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Minerva Psichiatrica 2018 March;59(1):29-38

DOI: 10.23736/S0391-1772.17.01947-1


lingua: Inglese

Comparison of three methods of intervention pharmacotherapy, cognitive-motion rehabilitation and the combination on components of attention of ADHD children

Sara SHAMSHIRI 1 , Mahmood SHEIKH 2, Rasool HEMAYAT TALAB 2, Forough RIAHI 3

1 Department of Motor Development and Motor Learning, Kish International Campus, University of Tehran, Tehran, Iran; 2 Motor Behavior Group, Department of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran; 3 Department of Psychiatry, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common disorders in childhood and adolescence and it is of particular importance to find effective treatment which can diminish the intensity and depth as symptoms. This study is aimed to compare three methods of intervention cognitive-motion rehabilitation, pharmacotherapy and the combination of two paths to alleviate the components of attention of children with attention deficit / hyperactivity disorder (combined type).
METHODS: This study is a kind of Quasi-experimental and prospective study including three groups: pretest - post-test - follow-up tests. Using stratified cluster random method 35 schools were selected from schoolboys in Dezful city and then using Conners Scale (Parent and teacher form) and diagnosis of Child and Adolescent Psychiatrist, 45 children 7 to 11 years old with ADHD were identified in Prototype and after synchronization of intelligence, randomly divided into three experimental groups (cognitive-motion group, drug therapy group and combined group). IVA + PLUS Test and Scale Wechsler Digit Span Test were used in three phases. Data collected using tests covariance univariate and Bonferroni post-hoc test were processed.
RESULTS: The combination group in selective attention, focused attention and divided attention did better than the other two groups at post-test. Also were not much different in sustained attention and alternative attention between three groups. Study of changes during follow-up revealed that both combined and cognitive-motion rehabilitation groups had a significant improvement in attention variables than pharmacotherapy group. In fact, the medication group, unlike the other two groups had roughly the same decline in performance as the pretest.
CONCLUSIONS: The results suggest that combination of treatment protocol cognitive-motion rehabilitation with low dose of medicine has more and more lasting effects than pharmacotherapy.

KEY WORDS: Attention deficit disorder with hyperactivity - Drug therapy - Psychiatric rehabilitation - Attention

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