作者: William O. Walker , Owen L. Caskey , A. W. Atkinson , Melvin L. Cohen , Patrick C. Kelly
DOI:
关键词: Psychosocial 、 Attention deficit disorder 、 Referral 、 Self-esteem 、 Supportive counseling 、 Newly diagnosed 、 Placebo 、 Methylphenidate 、 Pediatrics 、 Psychiatry 、 Medicine
摘要: Self-esteem was measured initially in a group of 21 eight- to 12-year-old children with newly diagnosed attention deficit disorder/hyperactivity and remeasured after 1-month courses treatment methylphenidate placebo given double-blind cross-over fashion. Multimodal management all patients included diagnosis, demystification, medication, close follow-up supportive counseling, referral as indicated for psychosocial educational assistance. Long-term 12 who continued receive done an average 16 months. Initial total self-esteem low 30% subjects, intermediate 55%, high 15%. No statistically significant changes occurred during the short-term phase study despite clinically behavioral responses medication assessed by serial questionnaires. At long-term follow-up, total, general, academic scores were improved significantly, however. These findings indicate that many preadolescents exhibit self-esteem. Despite clinical response improvement may not occur; however, long-term, multimodal includes does appear improve