基于互联网的行为父母训练干预儿童注意力缺陷/多动障碍：一项随机临床试验

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry Pub Date : 2025-03-22 DOI:10.1016/j.ajp.2025.104459

Hong Fan , Weiwei Yang , Xvfang Wu , Qianhui Chen , Haoxue Wang , Kaiheng Zhu , Shuai Zhao , Rundong Liu , Zhen Xiang , Zhike Wang , Tianchun Wang , Jun Tang , Ranran Song

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引用次数: 0

摘要

行为父母训练（BPT）被认为是治疗注意力缺陷/多动障碍（ADHD）的重要非药物治疗方法。然而，它在中国语境下的有效性的经验证据有限，特别是对于在线BPT。与常规临床护理（RCC）相比，本研究评估了8期基于互联网的BPT （I-BPT）项目在改善儿童和家长ADHD症状和心理健康结果方面的疗效。研究对象包括2023年3月至9月从武汉市精神卫生中心招募的120名ADHD儿童及其父母。他们被随机分配到I-BPT+RCC （N = 60）或RCC （N = 60）组，并在基线和两个月后进行评估。测量的儿童相关结果包括ADHD症状、抑郁症状、焦虑症状和功能障碍。与父母相关的结果包括抑郁症状、焦虑症状和父母压力。采用协方差分析（ANCOVA）比较I-BPT+RCC与单独RCC的疗效。结果与RCC组相比，I-BPT+RCC组在ADHD总症状（F=6.84, P = 0.010）、注意力不集中（F=4.82, P = 0.030）、多动/冲动（F=4.83, P = 0.030）和儿童抑郁症状（F=8.56, P = 0.004）方面均有显著改善。I-BPT+RCC组家长压力也显著降低（F=5.95, P = 0.016）。结论总体而言，I-BPT显著提高了ADHD儿童及其父母的健康状况。这些发现突出了I-BPT作为更广泛患者群体的有效和可获得的治疗选择的潜力。

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Internet-based behavioural parent training intervention for children with attention-deficit/hyperactivity disorder: A randomized clinical trial

Background

Behavioral parent training (BPT) is recognized as a significant non-pharmacological treatment for attention-deficit/hyperactivity disorder (ADHD). However, there is limited empirical evidence of its effectiveness within the Chinese context, particularly for online BPT. This study evaluates the efficacy of an 8-session internet-based BPT (I-BPT) program in improving ADHD symptoms and mental health outcomes for children and parents, compared to routine clinical care (RCC).

Methods

Participants included 120 children with ADHD and their parents, recruited from the Wuhan Mental Health Centre between March and September 2023. They were randomly assigned to either the I-BPT+RCC (N = 60) or RCC (N = 60) group, with assessments conducted at baseline and after two months. Child-related outcomes measured were ADHD symptoms, depressive symptoms, anxiety symptoms and functional impairment. Parent-related outcomes included depressive symptoms, anxiety symptoms and parental stress. Analyses of covariance (ANCOVA) were used to compare the efficacy of I-BPT+RCC with the RCC alone.

Results

The I-BPT+RCC group showed significant improvements in total ADHD symptoms (F=6.84, P = 0.010), inattention (F=4.82, P = 0.030), hyperactivity/impulsivity (F=4.83, P = 0.030), and child depressive symptoms (F=8.56, P = 0.004) compared to the RCC group. Parental stress also significantly decreased in the I-BPT+RCC group (F=5.95, P = 0.016).

Conclusions

Overall, the I-BPT significantly enhanced health outcomes for children with ADHD and their parents. These findings highlight the potential of I-BPT as an effective and accessible treatment option for a broader patient population.

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来源期刊

Asian journal of psychiatry Medicine-Psychiatry and Mental Health

CiteScore

12.70

自引率

5.30%

发文量

297

审稿时长

35 days

期刊介绍： The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.