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Effect of non-pharmacological treatment on the full recovery of social functioning in patients with attention deficit hyperactivity disorder

作     者:Ying-Bo Lv Wei Cheng Meng-Hui Wang Xiao-Min Wang Yan-Li Hu Lan-Qiu Lv 

作者机构:Pediatric Health Care SectionNingbo Women and Children’s HospitalNingbo 315000Zhejiang ProvinceChina 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2023年第11卷第14期

页      面:3238-3247页

核心收录:

学科分类:1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基  金:Supported by Ningbo Science and Technology Plan Project Public Welfare Plan(Municipal Level),No:2019C50099 Ningbo Medical Key Supporting Discipline Child Health Science,No:2022-F26 

主  题:Non-pharmacological treatment Attention deficit hyperactivity disorder Social functioning Recovery Weiss Functional Impairment Rating Scale scores 

摘      要:BACKGROUND Long-term treatment of attention deficit/hyperactivity disorder(ADHD)is associated with adverse events,such as nausea and vomiting,dizziness,and sleep disturbances,and poor maintenance of late ADHD medication compromises treatment outcomes and prolongs the recovery of patients’social *** To evaluate the effect of non-pharmacological treatment on the full recovery of social functioning in patients with *** A total of 90 patients diagnosed with ADHD between May 2019 and August 2020 were included in the study and randomly assigned to either the pharmacological group(methylphenidate hydrochloride and tomoxetine hydrochloride)or the non-pharmacological group(parental training,behavior modification,sensory integration therapy,and sand tray therapy),with 45 cases in each *** measures included treatment compliance,Swanson,Nolan,and Pelham,Version IV(SNAP-IV)scores,Conners Parent Symptom Questionnaire(PSQ)scores,and Weiss Functional Impairment Rating Scale(WFIRS)*** The non-pharmacological interventions resulted in significantly higher compliance in patients(95.56%)compared with medication(71.11%)(P0.05).Patients with non-pharmacological interventions showed higher WFIRS scores for family,daily life skills,and self-concept than those in the pharmacological group(P0.05).CONCLUSION Non-pharmacological interventions,in contrast to the potential risks of adverse events after longterm medication,improve patient treatment compliance,alleviate patients’behavioral symptoms of attention,impulsivity,and hyperactivity,and improve their cognitive ability,thereby improving family relationships and patient self-evaluation.

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