Behavioral and Learning Outcomes after treatment of Children with Attention Deficit/Hyperactivity Disorder at Bangchak Hospital, Samut Prakarn Province
Keywords:
attention deficit hyperactivity disorder, school-age children, behavioral therapy, learning disturbanceAbstract
Background:Previously, children with attention deficit hyperactivity disorder (ADHD) at Bangchak Hospital would have to be transferred to a child psychiatrist to be diagnosed and treated. Because of the long appointment waiting times, Bangchak Hospital increased the opportunity by ensuring a pediatrician was available locally to diagnose and treat them.Objective: To study impulsive behavior and learning achievements of children with ADHD after the treatment following Bangchak Hospital ADHD guidelines. Method: This was a retrospective study using descriptive statistics. SNAP-IV questionnaire was applied to study the behavior and parent questionnaire or exam scores was used to study the learning achievements after the treatment of 103 children, aged 6-12, with ADHD who visited Bangchak Hospital from 1 January 2019 to 31 December 2020. They were diagnosed by the pediatrician and treated with methylphenidate (Ritalin) and received the behavioral therapy. Result: After the treatment, their learning achievement increased with a statistical significance (p < 0.001) or 48.5% obtained a better grade. Regarding their behavior evaluation by their parents and teachers, ADHD symptoms decreased with a statistical significance. According to the paired t-test (p<0.001) evaluated by the parents, trouble paying attention behavior decreased to 6.9 on average (95%CI 6.1, 7.7), impulsiveness decreased 6.3 (95%CI 5.3, 7.3), stubbornness and resistance decreased to 3.9 (95%CI 3.0, 4.8). The result evaluated by the teachers was: trouble paying attention behavior decreased to 6.8 on average (95%CI 6.0, 7.7), impulsiveness decreased to 6.6 (95%CI 5.7, 7.5), stubbornness and resistance decreased to 4.2 (95%CI 3.4, 5)Conclusion: The treatment of children with ADHD by pediatrician in Bangchak Hospital using medicines and behavioral treatment can improve learning achievements and behaviors with statistical significance
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