摘要
目的探讨结构式家庭治疗对伴有对立违抗性障碍的注意缺陷多动障碍(attention deficit hyperactivitydisorder,ADHD)患儿的效果。方法54例患儿随机分为研究组和对照组,对照组单纯药物治疗,研究组采用家庭治疗合并药物。疗程3个月。于1周、12周用Conners父母用量表进行评定,对评定结果进行统计学处理。家庭环境量表中文版(Family Environment Scale-Chinese Version,FES-CV)对治疗前后家庭环境的影响进行评定。结果研究组与对照组行为治疗l2周后,Conners父母用量表在多动-冲动、多动指数均显著下降,但研究组品行问题、学习问题、心身障碍、焦虑因子明显优于对照组。FES-CV评分干预后干预组的家庭亲密度、情感表达、成功性评分高于对照组,而矛盾性、控制性低于对照组。结论结构式家庭治疗是治疗ADHD患儿行之有效的方法。
Objective： To examine the application of the structural family therapy in the treatment process to attention deficit hyperactivity disorder（ADHD） children with oppositional defiant disorder（ODD） Methods： Using a random grouping and control-study method,54 children with ADHD accompanied by ODD were divided into the study group and the control group. The control group received simple drug treatment. On the basis of drug therapy, the structural family therapy was adopted in the study group. After 3-month course of treatment, they were assessed after 1 week and 12 weeks admission using and Conners PSQ and Family Environment Scale, Chinese Version（FES-CV）. The assessment results were statistically treated. Results： After 12 weeks the study group and control group were significantly decreased in Impulsion-hyperactivit and Cormers Index of Hyperactivity but in the study group the behavior problems, learning problems, psychosomatic disorder and anxiety factors were better than those in the control group. In the intervention group, the scales of factors of family cohesion, emotion expression, achievement orientation were significantly higher, while the conflict and control were signifi- cantly lower than those in the control group. Conclusion： Structural family therapy is an effective method in the treatment for ADHD children with oppositional defiant disorder（ODD）.
出处
《泰山医学院学报》
CAS
2009年第6期440-442,共3页
Journal of Taishan Medical College
关键词
儿童多动症
对立违抗性障碍
结构式家庭治疗
attention deficit hyperactivity disorder
oppositional defiant disorder
structural family therapy
