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

Ano de publicación: 2013

Volume: 30

Número: 1

Páxinas: 55-63

Tipo: Artigo

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Outras publicacións en: Revista de Psiquiatría Infanto-Juvenil

Resumo

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.

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