Ethics code: IR.IAU.TON.REC.1402.016
1- PhD Student of General Psychology, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
2- Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran and Department of Psychology, Science and Arts University, Yazd, Iran
3- Associate Professor, Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran and Department of Psychology, University of Tehran, Tehran, Iran
2- Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran and Department of Psychology, Science and Arts University, Yazd, Iran
3- Associate Professor, Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran and Department of Psychology, University of Tehran, Tehran, Iran
Abstract: (265 Views)
Background & Objective: Attention deficit/hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in children. Classically, attention-deficit/hyperactivity disorder has been described as an inherited neurodevelopmental disorder characterized by problems of inattention, hyperactivity, and impulsivity. With a prevalence of more than 5%, attention deficit/hyperactivity disorder is one of the most common psychiatric disorders in children and adolescents. In many cases, the problems of children with attention-deficit/hyperactivity disorder continue into adulthood and are associated with poor academic, social, and occupational outcomes. Impulsivity is the tendency to act on impulse and engage in behavior that is characterized by little thought, reflection, or consideration of the consequences of the behavior. Impulsive behaviors are usually accompanied by poor imagination, premature expression, risky, or inappropriate to the situation, which often leads to undesirable consequences. The concept of impulsivity covers a wide range of behaviors, ranging from failure of motor control to an individual's tendency to choose small and immediate rewards over large but delayed rewards. Deconstructing this behavior reveals two main subgroups: motor impulsivity including motor response inhibition assessed by failure to stop a previously executed response and high occurrence of premature or anticipated responses. and decision impulsivity, which includes cognitive choice mechanisms and the tendency to make quick decisions without paying enough attention to options. High levels of impulsivity have been reported in attention-deficit/hyperactivity disorder, conduct disorder, antisocial personality disorder, and substance use disorder. Unfortunately, various pharmaceutical and non-pharmacological treatments used in attention deficit/hyperactivity disorder have not been able to completely eliminate the problems of children with attention deficit/hyperactivity disorder and their families. On the other hand, the high prevalence of children with attention deficit/hyperactivity disorder and their many impulsive behaviors can cause many problems in their academic and professional lives. Also, the effectiveness of play therapy combined with drug control on impulsive behaviors in attention deficit/hyperactivity disorder has been studied very little. Therefore, in this study, the effectiveness of Geldard group play therapy along with drug control on the impulsivity of children with attention deficit/hyperactivity disorder was investigated.
Methods: Methods: This study was a semi-experimental study with pre-test and post-test. Among children aged 6 to 9 years with symptoms of attention deficit/hyperactivity disorder referred to psychiatric clinics in Yazd city, 30 eligible volunteers were included in the study in a simple random manner, and 15 of them were randomly assigned to the intervention group and 15 people were included in the control group, all children took Ritalin medicine in the form of 5 mg oral Ritalin, twice a day. The impulsivity variable scores were compared by means of the impulsivity questionnaire (Patton, Stanford and Barrett, 1995) before and after play therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: Data analysis showed that the impulsivity test score in children with attention deficit/hyperactivity disorder in the intervention group and after receiving treatment has decreased significantly compared to the control group (p-value=0.001).
Conclusion: The aim of this study was to investigate the effectiveness of group play therapy with drug control on impulsivity of children with attention deficit/hyperactivity disorder. The results of the present study showed that group play therapy combined with drug control has a significant effect on the impulsivity of children with attention deficit/hyperactivity disorder and can lead to the improvement of impulsivity in these patients. The results of this research are in line with the study conducted by Jafari et al. regarding the effect of play therapy on children with attention deficit hyperactivity disorder and it was found that the use of the above treatment method led to a decrease in disobedience in the experimental group. In addition, with the results of Timuri et al.'s study, they stated that group play therapy can be useful as a complementary method, along with other common occupational therapy methods, in reducing the symptoms of emotional behavioral problems of six to twelve-year-old children with hyperactivity disorder and attention deficit disorder. The results of the present study showed that 8 sessions of 90-minute group play therapy lead to the improvement of impulsivity of children with attention deficit/hyperactivity disorder, and it is possible to use group play therapy as a complementary treatment along with other treatment methods to treat the problems of children with disorders. Attention Deficit/Hyperactivity Disorder.
Methods: Methods: This study was a semi-experimental study with pre-test and post-test. Among children aged 6 to 9 years with symptoms of attention deficit/hyperactivity disorder referred to psychiatric clinics in Yazd city, 30 eligible volunteers were included in the study in a simple random manner, and 15 of them were randomly assigned to the intervention group and 15 people were included in the control group, all children took Ritalin medicine in the form of 5 mg oral Ritalin, twice a day. The impulsivity variable scores were compared by means of the impulsivity questionnaire (Patton, Stanford and Barrett, 1995) before and after play therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: Data analysis showed that the impulsivity test score in children with attention deficit/hyperactivity disorder in the intervention group and after receiving treatment has decreased significantly compared to the control group (p-value=0.001).
Conclusion: The aim of this study was to investigate the effectiveness of group play therapy with drug control on impulsivity of children with attention deficit/hyperactivity disorder. The results of the present study showed that group play therapy combined with drug control has a significant effect on the impulsivity of children with attention deficit/hyperactivity disorder and can lead to the improvement of impulsivity in these patients. The results of this research are in line with the study conducted by Jafari et al. regarding the effect of play therapy on children with attention deficit hyperactivity disorder and it was found that the use of the above treatment method led to a decrease in disobedience in the experimental group. In addition, with the results of Timuri et al.'s study, they stated that group play therapy can be useful as a complementary method, along with other common occupational therapy methods, in reducing the symptoms of emotional behavioral problems of six to twelve-year-old children with hyperactivity disorder and attention deficit disorder. The results of the present study showed that 8 sessions of 90-minute group play therapy lead to the improvement of impulsivity of children with attention deficit/hyperactivity disorder, and it is possible to use group play therapy as a complementary treatment along with other treatment methods to treat the problems of children with disorders. Attention Deficit/Hyperactivity Disorder.
Type of Study: Original Research Article |
Subject:
Rehabilitation
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