摘要
目的探讨叙事治疗对情绪障碍儿童家庭环境和价值观改变的影响。方法采用方便取样选取在南京医科大学附属脑科医院确诊的情绪障碍儿童35例，对患儿及其家庭成员实施叙事治疗，采用家庭环境量表中文版（FES．CV）比较治疗前后家庭环境的变化。结果完成治疗28例。治疗后FES—CV在亲密度、独立性、知识性、娱乐性、组织性等5个因素评分[分别为（6．89±2．56）分、（5．54±1．35）分、（4．75±2．07）分、（4．07±2．65）分、（3．68±1．77）分]高于治疗前[分别为（4．21±3．21）分、（4．68±1．51）分、（3．50±2．12）分、（2．50±2．32）分、（2．50±1．62）分]，差异有统计学意义泸〈0．05）；在矛盾性上评分[（2．75±2．44）分]低于治疗前[（5．25±2．50）分]，差异有统计学意义（P〈0．05）。治疗后患儿和父母价值观都发生积极改变。结论叙事治疗可以使儿童情绪障碍家庭环境和价值观产生良性的改变。
Objective To explore the effect of narrative therapy on family environment and values in adolescents with emotional disorder. Methods 35 adolescents with emotional disorder and their parents from Affiliated Brain Hospital, Nanjing Medical University were enrolled and treated by narrative therapy. Family environment was assessed using Family Environment Scale-Chinese Version （ FES-CV ） and was compared between pre-and pasttherapy. Results 28 adolescents with emotional disorder and their parents completed therapy. The cohesion, in- dependence, intellectual orientation, active-recreation orientation and organization in FES-CV showed higher scores at post-therapy than at pre-therapy （ （6.89 ± 2.56） vs. （4.21 ± 3.21 ） ; （5.54 ± 1.35 ） vs. （ 4.68 ± 1.51 ） ; （4.75±2.07）vs.（3.50±2.12）;（4.07±2.65）vs.（2.50±2.32）;（3.68±1.77）vs. （2.50±1.62）respectively）. The contradict in FES-CV showed lower scores at post-therapy than at pre-therapy （ （ 2.75 ± 2.44 ） vs （5.25 ± 2.50） ）. The values of adolescents with emotional disorder and their parents had a positive change after narrative therapy. Conclusion Narrative therapy is effective on the positive ehange of FES-CV and values of adoleseents with emotional disorder and their parents.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2012年第12期1082-1084,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
基金项目：国家科技支撑计划项目（2009BAIT7805）
关键词
叙事治疗
情绪障碍
儿童
家庭环境
价值观
Narrative therapy
Emotional disorder
Adolescents
Family environment
Value
