Abstract
Study of the Combined Effect of Sensory Integration Therapy with Cognitive Behavioural Therapy on Children with ADHD at Sohag University Hospital, Egypt
Author(s): Amr Ahmed Othman*, Abdelrahim Abdrabou Sadek, Ahmed Borai, Ahmed Gelany and Hebat Ahmed AbdelmolBackground: ADHD is a neurobehavioral developmental disorder that is primarily characterized by, attention deficit, hyperactivity, and impulsivity that interfere with functioning and daily activities; method of treatment often involves medical treatment and a combination of behavioural and occupational modifications.
Aim: The present study aimed to assess the combined effect of sensory integration with cognitive behavioural therapy on children with ADHD.
Materials and methods: This single-blinded study was carried out from January 2019 to December 2019, at Paediatric Neurology Clinic, Sohag University Hospital. Sixty ADHD children were diagnosed by DSM 5, with age range between 4 and 6 years old of both genders, were included in the study. The participants were randomly divided into two groups. Group A, all patients included in this group were treated only by cognitive behavioural therapy. Group B patients included in this group were treated by combined cognitive behavioural therapy and sensory integration therapy. The session was for one hour per day for 3 days per week. Both groups were received intervention as per their group allotment for 6 months. All selected subjects in both groups were assessed with Conner's teacher rating scale before and after the intervention. Data were analysed by IBM SPSS version20.0 using Chi-Square, Fisher's Exact Test, and the Mann-Whitney U Test.
Results: The mean of the total Conner’s teacher scores in ADHD children treated with CBT before treatment and after treatment was respectively (56.1  ± 6.76 Â) and (33.67  ± 8.6 Â) with highly significant difference (p ≤ 0.001). The mean of the total Conner’s teacher scores in ADHD children treated with Combined therapy before treatment and after treatment was respectively (54.33  ± 7.97 Â) and (24.3  ± 8.53 Â) with highly significant difference (p ≤ 0.001). The comparison between the post-treatment results among ADHD children included in both groups of the study as regard attention deficit and total Conner’s scores showed a highly significant difference (p<0.001).
Conclusion: Cognitive behavioural therapy is effective in reducing ADHD manifestations. However, combination therapy gives a better improvement in comparison to individual therapy in ADHD.