الفهرس 
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Abstract
Attention deficit hyperactivity disorder (ADHD) is a
neurobehavioral developmental disorder (Zwi et al. 2000).
ADHD has been conceptualized as a chronic multifactorial
disorder characterized by symptoms of inattention,
hyperactivity and impulsivity. (Biederman, Faraone, 2012)
ADHD is strongly associated with poor academic performance;
a pattern of conflictual and often unsatisfactory relations with
peers, family members, and teachers; and low self-esteem.
(Jensen et al 2005).
The most commonly used diagnostic criteria is the
Diagnostic and Statistical Manual of Mental Disorder (DSMV).
DSM-V criteria have different symptoms for inattention
and hyperactivity. All symptoms must be at least 6 of the 9
criteria in the category. Symptoms present for at least 6 months
(American Psychiatric Association.2013)
Many treatment modes have been developed in the form
of behavior modification, life-style changes, counseling,
medication, family therapy, school based interventions, social
skills training, parent management training and sensory
integration therapy (Emilsson et al. 2011 and Jensen. 2007).
Cognitive behavioral therapy not verified as a first
choice in therapy .it can help patients break the self-defeating
cycle of failure
Sensory integration session aimed at enhancing the
child’s unique ability to utilize sensation. This often includes
careful use of vestibular, proprioceptive, and tactile sensory
input to help the child develop a foundation of ordered sensory
processing on which functional skills can be built. (American
Occupational Therapy Association, 2007).
This single blinded study included 60 ADHD children
from the Pediatric psychiatric out-patient clinic at Sohag
University Hospital. 60 patients divided into two groups. group
(A) 30 ADHD children treated with cognitive behavioral
therapy and group (B) 30 ADHD children treated with
combined therapy with age ranging from 4 to 6 years old.
They were screened based on ADHD diagnosed with
DSM-V Criteria, Intelligence quotient (IQ) was evaluated by
use of Stanford-Binet intelligence scales V. All selected
subjects were assessed with Conner’s teacher rating scale
before and after intervention.
The results of the present study confirm that the sensory
integration therapy and cognitive behavioral therapy are
effective in treatment of children with ADHD, when given with
proper dosage. group B who received combined therapy was
the most effective in improving child’s symptoms specially
attention deficit
Study Limitation
Age group: we conduct only the pediatric age group
Number of patient: we conduct only 60 patients in our
study.
Study duration: only one year.
Conclusion
In conclusion, this study concludes that cognitive behavioral
therapy is effective in reducing the symptoms of ADHD. But
combination of both the therapy gives better improvement
compare to individual therapy in ADHD
Recommendation
Based on this study, we recommended informing pediatricians
to:
- know the importance of sensory integration therapy in
management of ADHD
Summary and conclusion
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-Starting with occupational therapy including sensory
integration therapy and cognitive behavioral therapy in small
ADHD children aged below 6 years’ old
- Decrease medications in small age groups
- follow up these patients regularly by investigations such as:
IQ
Conner’s teacher rating scale.