Eficacia de un programa de psicoeducación aplicado por enfermeras y dirigido a padres de niños con Trastorno por déficit de atención e hiperactividad

  1. A. Díez Martínez de Morentin 1
  2. C. Soutullo Esperón 1
  3. S. Tricas Sauras 2
  4. M. Beunza Nuin 1
  5. T.Pereda Sotos 1
  6. K. Machiñena Gracia 1
  1. 1 Unidad de Psiquiatría Infantil y Adolescente, Departa-mento de Psiquiatría y Psicología, Clínica Universidad de Navarra, Pamplona
  2. 2 Facultad de Enfermería, Universidad de Navarra, Pamplona,
Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271,  1130-9512

Año de publicación: 2013

Volumen: 30

Número: 1

Páginas: 55-63

Tipo: Artículo

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Otras publicaciones en: Revista de Psiquiatría Infanto-Juvenil

Resumen

Background. Recent studies suggest that Attention-Deficit Hyperactivity Disorder (ADHD) patients receiv-ing combination treatment of medication, behavioral therapy, educational support and parental psychoeduca-tion, show a better response compared with patients re-ceiving medication or psychological treatment alone. Objectives. To assess the efficacy of a nurse-led psy-choeducational program for parents of children with ADHD added to methylphenidate, compared with the use of medication alone. Methods. We did a longitudinal naturalistic study with intervention (psychoeducation+ methylphenidate) and control group (methylphenidate alone). We administered a battery of questionnaires to a sample of 14 families of children with ADHD that received a nurse-led Psycho-educational Program and 21 who did not received psy-choeducation. Results. We found a significant improvement in the ADHD Rating Scale scores for both groups, with no sig-nificant differences between them. However, patients in the psychoeducation group required a lower medication dose increase compared with patients on the non-psycho-education group. We also found good improvement in the Family Environment Scale Cultural interest subscale and good scores on the Strengths and Difficulties Ques-tionnaire (>50% of patients had normal scores on 4 of 5 subscales). Parents evaluated the program as being very helpful. Conclusion. Patients in the psychoeducation group ob-tained similar improvements in ADHD-RS with a lower medication dose increase. The use of nurse-led pscyho-educational programs in combination with medication suggests that a more gentle and practical approach may be helpful in the treatment of children with ADHD.

Referencias bibliográficas

  • Still G.F. The Goulstonian Lectures on some abnormal psychical condition in children: lecture I. Lancet. 1902; 1: 1008-1168.
  • American Psychiatric Association, APA. Diagnostic & Statistical Manual of Mental Disorders DSM-IV-TR (Text Revision). Washington DC: American Psychiatric Publishing Inc, 2000.
  • World Health Organisation ICD-10 Chapter V, Mental and Behavioural Disorders. FOO-F99. Geneva: WHO, 1990.
  • Benjumea P., Mojarro M.D. Trastornos hipercinéticos: estudio epidemiológico en doble fase de una población sevillana. Anales de Psiquiatría.1993; 9: 306-311.
  • Cardó E, Servera M, Llobera J. Estimación de la prevalencia del trastorno por déficit de atención e hiperactividad en población normal de la Isla de Mallorca. Revista de Neurología. 2007; 44: 10-14.
  • Escobar R., Soutullo C., Hervás A., Gastaminza X., Polavieja P., Gilaberte I. Worse Quality of Life for Children With Newly Diagnosed Attention-Deficit/Hyperactivity Disorder, Compared With Asthmatic and Healthy Children. Pediatrics. 2005; 116: 364-369.
  • Barkley R., Fischer M., Smallish L., Fletcher K. Young Adult Outcome of Hyperactive Children: Adaptative Functioning in Major Life Activities.. Journal of the American Academy of Child & Adolescent Psychiatr. 2006; 45: 192-202.
  • MTA Cooperative Group Multimodal Treatment Study of Children with ADHD. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry. 1999; 56: 1073-1086.
  • Webster-Stratton, C. & Hammond, M.. Treating children with early-onset conduct problems: A Comparison of Child and Parent Training Interventions. Journal of Clinical and Consulting Psychology 1997; 65: 95-109.
  • Brestan E. & Eyberg S. Effective psychosocial treatments of conduct-disordered children and adolescents; 29 years, 82 studies, and 5272 kids. Journal of Clinical Psychology. 1998; 27: 180-189.
  • Chambless D. & Hollon S. defining empirically supported therapies. Journal of Consulting and Clinical Psychology. 1998; 66: 7-18.
  • Patterson J., Mockford C., Stewart-Brown S. Parent’s perceptions of the value of the Webster-Stratton Parenting Programme: a qualitative study of a general practice based initiative. Child Care Health and Development. 2005; 31: 53-64.
  • Goodman R. The strengths and difficulties questionnaire A research note. Journal of Child Psychology. 1997; 38: 581-586.
  • Moos RH. Family environment scale. Palo Alto, CA: Consulting Psychologist Press, 1974.
  • DuPaul G.J., Power T.J., Anastopoulos A.D., Reid R. ADHD Rating Scale-IV. Checklists, norms, and clinical interpretation. New York: Guilford Press, 1998.
  • Rapado M., Incera S., Díez Martínez de Morentin A. Cuestionario de Evaluación General del Programa Psicoeducativo para padres de niños con TDAH. (Evaluation Questionnaire of the Psychoeducational program for parents of children with ADHD). Navarra: Clínica Universidad de Navarra, 2006.
  • DuPaul G, Power T, Anastopoulos A, Reid R, McGoey K, Ikeda M. Teacher ratings of attention deficit hyperactivity disorder symptoms: factor structure and normative data. Psychological Assessment. 1997; 9: 436-444.
  • Döpfner M, Steinhausen H.C., Coghill D., Dalsgaard S., Poole L., Ralston S.J., Rothenberger A. Cross-cultural reliability and validity of ADHD assessed by the ADHD Rating Scale in a pan-European study. European Children and Adolescent Psychiatry. 2006; 15: S46–S55.
  • Wolraich ML, Lambert W, Doffing MA, Bickman L, Simmons T, Worley K. Psychometric properties of theVanderbilt ADHD diagnostic parent rating scale in a referred population. Journal of Pediatric Psychology. 2003; 2: 559–567.
  • Palmieri P.A., Smith G.C. Examining the structural validity of the Strengths and Difficulties Questionnaire (SDQ) in a U.S. sample of custodial grandmothers. Psychological Assessment. 2007; 19: 189-198.
  • Oliver L., Findlay L., McIntosh C., Kohen D. Aboriginal Children’s Survey. Evaluation of the Strengths and Difficulties Questionnaire. Ontario, Canada: Ministry of Industry, 2009.
  • Moos RH. Conceptual and empirical approaches to developing family-based assessment procedures: resolving the case of the Family Environment Scale. Family Process. 1990; 29: 191-198.
  • Statistical Package for Social Science, SPSS for windows V13. Statistical Package For The Social Sciences Version 13. Chicago: SPSS Inc., 2004.
  • Montoya A, Colom F, Ferrín M (2011). Is psychoeducation for parents and teachers of children and adolescents with ADHD efficacious? A systematic literature review. Eur Psychiatry. 2011; 26: 166-75.
  • Soutullo C. (2003) Diagnóstico y tratamiento farmacológico del Trastorno por Déficit de Atención e Hiperactividad. Medicina Clínica. 2003; 120: 222-226.
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