < 0.05). CONCLUSION: Multimodal integrated intervention effectively alleviated symptoms associated with ADHD in children. It enhanced their memory and attention with high safety and parental satisfaction, demonstrating good potential for clinical promotion. |
format | Online Article Text |
id | pubmed-10336987 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-103369872023-07-13 Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder Lv, Ying-Bo Cheng, Wei Wang, Meng-Hui Wang, Xiao-Min Hu, Yan-Li Lv, Lan-Qiu World J Clin Cases Case Control Study BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common disorders in child and adolescent psychiatry, with a prevalence of more than 5%. Despite extensive research on ADHD in the last 10 to 20 years, effective treat-ments are still lacking. Instead, the concept of ADHD seems to have become broader and more heterogeneous. Therefore, the diagnosis and treatment of ADHD remains challenging for clinicians. AIM: To investigate the effects of a multimodal integrated intervention for children with ADHD. METHODS: Between March 2019 and September 2020, a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility, two of whom revoked their consent. A case-control study was conducted in which the children were equally assigned, using a randomized number table, to either a medication group (methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets) or a multimodal integrated intervention group (medication + parent training + behavior modification + sensory integration therapy + sand tray therapy), with 49 patients in each group. The clinical endpoint was the efficacy of the different intervention modalities. RESULTS: The two groups of children with ADHD had comparable patient characteristics (P > 0.05). Multimodal integrated intervention resulted in a significantly higher treatment efficacy (91.84%) than medication alone (75.51%) (P < 0.05). Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone (P < 0.05). The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group (P < 0.05). Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone (P < 0.05). CONCLUSION: Multimodal integrated intervention effectively alleviated symptoms associated with ADHD in children. It enhanced their memory and attention with high safety and parental satisfaction, demonstrating good potential for clinical promotion. Baishideng Publishing Group Inc 2023-06-26 2023-06-26 /pmc/articles/PMC10336987/ /pubmed/37449233 http://dx.doi.org/10.12998/wjcc.v11.i18.4267 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Control Study Lv, Ying-Bo Cheng, Wei Wang, Meng-Hui Wang, Xiao-Min Hu, Yan-Li Lv, Lan-Qiu Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title | Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title_full | Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title_fullStr | Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title_full_unstemmed | Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title_short | Multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
title_sort | multimodal integrated intervention for children with attention-deficit/hyperactivity disorder |
topic | Case Control Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336987/ https://www.ncbi.nlm.nih.gov/pubmed/37449233 http://dx.doi.org/10.12998/wjcc.v11.i18.4267 |
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