تاثير آموزش رفتاري والدين و دارو درمانگري بر ميزان علايم فزون كنشي كودكان مبتلا به اختلال نارسايي توجه /فزون كنشي

EFFECTS OF BEHAVIOURAL PARENT TRAINING AND MEDICATION ON CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER

This study examine the effect of behavioural parent training and medication on the hyperactivity symptoms in children with Attention- Deficit/ Hyperactivity Disorder (ADHD). Eight primary schools from four regions of Shiraz were chosen randomly. Considering the teachers and parentsʹ ratings on the Child Symptoms Inventory (CSI), 67 puplis were primarily diagnosed as hyperactive children. They were referred to psychiatrist for diagnosis. Only 30 of 67pupils consult to the psychiatrist and 26 of them were diagnosed as hyperactive. These 26 children, Plus 7 children who have been previously diagnosed as hyperactive by psychiatrist, were divided into three groups namely Parent Behavioural Training (PBT) group, Medication group and Control group. Medication group took Methylphenidate (Ritalin) for 35 day. The PBT group attended behavioural modification class for 6 weekly sessions of 90 minutes. The control group did not receive any sort of therapy. Teachers and parents rate the CSI and the demographic questionnaire in three stages: before and after therapy, and in a follow- up. The results indicate that, based on the parentsʹ ratings, parent behavioural training at the post-treatment and the follow-up stages, has reduced the amount of subjectsʹ hyperactivity. However on the base of the teachersʹ ratings no significant difference between the PBT group and the control group was found. The results showed that both teachers and parents agreed about the higher effects of medication on decreasing the hyperactivity symptoms at the post-treatment stage, but teachers and parents disagreed about the amount of effect of medication on subjectsʹ hyperactivity symptoms in the follow-up stage; While teachersʹ ratings showed no significant difference between the medication group and the control group at the follow-up stage, for the parentsʹ ratings the difference between the medication group and the control group, was significant.