新森林教养方案对不同亚型注意缺陷多动障碍儿童的干预效果OA

Objective To explore the intervention effect of the new forest parenting program(NFPP)on children with different subtypes of attention deficit and hyperactivity disorder(ADHD),and provide evidence for individualized treatment.Methods A total of 78 children aged 6 to 9 years with ADHD(25 cases of attention deficit type,23 cases of hyperactive impulsive type,and 30 cases of combined type)were enrolled from Liuzhou Hospital of Guangzhou Women and Children's Medical Center between December 2023 and September 2025 and received an 8-week NFPP intervention.The parent version of Swanson,Nolan and Pelham rating scale,version Ⅳ(SNAP-Ⅳ)and the Weiss functional impairment rating scale-parent report(WFIRS-P)were adopted to evaluate and compare core ADHD symptoms and social function impairment before the intervention and 1 month after the intervention.Results Seventy children with ADHD completed the NFPP intervention and follow-up,including 23 cases of attention deficit type,19 cases of hyperactive impulsive type,and 28 cases of combined type.After the intervention,the scores of attention deficit and hyperactivity-impulsivity dimensions of SNAP-Ⅳ in all ADHD subtypes were significantly lower than those before the intervention(P<0.05).The combined type showed the most prominent improvement in the attention deficit dimension,while the hyperactive impulsive type had the greatest improvement in the hyperactivity-impulsivity dimension.The total scores of WFIRS-P of all ADHD subtypes decreased significantly after the intervention(P<0.001).The degree of improvement in various dimensions varied among subtypes:the hyperactive impulsive type achieved the most significant improvement in family and social activity dimensions;both the attention deficit type and hyperactive impulsive type presented better improvement in the school dimension than the combined type.Improvements in life skills,self-concept,and risk-taking activities dimensions were comparable across all subtypes.Conclusion NFPP can effectively alleviate core symptoms and improve social function in children with all ADHD subtypes.Individualized intervention strategies targeting different ADHD subtypes can maximize the recovery of children's social function.