Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder.
Objective: The aim of the present study is evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)-based training protocol, in adjunct to token economy and previous parent training, in a sample of children with Attention-Deficit/Hyperactivity Disorder (ADHD). By promoting the reduct...
| Publicado en: | Journal of Child & Family Studies Vol. 29; no. 4; pp. 1070 - 1081 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=142164602&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 142164602 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Apr2020 vid: 29 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 142164602 10.1007/s10826-019-01546-x ppf: 1070 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 612KB tig: atl: Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder. aug: au: Vanzin, Laura Mauri, Valentina Valli, Angela Pozzi, Marco Presti, Giovambattista Oppo, Annalisa Ristallo, Arianna Molteni, Massimo Nobile, Maria affil: Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy Faculty of Human and Social Sciences, Kore University, Enna, Italy Sigmund Freud University, Milano, Italy Istituto Europeo per lo Studio del Comportamento Umano (IESCUM), Milano, Italy su: Treatment of attention-deficit hyperactivity disorder Cognition Emotions Group psychotherapy Impulsive personality Self-management (Psychology) Socioeconomic factors Adolescence Children Comorbidity Acceptance & commitment therapy Treatment effectiveness Severity of illness index Descriptive statistics sug: subj: Treatment of attention-deficit hyperactivity disorder Cognition Emotions Group psychotherapy Impulsive personality Self-management (Psychology) Socioeconomic factors Adolescence Children Comorbidity Acceptance & commitment therapy Treatment effectiveness Severity of illness index Descriptive statistics keyword: Acceptance and Commitment Therapy ADHD Child training Conners parent rating scale Rehabilitation Acceptance and Commitment Therapy ADHD Child training Conners parent rating scale Rehabilitation ab: Objective: The aim of the present study is evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)-based training protocol, in adjunct to token economy and previous parent training, in a sample of children with Attention-Deficit/Hyperactivity Disorder (ADHD). By promoting the reduction of immediate responses to thoughts and feelings, we aimed to reduce the impulsive behaviour of children and to improve their self-regulation. Methods: The protocol was centred on awareness of the present moment, defusion and acceptance of feelings and emotions. Behavioural (Conners' Parent Rating Scale -Revised: Long version, CPRS-R:L) and severity measures (Clinical Global Impression -Severity, CGI-S) were assessed before and after treatment in a clinical sample of 31 children aged 8–13 years. Results: At the end of the ACT protocol, children showed significant improvement in global functioning and behavioural symptoms. There were significant improvements in the CPRS subscales Cognitive Problems (p = 0.005), Hyperactivity (p = 0.006), Perfectionism (p = 0.017), ADHD Index (p = 0.023), Global Index: Restless–Impulsive (p = 0.023), Global Index: Total (p = 0.036), DSM IV Inattentive (p = 0.029), DSM IV Hyperactive–Impulsive (p = 0.016), and DSM IV Total (p = 0.003). When controlling for the confounding effect of pharmacological therapy, comorbidities and socio-economic status, treatment maintained a significant effect on the CPRS subscales Perfectionism (partial η = 0.31, p < 0.01), Global Index: Restless–Impulsive (partial η = 0.29, p < 0.01), Global Index: Total (partial η = 0.31, p < 0.01), DSM IV Hyperactive–Impulsive (partial η = 0.20, p = 0.02). Symptom severity as rated by CGI-S scores decreased in 74.2% of the children. Conclusions: This preliminary work on an Acceptance and Commitment Therapy-based child training in children affected by ADHD resulted in significant improvements, measured by a rating scale specific for ADHD. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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