泰山医学院学报
泰山醫學院學報
태산의학원학보
JOURNAL OF TAISHAN MEDICAL COLLEGE
2009年
6期
440-442
,共3页
儿童多动症%对立违抗性障碍%结构式家庭治疗
兒童多動癥%對立違抗性障礙%結構式傢庭治療
인동다동증%대립위항성장애%결구식가정치료
attention deficit hyperactivity disorder%oppesitional defiant disorder%structural family therapy
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 hyperactivity disorder,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12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.
目的 探討結構式傢庭治療對伴有對立違抗性障礙的註意缺陷多動障礙(attention deficit hyperactivity disorder,ADHD)患兒的效果.方法 54例患兒隨機分為研究組和對照組,對照組單純藥物治療,研究組採用傢庭治療閤併藥物.療程3箇月.于1週、12週用Conners父母用量錶進行評定,對評定結果 進行統計學處理.傢庭環境量錶中文版(Family Environment Scale-Chinese Version,FES-CV)對治療前後傢庭環境的影響進行評定.結果 研究組與對照組行為治療12週後,Conners父母用量錶在多動-遲動、多動指數均顯著下降,但研究組品行問題、學習問題、心身障礙、焦慮因子明顯優于對照組.FES-CV評分榦預後榦預組的傢庭親密度、情感錶達、成功性評分高于對照組,而矛盾性、控製性低于對照組.結論 結構式傢庭治療是治療ADHD患兒行之有效的方法.
목적 탐토결구식가정치료대반유대립위항성장애적주의결함다동장애(attention deficit hyperactivity disorder,ADHD)환인적효과.방법 54례환인수궤분위연구조화대조조,대조조단순약물치료,연구조채용가정치료합병약물.료정3개월.우1주、12주용Conners부모용량표진행평정,대평정결과 진행통계학처리.가정배경량표중문판(Family Environment Scale-Chinese Version,FES-CV)대치료전후가정배경적영향진행평정.결과 연구조여대조조행위치료12주후,Conners부모용량표재다동-충동、다동지수균현저하강,단연구조품행문제、학습문제、심신장애、초필인자명현우우대조조.FES-CV평분간예후간예조적가정친밀도、정감표체、성공성평분고우대조조,이모순성、공제성저우대조조.결론 결구식가정치료시치료ADHD환인행지유효적방법.
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 group-ing and control-study method,54 children with ADHD accompanied by ODD were divided into the study group and the con-trol 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 statistical-ly 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 disor-der 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).
