Status Of ADHD Treatment Mode And Multiple Factor Analysis Of Impacting The Choice Of Treatment Mode

ObjectiveTo approach Status of ADHD treatment mode and multiple factor analysis of impacting the choice of treatment mode, to guild correct choice of treatment mode in patients with ADHD.Object and MethodsObject: 50 patients with ADHD were selected and met diagnostic criteria of DSM-IV, which were from outpatient pediatic clinic in Beijing anding hospital,from 19 Jan in 2006 to 1 Jun in 2006. There were 33 males and 17 females, aged from 6 to18 years old. All the patients choosed treatment mode freedomly. (1) Patients were assigned to western medicine therapy group which had 26 patients and other therapy group which had 24 patients according to treatment mode. (2) Patients were assigned to first time therapy group which had 33 patients and finished therapy group which had 17 patients according to if patients had been treated. (3) Patients were assigned to ADHD-C group which had 42 patients and ADHD-I group which had 8 patients according to ADHD subtypes.Methods:(1) By applying naturalistic observation methord, status of ADHD treatment mode was evaluated.(2) By applying naturalistic observation methord, impacting factor about choice of ADHD treatment mode was attained based on multiple factor investigation,multiple factor correlation analysis and synthesis evaluation. Results(1) Status of ADHD treatment mode:Patients'average age was 4.5 year old when symptoms were discovered. Patients'age was 8.55±3.14 year old when they were treated first time. Patients'age was 10.46±3.15 year old when they were treated by western medicine first time. Patients'age was 8.33±2.73 year old when they were treated by the traditional Chinese medicine first time. Time cell was 3.34±3.25 years between age when they were treated first time and age when they were discovered symptom. Patients that selected western medicine were 52 percent of all patients. Patients that selected the traditional Chinese medicine were 40 percent of all patients. Patients that did not select treatment mode were 8 percent of all patients.(2) Factors of impacting the choice of treatment mode were patient's age and if information source, P=0.004 and P=0.020, OR=1.382 and 0.156.(3) Factors of impacting the choice of treatment mode were patient's age and if information source, P=0.038 and P=0.034, OR=1.322 and 0.131, when patient was treated first time.(4) Factors of impacting the choice of treatment mode were if information source and person who discovered child's symptoms, P=0.009 and P=0.013, OR=0.081 and 0.116.Conclusions(1) At present choice of treatment mode lacked norm.(2) Age of patients and if information source were factors that influenced choice of ADHD treatment mode.(3) Doctors in general hospital didn't introduce correlation knowledge about treatment mode, or explain distinctly, so as to have no difference in choice of treatment mode between first time therapy and finished therapy. (4)Parents ignored ADHD subtypes so as to have no difference in choice of treatment mode among different subtypes.(5) It is critical factor of ADHD rehabilitation that strengthens reasonable propaganda and guide choice of ADHD treatment exactly.