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UNIVERSITATEA BABE -BOLYAI – CLUJ-NAPOCAȘ

DEPARTAMENTUL DE PSIHOPEDAGOGIE SPECIALĂ

DISCIPLINA

” PROGRAME DE INTERVEN IE PSIHOPEDAGOGICĂ LAȚCOPIII CU ADHD”

PROFESOR:

Conf. Un !. D". Ro#$n A%" $n

M$&'("$n) :

Mo'o* D $n$ B(n $ D$nș ț

An I - M.C.A.

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C$"$*'(" &' * +(,P$"' * +$" ' +( $%o+(&*(n +o" ' n(" +o" ț ț ș ț*$"( &( $/$' &$ $/ )($) %( 0(% *$0(n'(+( +o" 1"(&*" &(.

TIMOTHY E. WILENS, M.D., MARTIN GIGNAC, M.D., ALLISON SWEZEY, B.A.,MICHAEL C. MONUTEAUX, SC.D., AND JOSEPH BIEDERMAN, M.D.

Articol l !"#cri" c$r$ct"ri#ticil" $!ol"#c"% iilor i ti%"rilor $! l i c$r" $ t l& r$r"ț ș ț

'i("r)i%"tic* c !"+icit !" $t"% i" i ri#c ril" l$ c$r" # %t # ( i $c" ti$ !$c* #" $&$t #$ț ș ș ș

$& "$ * !" -"!ic$-"%t"l" lor #ti- l$%t".

M"!ic$-"%t"l" #ti- l$%t" (r"c - M"t'/l('"%i!$t" 0MPH 1 -"!ic$-"%t 2%r !it c$-+"t$-i%"l" c$r" #ti- l"$ * #i#t"- l %"r3o# c"%tr$l, $!-i%i#tr$t (" c$l" & c$l*, !"% -ir"co-"rci$l* Rit$li%4 i $-+"t$-i%$ # %t (ri-ii $5"% i tili $ i 2% tr$t$-"%t l co(iilor iș ț ț ș

$!ol"#c"% iilor c$r" $ t l& r$r" 'i("r)i%"tic* c !"+icit !" $t"% i".ț ț

Sco( l $c"#t i #t !i $ +o#t #* "3$l " " i%+l "% $ i -o! l c - cor"l"$ * $c"#t"ț ș

-"!ic$-"%t" #ti- l$%t" c $& l $c"#tor$ l$ ti%"rii $! l i c ADHD. S1$ "3$l $t r" lt$t l $ț

% i #t !i !" co%trol lo%5it !i%$l co%ti% +*c t (" o ("rio$!* !" 67 $%i, r"$li $t (" &*r&$ț

ti%"ri c ADHD, #t !i l i-(lic8%! % c'"#tio%$r 2% c$r" $c" ti$ "r$ 2%tr"&$ i !$c* tili "$ș ț

cor"ct -"!ic$-"%t"l" (r"#cri#".

M('o%

S / (*ț

S &i"c ii $ +*c t ($rt" !i% c"l -$i r"c"%t #t !i !" co%trol r"$li $t (" o ("rio$!* !"ț

67 $%i, 2% c$r" $ +o#t i%cl i +$-ilii c ADHD, #t !i l +ii%! 2% c r# !" !"#+* r$r" i !"#crș ș ș

2% !"t$li 2% ( &lic$ iil" $%t"rio$r". 9% $%$li "l" c r"%t" $ +o#t i%cl i &*i" i, r"#("cti3 +ț ș ț ș

&$i" i 0+r$ i i # rori4 c$r" $3"$ (r"#cri( i" -"!ic$-"%to$#* ("%tr tr$t$r"$ co%!i iilor ț ț ș ț ț

(#i'i$tric". S &i"c ii $3"$ 38r#t$ c (ri%#* 2%tr" :16; $%i $c" i$ +ii%! &*i" i !i%tr" c$r" 6<7ț șț ț

$3"$ t l& r$r" 'i("r)i%"tic* c !"+icit !" $t"% i", i$r 6=7 % $3"$ t l& r$r"$, $t8t c"i cț

ADHD c8t i c"i +*r* ADHD (ro3"%"$ !i% cli%ici !" ("!i$tri" i (#i'i$tri". Pot"% i$li # &i"c iș ș ț ț

$ +o#t ">cl i !i% #t !i !i% c$ * c* "r$ $!o(t$ i, #$ !i% c$ * c* % cl" l +$-ili$l % "rș ț

tili $&il ("%tr #t !i . D" $#"-"%"$ $ +o#t ">cl i !i% #t !i i # &i"c ii c$r" $3"$ș ș ț

!"+ici"% " #"% orio1-otorii -$?or" 0($r$li ii, # r!it$t", t l& r*ri !" 3"!"r"4, (#i'o ", $ ti#-,ț

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c"i c$r" % #t*(8%"$ &i%" li-&$ "%5l" * i c"i c$r" $3"$ % I@ -$i -ic !" 7, $!ic* c"i c$r"ș

$3"$ !"+ic"% * !" i%t"l"ct -o!"r$t*. At8t (*ri% ii co(iilor c8t i $!ol"#c"% ii i1$ !$t $cor! lț ț ș ț ș

("%tr ($rtici($r" l$ #t !i .

9% c$!r l #t !i l i #" ($rc r5 tr"i "t$(". Pri-$ "t$(* +$c" tri-it"r" l$ co(ii!i$5%o#tic$ i c ADHD c$r" $ +o#t 2%r"5i#tr$ i 2% r"5i#tr l cli%ic 2% c$!r l cli%icilor ț ț

(#i'i$tri" i ("!i$tri". Di% c$ * c* $c"#t" !i$5%o#tic" !" ADHD $ +o#t +*c t" !" - l iș ț

-"!ici !i+"ri i c$r" $ +olo#it !i+"rit" #t$%!$r!" cli%ic" !" !i$5%o#tic, $#t+"l #1$ i%tro! # % $lț

!oli"$ #cr""%i%5 $c"#t$ +ii%! % l #i#t"-$tic, +olo#i%! crit"riil" !i% DSM III. 9% c"$ !"1$ !o $"t$(* #" co%+ir-* !i$5%o#tic l t t ror co(iilor c ADHD (ri% #cr""%i%5 l +olo#it !i% (ri-$"t$(*, $c"#t$ +ii%! % l (o iti3, tili 8%! % c'"#tio%$r c$r" #" r"$li "$ * 2-(r" %* c -$-$co(iilor (ri% i%t"r-"!i l t"l"+o% l i. 9% c"$ !"1$ tr"i$ "t$(* $ "3$l *rii !i$5%o#tic l i !o$r

# &i"c ii "li5i&ili c$r" 2%!"(li%"#c crit"riil" !" ($rtici($r" l$ #t !i # %t #"l"ct$ i ("%tr %ț ț

i%t"r3i #tr ct r$t. Do$r # &i"c ii c$r" (ri-"#c % !i$5%o#tic (o iti3 l$ c"l" tr"i "t$(" # %tț

i%cl i 2% !$t"l" +i%$l", i$r c"i c$r" % tr"c !" "t$("l" r"#("cti3" 3or +i ">cl i !i% #t !i .ș ș

D" $#"-"%"$ 2% c"l" tr"i "t$(" #" +$c" % #cr""%i%5 !" co%trol ("%tr (ot"% i$liiț

# &i"c i c$r" % $ ADHD. 9% (ri- l r8%! #" #t$&il"#c ">$-"%" +i ic" !" r ti%*, $38%!ț

tri-it"r" !" l$ cli%icil" -"!ic$l", $c"#t"$ r"$li 8%! 1#" $t8t 2% c$!r l % i c"%tr %i3"r#it$r c8t i 2% c$!r l %"i -$ri or5$%i $ ii !" #*%*t$t". 9% c"$ !"1$ !o $ "t$(* tot (ri%tr1 % #cr""%i%ș ț

!" co%trol #" "3$l $ * -o! l 2% c$r" -$-"l" co(iilor c ADHD $ r*#( %# l$ c'"#tio%$r lr"$li $t (ri% i%t"r-"!i l t"l"+o% l i i !$c* $ cor"#( %# co%+or- crit"riilor DSM1 l i III. 9%ș

c"$ !"1$ tr"i$ "t$(*, !" $#"-"%"$ #" r"$li "$ * % #cr""%i%5 !" co%trol i !o$r # &i"c iiș ț

"li5i&ili c$r" 2%!"(li%"#c crit"riil" !" ($rtici($r" l$ #t !i # %t r"cr t$ i ("%tr "3$l $r"$ț

!i$5%o#tic l i, "3$l $r"$ r"$li 8%! 1#" (ri%tr1 % i%t"r3i #tr ct r$t. Do$r # &i"c ii c$r" %ț

ADHD !i% c"l" tr"i "t$(" # %t i%cl i 2% 5r ( l !" co%trol.ș

P"o*(% " %( (!$+ $"( *on'"o+$'(,*("*('$'(E3$l $torii $ r"$li $t i%t"r3i ri !ir"ct" c -$-"l" co(iilor c ADHD i c +r$ iiș ț

$c"#tor$. S1$ co%#i!"r$t o t l& r$r" (o iti3* !o$r !$c* $ +o#t 2%!"(li%it" crit"riil" !"!i$5%o#tic !i% DSM I , 2% +i"c$r" i%t"r3i .

Di$5%o#tic"l" (r" "%t$t" ("%tr r"3i ir" $ +o#t co%#i!"r$t" (o iti3" i cli%ic" !i%ș

( %ct !" 3"!"r" #"-%i+ic$ti3 !o$r !$c* #1$ $ti%# % co%#"%#, i !$c* crit"riil" !" !i$5%o#tic $ș

+o#t 2%!"(li%it".

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P"%tr $ -*# r$ "3$l $r"$ 5lo&$l* #1$ +olo#it DSM I , i$r #t$t t l #ocio"co%o-ic #1$-*# r$t (ri% tili $r"$ #c$l"i Holli%5#'"$! !" ( %ct".

C2(&' on$" 1" ! n% 0(% *$ $ ' + )$'ț

S1$ !" 3olt$t % #i-(l c'"#tio%$r ("%tr tili $r"$ cor"ct* $ -"!ic$-"%t"lor c$r"toto!$t* +$c" tri-it"r" i l$ $& l !" -"!ic$-"%t"0 "> !o " !" -o!i+ic$r", tili $r" i c $lt"ș ș

# &#t$% " (#i'o$cti3"4. C'"#tio%$r l c (ri%!" $(t" 2%tr"&*ri, r*#( %# ril" +ii%! c !$ #$ %ț ș

9%tr"&*ril" i%cl #" 2% c'"#tio%$r Ai 38%! t -"!ic$-"%t"l" (r"#cri#" , Ai !"(* it %i3"l l !o "iș

l$ -"!ic$-"%t" , Ai $3 t #i-(to-" (#i'otro(" 2% c""$ c" (ri3" t" -"!ic$ i$ (" c$r" oș ț

+olo#" ti , Ai +olo#it 2% ">c"# -"!ic$-"%t"l" , Ai +olo#it $lcool #$ !ro5 ri 2% loc #* +olo#" tiș ș

-"!ic$-"%t"l" , Ai +olo#it -"!ic$-"%t" 2% co-&i%$ i" c $lcool l #$ !ro5 ri , Ai $3 t oț

r"$c i" $!3"r#* l$ -"!ic$-"%t" i $lcool #$ !ro5 riț ș

R() +'$'(

D$t"l" $ +o#t !i#(o%i&il" (" !" # &i"c i c -"!ic$ i". E $%tio% l c (ri%!" ț ț ș

0 :F4 !" # &i"c i c ADHD i < 0<<F 4 !" # &i"c i +*r* ADHD. :<F !" # &i"c i +$c ($rt"ț ș ț ț

!i% 5r ( l !" co%trol, i$r = F +$c ($rt" !i% 5r ( l ">("ri-"%t$l. 66F !i%tr" # &i"c i cț

ADHD i1$ 38%! t -"!ic$-"%t"l", ==F $ +olo#it 2% ">c"# $ $& $t !" -"!ic$-"%t"l"ș

(r"#cri#", i$r 67F $ $3 t #i-(to-" (#i'otro(" 2% c""$ c" (ri3" t" -"!ic$ i$ i !o$r oș ț ș

-i%orit$t" $ r$(ort$t c* $ $3 t o r"$c i" $!3"r#* l$ -"!ic$-"%t" i $ +*c t $& !"ț ș

# &#t$% "0$lcool, !ro5 ri4. E3$l 8%! 1#" !$t"l" #1$ co%#t$t c* % ">i#t* !i+"r"% " #"-%i+ic$ț ț

2%tr" $& l !" -"!ic$-"%t" l$ co(iilor c" +$c ($rt" !i% cli%icil" !" ("!i$tir" i 2%tr" c"i c$r"ș

+$c ($rt" !i% cli%icil" !" (#i'i$tri" 0( 7. 4.

S1$ r$(ort$t i $% -it" !$t" 2% c""$ c" (ri3" t" (ro+il l co-or&it* ii l$ # &i"c ii cș ș ț ț

ADHD c$r" $& "$ * !" -"!ic$ i$ lor ; F !i%tr" # &i"c i $ $3 t SUD, i$r F $ $3 tț ț

CD. S &i"c ii c ADHD c$r" i1$ -*rit !o $ -"!ic$-"%to$#* #$ % $ -$i +olo#itț ș

-"!ic$ i$, 2% loc l "i itili 8%! !ro5 ri #$ $lcool, $c" ti$ $ +o#t -$i (r"!i#( i 2% $1 i 3i%!"ț ș ș ș

-"!ic$-"%t"l" (r"#cri#" 0=:F 3"r# # F4.

D" $#"-"%"$ l$ # &i"c ii c ADHD c$r" $& "$ * !" -"!ic$ i$ lor, #1$ r$(ort$t c* 2%ț ț

(ro(or i" !" F $ +olo#it 2% ">c"# MPH, i$r ; F $ +olo#it 2% ">c"# $t8t $ MPH, c8t iț ș

$-+"t$-i%".

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D &*ț

A& l !" -"!ic$-"%t" l$ ("r#o$%"l" c ADHD co%ti% * #* +i" % -oti3 !"2%5ri?or$r" $t8t 2% c$!r l lic""lor c8t i 2% c$!r l +$c lt* iilor. D$t"l" $ct $l" r$(ort$t" !i%tr1oș ț

"3$l $r" +or-$l* (#i'o-"tric* &$ $t* (" % c'"#tio%$r, $-i%t"#c !i% $lt" #t !ii c$r" $ $3 t5r (" !" 38r#t* #i-il$r" c$r" !" $#"-"%"$ (ri-"$ -"!ic$-%t" #ti- l$%t".

D" $#"-"%"$ i l$ ti%"rii $! l i +*r* ADHD , $& l !" -"!ic$-"%t" #ti- l$%t" "#t" oș ț

(ro&l"-*. B$ $t (" $% -it" !$t" i #t !ii +*c t" (" #t !"% i 0B$&coc) $%! B/%", =777ș ț

McC$&" "t $l., =77 4, $(ro>i-$ti3 2%tr" ;F i 66F $ r$(ort$t c* $ +olo#it MPH iș ș

$-+"t$-i%*. U% #t !i +*c t (" 6 7 !" #t !"% i l$ B$t"# Coll"5", <F !i%tr" #t !"% i $ +olo#itț ț

2% ">c"# $-+"t$-i%$, i$r ;F MPH, =<F !i%tr" #t !"% i $ +olo#it 2% ">c"# $t8t MPH c8t iț ș

$-+"t$-i%* i o tr"i-" !" # &i"c i !i% " $%tio% l r"#("cti3 $ r"c %o#c t c* $ +olo#itș ț școc$i%*. Si-il$r, % $lt #t !i r"$li $t (" -$i - lt" +$c lt* i, $ r$(ort$t c* :, F !i%tr"ț

#t !"% i $ +olo#it -"!ic$-"%t" #ti- l$%t" i =,6F !i%tr" #t !"% i $ +olo#it 2% lti-$ l %*.ț ș ț

Co%#t$t*ril" r"c"%t" $r$t* c* ==F !i%tr" $!ol"#c"% i i ti%"rii $! l i c ADHDț ș ț

$& "$ * !" -"!ic$-"%t"l" lor (r"#cri#".

9% co%cl i", !$t"l" # 5"r"$ * c* $& l !" -"!ic$-"%t" $($r" l$ o -i%orit$t" !"# &i"c i c ADHD. D"#co("riril" i%!ic* +$(t l c* ("r#o$%"l" c ADHD0 CD i #$ SUD4 $ț ș

% ri#c !"o#"&it !" ri!ic$t 2% c""$ c" (ri3" t" $& l lor !" -"!ic$-"%t" #ti- l"%t", $#t+"lș

#(ori%! 5r$! l !" # #(ici %" ("%tr cli%ici"%i. D$t"l" i #t !iil" # (li-"%t$r" c (ri3ir" l$ș

tili $r"$ $!"c3$t* $ !i3"r#"lor #ti- l"%t" i %o%#ti- l"%t" 2% 5r ( ril" c ri#c ri!ic$t, i%!ic*ș

+$(t l c* $% -it" cl$#" i ti( ri !" -"!ic$-"%t" # %t +olo#it" 2% -o! $& i3, c""$ c" ! c" l$ș

? #ti+ic$r"$ co-or&it* ii.ț

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