دوره 29، شماره 148: هفته چهارم شهریور ماه 1390:965-976

مقایسه‌ی اثربخشی روش‌های مختلف درمان در اختلال نقص توجه- بیش‌فعالی کودکان

سید داود مفتاق, نوراله محمدی, احمد غنی‌زاده, چنگیز رحیمی, آرش نجیمی

چکیده


مقدمه: این مطالعه با هدف بررسی میزان اثربخشی و مقایسه‌ی سه روش درمانی آموزش رفتاری مادران، خودآموزی کلامی ‌به کودک و دارو درمانی، در درمان اختلال نقص توجه- بیش‌فعالی کودکان انجام شد.

روش‌ها: در این مطالعه‌ی نیمه تجربی، 51 نفر از دانش‌آموزان پسر مدارس ابتدایی شهر شیراز و مبتلا به اختلال نقص توجه– بیش‌فعالی که در مطالعه‌ی مقدماتی از میان 1760 دانش‌آموز مورد غربالگری، شناسایی شدند به صورت تصادفی در سه گروه آموزش رفتاری مادران، خودآموزی کلامی‌ به کودکان و گروه شاهد تقسیم شدند. علاوه بر آن، 22 نفر از دانش‌آموزان به شیوه‌ی در دسترس انتخاب و در گروه دارو درمانی قرار گرفتند. همه‌ی گروه‌های مورد مطالعه پیش، پس از مداخله و 2 ماه پس از آن به وسیله‌ی پرسش‌نامه‌ی علایم مرضی کودک (CSI-4) مورد ارزیابی قرار گرفتند.

یافته‌ها: نتایج نشان داد که نوع درمان تأثیر معنی‌داری بر میزان ارزیابی مادران از شدت بی‌توجهی (04/0 > P)، شدت بیش فعالی- تکانش‌گری (005/0 > P) و شدت کلی علایم اختلال (03/0 > P) در کودکان داشت. علاوه بر آن در طول زمان پی‌گیری تفاوت معنی‌داری بین گروه‌های مختلف مورد مطالعه در میزان ارزیابی مادران نشان دیده شد (001/0 > P).

نتیجه‌گیری: با توجه نتایج این مطالعه در خصوص شدت بی‌توجهی كودكان روش خودآموزی كلامی، در خصوص شدت بیش‌فعالی– تکانش‌گری كودكان مداخله‌ی آموزش رفتاری مادران و در خصوص شدت کلی علایم اختلال نقص توجه- بیش‌فعالی کودکان دو روش آموزش رفتاری مادران و دارو درمانی مؤثرترین و کارامدترین روش‌های درمانی می‌باشد.


واژگان کلیدی


اختلال نقص توجه- بیش‌فعالی؛ علایم مرضی؛ آموزش رفتاری؛ خود آموزش کلامی؛ دارو درمانی

تمام متن:

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مراجع


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