Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder

被引：19
作者：
He, Fan [1 ]
Qi, Yanjie [1 ]
Zhou, Yuanyue [2 ]
Cao, Aihua [3 ]
Yue, Xin [4 ]
Fang, Shuanfeng [5 ]
Zheng, Yi [1 ]
机构：
[1] Capital Med Univ, Beijing Anding Hosp, Beijing Key Lab Mental Disorders, Beijing, Peoples R China
[2] Hainan Med Univ, Affiliated Hosp 1, Dept Med Psychol, Haikou, Hainan, Peoples R China
[3] Shandong Univ, Qilu Hosp, Jinan, Shandong, Peoples R China
[4] MaiDeHaiKe Technol, Beijing, Peoples R China
[5] Zhengzhou Univ, Childrens Hosp, Zhengzhou, Henan, Peoples R China
来源：
FRONTIERS IN PSYCHIATRY | 2023年 / 14卷
关键词：
digital therapy; attention-deficit hyperactivity disorder; inattention; impulsive hyperactivity; executive function; working memory; meta-analysis; DEFICIT/HYPERACTIVITY DISORDER; ADHD; INTERVENTION; MEMORY; IMPROVEMENTS; ADOLESCENTS; CHILDHOOD; SEVERITY; PROGRAM; TRIAL;
D O I：
10.3389/fpsyt.2023.1054831
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that commonly occurs in childhood. The aim of this meta-analysis was to summarize the available evidence for the efficacy of digital therapeutics in children and adolescents with ADHD. Methods: We searched the MEDLINE, EMBASE, Cochrane Library (Cochrane Database of Systematic Reviews), and Web of Science (science and social science citation index) databases for relevant studies and used Stata 15.0 software to carry out the meta-analysis. Results: A total of 31 studies involving 2169 participants (1665 boys and 504 girls) aged 4-17 years old were included in the final analysis. The meta-analysis results showed that digital interventions improved the symptoms of inattention with an effect value of -0.20 (95% confidence interval [CI] -0.36, -0.04) and decreased the continuous performance task (CPT) reaction time (effect, -0.40, 95% CI -0.73, -0.07) in ADHD patients. The score for impulsive hyperactivity was slightly decreased (effect, -0.07, 95% CI -0.23, 0.09). Moreover, executive function was improved (effect, 0.71, 95% CI 0.37, 1.04). The capability of working memory appeared to be increased (effect, 0.48, 95% CI 0.21, 0.76) between the two groups. Visual appraisal of the sensitivity analysis suggested the absence of heterogeneity, and no obvious publication bias was detected. Discussion: Based on the existing literature evidence, we conclude that digital therapy can be a promising therapeutic strategy for ADHD patients.
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页数：15
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