RESUMO
Objective:To observe the effect of methylphenidate hydrochloride (MPH) combined with mentalization-based family therapy (MBFT) on clinical efficacy and social function in children with attention deficit hyperactivity disorder (ADHD).Methods:Sixty-four children with ADHD diagnosed in Wuxi Children's Hospital and Affiliated Hospital of Jiangnan University from June 2019 to May 2021 were selected and divided into observation group ( n=32) and control group ( n=32) according to the random number table.Children in both groups received methylphenidate hydrochloride extended-release tablets, while those in the observation group were given additional MBFT.The duration of treatment was 12 weeks in both groups.The parent symptom questionnaire (PSQ), swanson nolan and pelham-version Ⅳ (SNAP-Ⅳ) parent Al scale, and Weiss impairment functional scale (WFIRS-P) were used to evaluate the effectiveness of treatment.Statistical analysis was performed by SPSS 25.0 statistical software.In particular, the χ2 test was used for counting data and the paired sample t test was used for comparison of measurement data between the two groups before and after treatment. Results:(1) All the PSQ dimension scores of patients in the observation group and the control group after treatment were significantly lower than those before treatment (all P<0.01). Compared with the control group after treatment, the PSQ dimension scores of personality and behavior problems ((1.25±0.15), (0.94±0.18), t=7.484, P<0.001), learning problems ((1.57±0.16), (1.32±0.20), t=5.522, P<0.001), psychosomatic disorders ((0.56±0.11), (0.44±0.13), t=3.986, P<0.001), impulse hyperactivity ((1.76±0.23), (1.54±0.25), t=3.663, P<0.001), anxiety ((0.94±0.12), (0.76±0.11), t=6.255, P<0.001) and hyperactivity index ((1.74±0.19), (1.51±0.16), t=5.238, P<0.001) decreased significantly in the observation group after treatment.(2) Compared with the pre-treatment period, the SNAP-Ⅳ scale scores of attention deficit, impulsivity-hyperactivity and oppositional defiance were significantly lower in both groups after treatment (all P<0.01); and compared with the control group, the SNAP-Ⅳ scale scores of the above three dimensions were significantly lower in the observation group (all P<0.01). (3) All six dimensions (family, learning and school, life skills, self-management, social activities, and risk-taking activities)of the WFIRS-P scale were significantly lower in the children in the observation group after treatment compared with those before treatment (all P<0.01), and all the six dimensions of the WFIRS-P scale were significantly lower in the observation group compared with those in the control group (all P<0.01). Conclusion:Methylphenidate hydrochloride extended-release tablets combined with MBFT can significantly improve the clinical symptoms and social function of children with ADHD.
RESUMO
Objective To explore the mediating role of intelligence in the relationship between in-formation processing speed and numerical magnitude processing of hearing-impaired children. Methods A survey was conducted among 249 hearing-impaired children by using tests of Choice Reaction Time,Numero-sity Comparison,and Raven's Progressive Matrices( simplified version). Results (1) The accurate rate of information processing speed(0. 89±0. 18)of hearing-impaired children was positively correlated with that of numerical magnitude processing(0. 65±0. 15)and intelligence(11. 83±10. 34)(r=0. 165,0. 263,both P<0. 01). The reaction time of information processing speed was negatively correlated with those of numerical mag-nitude processing and intelligence(r=-0. 164,-0. 197,both P<0. 05). And there was significant positive correlation between intelligence and numerical magnitude processing (accurate rate and reaction time ) (r=0. 269,0. 140,both P<0. 05). ( 2) The accurate rate of information processing speed significantly predicted that of numerical magnitude processing in hearing-impaired children( β=0. 17,t=2. 64,both P<0. 01). The reaction time of information processing speed significantly predicted that of numerical magnitude processing in hearing-impaired children(β=-0. 16,t=-2. 61,both P<0. 05). And intelligence played a complete medi-ating role in this relationship and the moderating effect were 36. 71% and 31. 25%. Conclusion Information processing speed has indirect effects on numerical magnitude processing through intelligence in hearing-im-paired children.
RESUMO
Objective@#To explore the mediating role of intelligence in the relationship between information processing speed and numerical magnitude processing of hearing-impaired children.@*Methods@#A survey was conducted among 249 hearing-impaired children by using tests of Choice Reaction Time, Numerosity Comparison, and Raven's Progressive Matrices(simplified version).@*Results@#(1)The accurate rate of information processing speed(0.89±0.18)of hearing-impaired children was positively correlated with that of numerical magnitude processing(0.65±0.15)and intelligence(11.83±10.34)(r=0.165, 0.263, both P<0.01). The reaction time of information processing speed was negatively correlated with those of numerical magnitude processing and intelligence(r=-0.164, -0.197, both P<0.05). And there was significant positive correlation between intelligence and numerical magnitude processing (accurate rate and reaction time ) (r=0.269, 0.140, both P<0.05). (2)The accurate rate of information processing speed significantly predicted that of numerical magnitude processing in hearing-impaired children(β=0.17, t=2.64, both P<0.01). The reaction time of information processing speed significantly predicted that of numerical magnitude processing in hearing-impaired children(β=-0.16, t=-2.61, both P<0.05). And intelligence played a complete mediating role in this relationship and the moderating effect were 36.71% and 31.25%.@*Conclusion@#Information processing speed has indirect effects on numerical magnitude processing through intelligence in hearing-impaired children.
RESUMO
0.05).The DPOAE incidence in sensorineural hearing loss group was 18%,compared with normal group and pseudo-anacousia group,the DPOAE incidence were significantly lower(P