南方医科大学学报2026，Vol.46Issue(4)：794-802,9.DOI:10.12122/j.issn.1673-4254.2026.04.08
患儿个体与家庭特征对注意缺陷/多动障碍团体干预效果的预测:基于多维模型构建与分析
Patient and family predictors of group intervention outcomes in children with attention-deficit/hyperactivity disorder:a multidimensional model analysis
摘要
Abstract
Objective To explore individual and family characteristics associated with children's response to group interventions for attention-deficit/hyperactivity disorder(ADHD)based on multidimensional indicators of intervention outcomes.Methods A total of 62 children with ADHD aged 6-9 years participating in an intervention program at the Affiliated Brain Hospital of Guangzhou Medical University from July 2023 to January 2025 were enrolled.All the participants received a standardized group intervention consisting of 8 sessions delivered over 4-6 weeks,focusing on attention training and emotion regulation training.Pre-and post-intervention data were collected using the General Information Questionnaire,the Difficulties in Emotion Regulation Scale(DERS),the Affective Reactivity Index(ARI),the Matson Evaluation of Social Skills with Youngsters(MESSY),and the parent-rated Swanson,Nolan,and Pelham Rating Scale-Ⅳ(SNAP-Ⅳ).Given the consistency in intervention format and structure between the two groups,data were pooled for modeling analyses.Changes in emotion regulation,inattention,and social skills were used as the outcome indicators.LASSO regression was used to screen 18 baseline variables(8 psychosocial characteristics and 10 demographic and family-background variables),followed by multiple linear regression to identify stable predictors.Results Across the models predicting changes in inattention,irritability,emotion-regulation difficulties,and inappropriately assertive/overconfident,the baseline score of each outcome was a significant positive predictor(β=0.462-0.669,P_BH<0.05).Higher baseline hostile scores predicted less improvement in emotion-regulation difficulties(β=-0.326,P_BH<0.01)and inappropriate assertiveness/overconfidence(β=-0.543,P_BH<0.05).Conclusion This study provides preliminary evidence that baseline symptoms and hostility traits may predict response to group interventions for ADHD,which may help to estimate treatment outcomes before intervention and provide support to precision intervention for children with ADHD.关键词
注意缺陷/多动障碍/儿童/团体干预/个体差异/预测模型Key words
attention-deficit/hyperactivity disorder/children/group intervention/individual differences/predictive model引用本文复制引用
杨新梅,郭文娟,林绮文,麦俊杰,麦思茗,卢京洁,杨婵娟,周燕玲,程道猛,余萌,殷炜珍,王咏琪,莫晓华,朱智航,洪丹萍,胡樱子,彭凯琪,徐艺轩,刘锦岚..患儿个体与家庭特征对注意缺陷/多动障碍团体干预效果的预测:基于多维模型构建与分析[J].南方医科大学学报,2026,46(4):794-802,9.基金项目
教育部人文社会科学研究青年基金项目(22YJC190024) （22YJC190024）
广东省哲学社会科学规划青年项目(GD22YXL04) （GD22YXL04）
广州市临床重点专科(临床医学研究所) （临床医学研究所）
