Intervention progress in attention deficit hyperactivity disorder in preschool children

doi:10.11852/zgetbjzz2021-0610

Abstract

Abstract: Attention-deficit hyperactivity disorder(ADHD) is a common neurodevelopmental disorder in childhood,with inattention,hyperactivity and impulsivity as the main symptoms,and it is mainly manifested as hyperactivity in preschool period. ADHD has a seriously negative impact on children′s academic performance,interpersonal communication,physical and mental development and other aspects,and can continue to adolescence or adulthood. Early intervention can reduce the core symptoms of ADHD and reduce the incidence of comorbidities. Current interventions for preschool ADHD include behavioral therapy,physical therapy and drug therapy. Drug treatment can significantly improve the core symptoms of ADHD,but it can not improve the social interaction and executive functions of preschool children,and the side reactions of drugs can cause problems such as drug addiction and poor compliance. Behavior therapy can not only improve children′s social function and emotional problems,reduce the pressure of parenting,but also have no problems such as drug side reactions,which has become a current research hotspot. This article reviews the intervention progress in ADHD in preschool children.

Key words: attention deficit hyperactivity disorder, preschool, behavior therapy

摘要： 注意缺陷多动障碍(ADHD)是儿童时期常见的神经发育障碍性疾病,以注意力不集中、多动及冲动为主要症状,在学龄前期主要表现为多动。ADHD对患儿的学业成绩、人际交往、身心发育等多方面产生严重负面影响,并可持续到青春期或成年期。早期干预可以减轻ADHD核心症状,减少共患病发生率。目前学龄前ADHD的干预手段包括行为治疗、物理治疗、药物治疗等。药物治疗可明显改善ADHD核心症状,但无法改善学龄前儿童的社交和情绪问题,且药物副反应会造成成瘾、依从性差等问题。行为治疗不仅可以改善患儿的社交功能和情绪,减轻父母养育压力,且不存在药物副作用等问题,成为当下的研究热点。本文对学龄前ADHD儿童的干预进展进行综述。

关键词: 注意缺陷多动障碍, 学龄前, 行为治疗

CLC Number:

R749.94

ZHU Pei-ying, WANG Yu. Intervention progress in attention deficit hyperactivity disorder in preschool children[J]. Chinese Journal of Child Health Care, 2022, 30(12): 1332-1335.

朱佩滢, 王瑜. 学龄前儿童注意缺陷多动障碍的干预进展[J]. 中国儿童保健杂志, 2022, 30(12): 1332-1335.

References

[1] Posner J,Polanczyk GV,Sonuga-Barke E.Attention-deficit hyperactivity disorder[J].Lancet,2020,395(10222):450-462.
[2] Thomas R,Sanders S,Doust J,et al.Prevalence of attention-deficit/hyperactivity disorder:A systematic review and meta-analysis[J].Pediatrics,2015,135(4):e994-1001.
[3] Danielson M,Bitsko R,Ghandour R,et al.Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. children and adolescents,2016[J].J Am Acad Child Addesc,2018,47(2):199-212.
[4] 农铮,张玉,熊莉,等.柳州城区学龄前儿童注意缺陷多动障碍的现况研究[J].中国妇幼卫生杂志,2019,10(1):28-31.
[5] Riddle M,Yershova K,Lazzaretto D,et al.The preschool attention-deficit/hyperactivity disorder treatment study(PATS) 6-year follow-up[J].J Am Acad Child Adolesc Psychiatry,2013,52(3):264-278.
[6] Visser S,Danielson M,Bitsko R,et al.Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder:United States,2003-2011[J].J Am Acad Adolesc Psychiatry,2014,53(1):34-46.e2.
[7] Lahey BB,Lee SS,Sibley MH,et al.Predictors of adolescent outcomes among 4-6-year-old children with attention-deficit/hyperactivity disorder[J].J Abnorm Psychol,2016,125(2):168-181.
[8] Daley D,van der Oord S,Ferrin M,et al.Practitioner review:Current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder[J].J Child Psychol Psychiatry,2018,59(9):932-947.
[9] Wolraich ML,Hagan JF,Allan C,et al.Clinical practice guideline for the diagnosis,evaluation,and treatment of attention-deficit/hyperactivity disorder in children and adolescents[J].Pediatrics,2019,144(4):e20192528.
[10] Shrestha M,Lautenschleger J,Soares N.Non-pharmacologic management of attention-deficit/hyperactivity disorder in children and adolescents:A review[J].Transl Pediatr,2020,9(Suppl 1):114-124.
[11] Thompson MJ,Laver-Bradbury C,Ayres M,et al.A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder[J].Eur Child Adolesc Psychiatry,2009,18(10):605-616.
[12] Sonuga-Barke EJ,Daley D,Thompson M,et al.Parent-based therapies for preschool attention-deficit/hyperactivity disorder:A randomized,controlled trial with a community sample[J].J Am Acad Child Adolesc Psychiatry,2001,40(4):402-408.
[13] Abikoff HB,Thompson M,Laver-Bradbury C,et al.Parent training for preschool ADHD:A randomized controlled trial of specialized and generic programs[J].J Child Psychol Psychiatry,2015,56(6):618-631.
[14] 张琴琴,何玉琼,黄春香.注意缺陷/多动障碍非药物治疗的研究进展[J].国际精神病学杂志,2020,47(3):447-450.
[15] Forehand R,Parent J,Peisch VD,et al.Do parental ADHD symptoms reduce the efficacy of parent training for preschool ADHD? A secondary analysis of a randomized controlled trial[J].Behav Res Ther,2017,97:163-169.
[16] Webster-Stratton CH,Reid MJ,Beauchaine T.Combining parent and child training for young children with ADHD[J].J Clin Child Adolesc Psychol,2011,40(2):191-203.
[17] Miller L,Hlastala SA,Mufson L,et al.Interpersonal psychotherapy for adolescents with mood and behavior dysregulation:Evidence-based case study[J].Evid Based Pract Child Adolesc Ment Health,2016,1(4):159-175.
[18] Weeland J,Chhangur R,Van Der Giessen D,et al.Corrigendum to "Intervention effectiveness of the incredible years:New insights Into sociodemographic and intervention-based moderators"[Behav Ther 48(2017) 1-18][J].Behav Ther,2018,49(2):308-309.
[19] Murray DW,Lawrence JR,Laforett DR.The Incredible Years^® Programs for ADHD in young children:A critical review of the evidence[J].J Emot Behew Disord,2018,26(4):195-208.
[20] Overbeek G,van Aar J,de Castro BO,et al.Longer-term outcomes of the incredible years parenting intervention[J].Prev Sci,2021,22(4):419-431.
[21] Sanders M R.Development,evaluation,and multinational dissemination of the triple P-positive parenting program[J].Annu Rev Clin Psychol,2012,8:345-379.
[22] Bor W,Sanders MR,Markie-Dadds C.The effects of the triple P-positive parenting program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties[J].J Abnorm Child Psychol,2002,30(6):571-587.
[23] Thomas R,Abell B,Webb HJ,et al.Parent-child interactiontherapy:A Meta-analysis[J].Pediatrics,2017,140(3):e20170352.
[24] Lieneman CC,Brabson LA,Highlander A,et al.Parent-child interaction therapy:Current perspectives[J].Psychol Res Behav Manag,2017,10:239-256.
[25] Abrahamse ME,Junger M,Chavannes EL,et al.Parent-child interaction therapy for preschool children with disruptive behaviour problems in the Netherlands[J].Child Adolesc Psychiatry Ment Health,2012,6(1):24.
[26] van der Veen-Mulders L,van den Hoofdakker BJ,Nauta MH,et al.Methylphenidate has superior efficacy over parent-child interaction therapy for preschool children with disruptive behaviors[J].J Child Adolesc Psychopharmacol,2018,28(1):66-73.
[27] 张婕,田琳,石红霞,等.亲子互动疗法在学龄前ADHD儿童中的应用效果[J].临床医学研究与实践,2021,6(2):190-192,195.
[28] Klingberg T,Fernell E,Olesen PJ,et al.Computerized training of working memory in children with ADHD——A randomized,controlled trial[J].J Am Acad Child Adolesc Psychiatry,2005,44(2):177-186.
[29] Van Dongen-Boomsma M,Vollebregt M,Buitelaar J,et al.Working memory training in young children with ADHD:A randomized placebo-controlled trial[J].J Child Psychol Psychiatry,2014,55(8):886-896.
[30] Gevensleben H,Holl B,Albrecht B,et al.Is neurofeedback an efficacious treatment for ADHD? A randomised controlled clinical trial[J].J Child Psychol Psychiatry,2009,50(7):780-789.
[31] 王学韬,姚燕滨,郑旭媛,等.神经反馈治疗对注意力缺陷多动障碍儿童脑电相干性的影响[J].科学技术与工程,2018,18(19):183-187.
[32] Geladé K,Bink M,Janssen TW,et al.An RCT into the effects of neurofeedback on neurocognitive functioning compared to stimulant medication and physical activity in children with ADHD[J].Eur Child Adolesc Psychiatry,2017,26(4):457-468.
[33] Kollins S,Greenhill L,Swanson J,et al.Rationale,design,and methods of the Preschool ADHD Treatment Study(PATS)[J].J Am Acad Child Adolesc Psychiatry,2006,45(11):1275-1283.
[34] Wigal T,Greenhill L,Chuang S,et al.Safety and tolerability of methylphenidate in preschool children with ADHD[J].J Am Acad Child Adolesc Psychiatry,2006,45(11):1294-1303.
[35] Brams M,Childress AC,Greenbaum M,et al.SHP465 mixed amphetamine salts in the treatment of attention-deficit/hyperactivity disorder in children and adolescents:Results of a randomized,double-blind placebo-controlled study[J].J Child Adolesc Psychopharmacol,2018,28(1):19-28.
[36] Childress AC,Wigal SB,Brams MN,et al.Efficacy and safety of amphetamine extended-release oral suspension in children with attention-deficit/hyperactivity disorder[J].J Child Adolesc Psychopharmacol,2018,28(5):306-313.
[37] Punja S,Shamseer L,Hartling L,et al.Amphetamines for attention deficit hyperactivity disorder(ADHD) in children and adolescents[J].Cochrane Database Syst Rev,2016,2:CD009996.