Psychosocial Treatment for ADHD Inattentive Type 1

1 型注意力不集中多动症 (ADHD) 注意力不集中的心理社会治疗

• 批准号: 6507091
• 负责人: Linda Pfiffner
• 金额: $ 18.81万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-19 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6507091
• 关键词: academic achievement; attention deficit disorder; behavior test; behavior therapy; behavioral /social science research tag; child (0-11); child behavior disorders; child psychology; clinical research; cognition disorders; comorbidity; human subject; human therapy evaluation; method development; psychotherapy; quality of life; questionnaires; social behavior

DESCRIPTION (provided by applicant): This is an application to develop and evaluate an integrated psychosocial treatment (PST) for Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive type (ADHD-I). ADHD-I is a highly prevalent and serious childhood psychiatric disorder with significant academic and social impairment Children with ADHD-I differ from those with the well-studied ADHD-Combined Type (ADHD-C) in that they have maladaptive levels of inattention, but fewer problems of hyperactivity, impulsivity and antisocial behavior. Recent work also suggests unique cognitive problems in ADHD-I characterized by a sluggish cognitive tempo. No empirical studies of psychosocial interventions with ADHD-I are available, although these interventions may be the first line of treatment for ADHD cases without severe hyperactivity/impulsivity or comorbid disruptive behavior disorders, such as those with ADHD-I. The specific aims are to: (1) Develop a manualized psychosocial intervention for ADHD-I aimed at reducing symptom severity and functional impairment across multiple domains (e.g., academic, social, family, other externalizing and internalizing psychopathology); (2) Pilot the intervention through an open trial (N=12) and modify it as needed based on clinical outcomes and feedback from participants, clinicians, and study investigators; (3) Utilize the modified treatment manual in an initial randomized clinical trial of children diagnosed with ADHD-I (N=60), including a treated group and a community control group, to evaluate the short-term efficacy of the intervention; (4) Examine the durability of treatment gains at 2-month follow-up. The long-terms aims are to apply the treatment in larger-scale randomized trials including comparisons with stimulant medication and multimodal treatment combinations. The proposed treatment emphasizes practicality, ease of replication, and generalizability, important to our additional long-term plans of studying the treatment's effectiveness in the community and disseminating the intervention to schools and mental health practitioners. We also anticipate obtaining information, based on individual response to treatment, to further our understanding of ADHD-I.

描述（由申请人提供）：这是一份用于开发和评估针对注意力缺陷/多动障碍（ADHD-I）的综合心理社会治疗（PST）的申请。 ADHD-I 是一种高度普遍且严重的儿童精神疾病，具有严重的学业和社交障碍。患有 ADHD-I 的儿童与经过充分研究的 ADHD 组合型 (ADHD-C) 儿童不同，因为他们的注意力不集中程度不适应，但是多动、冲动和反社会行为的问题较少。最近的研究还表明 ADHD-I 存在独特的认知问题，其特征是认知速度缓慢。目前还没有针对 ADHD-I 的心理社会干预的实证研究，尽管这些干预措施可能是没有严重多动/冲动或共病破坏性行为障碍（例如 ADHD-I 患者）的 ADHD 病例的一线治疗方法。具体目标是：（1）针对 ADHD-I 开发一种手动心理社会干预措施，旨在减轻多个领域（例如学术、社会、家庭、其他外化和内化精神病理学）的症状严重程度和功能障碍； (2) 通过公开试验（N=12）试点干预措施，并根据临床结果以及参与者、临床医生和研究研究者的反馈根据需要进行修改； （3）在诊断为ADHD-I（N=60）的儿童中使用修改后的治疗手册进行初步随机临床试验，包括治疗组和社区对照组，以评估干预的短期疗效； (4) 在2个月的随访中检查治疗效果的持久性。长期目标是将这种治疗方法应用于更大规模的随机试验，包括与兴奋剂药物和多模式治疗组合进行比较。拟议的治疗强调实用性、易于复制和普遍性，这对于我们研究社区治疗效果并向学校和心理健康从业人员传播干预措施的额外长期计划非常重要。我们还期望根据个人对治疗的反应获得信息，以进一步了解 ADHD-I。