ソーシャルスキルトレーニング前後の注意欠如・多動症の事象関連電位  [in Japanese] EFFECTS OF SOCIAL SKILLS TRAINING FOR CHILDREN WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER AS MEASURED BY EVENT-RELATED POTENTIALS  [in Japanese]

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Abstract

<p>ソーシャルスキルトレーニング(social skills training: SST)は,集団参加行動,コミュニケーションや自己コントロールなどのスキルを伸ばし,成功体験を積み重ね自尊心を高めることで,日常生活場面での適応を伸ばしていく目的で行われる。注意欠如・多動症(Attention-Deficit/Hyperactivity Disorder: ADHD)をもつ児童に対するSSTは,一定の有効性が報告されているが,養育者などの行動評価によるものが主で,生物学的指標で評価されている報告はない。これまで,健常児と比べてADHD児は,事象関連電位(event-related potentials:ERP)において,P300の振幅の低下と潜時の延長,またmismatch negativity(MMN)の振幅の低下が報告されている。今回,われわれはADHDと診断された児童15名に対し,SSTを行い,その前後でP300とMMNを測定し,比較検討を行った。その結果,SST前と比較しSST後のMMNのC4における振幅が有意に増高しており,生物学的な側面からもADHD児に対するSSTの有効性が示された。</p>

<p>Social skills training (SST) is implemented to improve adaptation in everyday life situations, by elevating self-esteem through repeated experience of success with social skills such as inviting, conversation, and emotion-control. A certain degree of efficacy has been reported for SST in children with attention-deficit/hyperactivity disorder (ADHD). However, the majority of such studies have been in the form of behavioral assessments by caregivers and other such individuals, with few if any reports on evaluation in terms of biological indicators. Study of event-related potentials (ERP) in children with ADHD has shown prolonged latency and reduced amplitude of P300 as well as reduction in amplitude of mismatch negativity (MMN) compared to normal controls. We measured both P300 and MMN before and after SST in 15 children diagnosed with ADHD, and found significantly greater MMN amplitudes after SST at C4, demonstrating efficacy of SST for children with ADHD from the biological perspective.</p>

Journal

  • Japanese Journal of Child and Adolescent Psychiatry

    Japanese Journal of Child and Adolescent Psychiatry 57(3), 438-449, 2016

    Japanese Society for Child and Adolescent Psychiatry

Codes

  • NII Article ID (NAID)
    130007691821
  • NII NACSIS-CAT ID (NCID)
    AN00217101
  • Text Lang
    JPN
  • ISSN
    0289-0968
  • NDL Article ID
    027489488
  • NDL Call No.
    Z19-423
  • Data Source
    NDL  J-STAGE 
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