关键词: 注意缺陷多动障碍, 综合干预治疗, 亲子团体治疗, 神经发育障碍

Abstract: Objective To explore the improvement of symptoms and executive dysfunction in children with attention deficit hyperactivity disorder (ADHD) by multimodal therapy and medication alone,so as to provide evidence reference for the treatment of ADHD. Methods A total of 61 children with ADHD from Shanghai Mental Health Center were enrolled in this study from January 2018 to February 2019,and were randomly divided into multimodal group and medication group.The changes of symptoms and executive function were evaluated. Results 1) After treatment,scores of attention deficit,hyperkinetic and oppositional factor in SNAP-IV in the multimodal intervention group were significantly lower than those before treatment (t=7.339,5.637,7.211,P<0.001).The accuracy of Stroop Test B after treatment was significantly higher than that before treatment (t=-3.036,P<0.001).And the number of persistent errors (t=5.961,P<0.001) was lower than that before treatment.The scores of classification,conceptualization and sustained response were significantly higher than those before and after treatment (t=-2.465,-5.585,-3.524,P<0.05).2) After treatment,attention deficit,hyperkinetic,and oppositional factors in SNAP-IV in multimodal therapy group were significantly lower than those in drug treatment group (F=8.270,6.818,10.786, P<0.05).There were significant differences on Stroop color-word Test A between the two groups (F=11.125,P=0.001).And the sustained errors of WCST were significantly lower in the Stroop test group than in the drug treatment group (F=5.567,P<0.05).The level of conceptualization and the number of sustained response were significantly higher than those in the drug treatment group (F=5.775,4.436,P<0.05). Conclusionss Multimodal therapy can improve the core symptoms and executive dysfunction of ADHD children,which can be the priority for ADHD treatment.

Key words: attention deficit hyperactivity disorder, multimodal therapy, parent-child group therapy