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題名:以非藥物取向介入輔助ADHD治療效果之比較
作者:李慧芳
作者(外文):Li, Huei-Fang
校院名稱:國立彰化師範大學
系所名稱:輔導與諮商學系
指導教授:高淑貞
學位類別:博士
出版日期:2019
主題關鍵詞:過動暨專注力不足疾患腦波神經回饋認知行為遊戲治療ADHDneurofeedbackcognitive-behavioral play therapy
原始連結:連回原系統網址new window
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ADHD兒童的非藥物治療,主要有認知行為遊戲治療,以及神經生理回饋治療,本研究目的是希望能夠了解不同的治療效果。採用治療前(T1)、治療後(T2)、半年追蹤測(T3)三個時間點來比較兩組處置的效果,並試比較腦波神經回饋組、認知行為遊戲治療在theta/beta square、CPT-III、干擾性行為自陳量表等三個依變項上的差異。研究採用ADHD8-12歲兒童為研究對象,以準實驗研究法,將研究對象分成三個組別:1.對照組;2.腦波神經回饋訓練組(NF);3.認知行為遊戲治療組(CBPT),三組樣本都有穩定服用藥物(中樞神經興奮劑),以統計分析t檢定及效果值比較其立即療效跟延續性療效的差異。
研究結果發現,對照組沒有做任何干預的情況下,學童治療16週時在CPT-III的「訊號偵測」,以及干擾性行為「家長評估」跟「教師評估」也能夠有顯著的改善;NF的治療在治療16週後「訊號偵測」「 失誤率」「 錯答率」、「 反應時間」、「 θ/β square」、「 家長評估」都有明顯的進步,教師評估在這個階段沒有顯著差異,不過在治療後的6個月,教師評估也有顯著的進步;CPBT治療效果,在「訊號偵測」、「 失誤率」、「 錯答率」以及「θ/β square」、「家長評估」與「教師評估」治療後都有立即的效果,唯一開始在「反應時間」上無顯著的變化,但治療結束六個月後,反應時間以及家長跟教師的看法都支持孩子能夠有持續的進步。
腦波神經回饋的訓練是否可以產生行為類化到家長或教師的期待,以及在進行腦波訓練前設定合理清楚的治療目標都是重要的工作方向,未來可考慮訓練多模式的結合以產生最大的效果。
Non-pharmacological treatment for children with ADHD, mainly cognitive behavioral play therapy, and neurofeedback, the purpose of this study was to investigate the effects of cognitive-behavioral play therapy and neurofeedback for ADHD children. In addition to exploring the effects of treatment, and compare the effects of cognitive-behavioral play therapy and neurofeedback.
The study through purposive sampling between ADHD children of 8-12 years old, divided into three groups: control group, cognitive-behavioral play therapy group and neurofeedback group.
The findings of this study were as follows: First, both of cognitive-behavioral play therapy group and neurofeedback group and are each has a different effect. Next, neurofeedback has obvious improvement in theta/beta square. Last, Cognitive-Behavioral Play Therapy has obvious improvement in attention-deficit and disruptive behaviors.
The study discussed the meanings of the findings above, expect to provide parents and teachers advice, Whether the training of neurofeedback can produce behavioralization to the expectations of parents or teachers, and setting reasonable and clear treatment goals before neurofeedback are important work directions. In the future, the combination of training models can be considered to produce the maximum effectiveness.
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