行为治疗对住院青少年品行障碍的效果研究  

Study on the effect of behavior therapy on conduct disorder of adolescent inpatients

作　　者：孙云红 梅俊安 唐志华 王铭闻 史瑞芬[2] 

机构地区：[1]广州白云心理医院心理科,510440 [2]南方医科大学护理学院,510000

出　　处：《中华现代护理杂志》2008年第22期2361-2363,共3页Chinese Journal of Modern Nursing

基　　金：广州市科委科研基金资助（JD2007012145）

摘　　要：目的研究行为治疗（军训＋成长教育）对青少年品行障碍的疗效。方法采用随机分组对照研究的方法，将住院的87例青少年品行障碍患者分为研究组和对照组，2组在药物治疗的基础上，研究组采用行为治疗（军训＋成长教育），并于入院1周及12周用Aehenbaeh儿童行为量表（CBCL）进行评定，对评定结果进行统计学处理。结果研究组与对照组行为治疗12周后CBCL评分分别为焦虑强迫（13．46±3．28），（18．41±4．26）；分裂样（8．65±3．34），（12．57±3．28）；抑郁退缩（11．87±3．21），（14．85±3．55）；不成熟（8．62±3．67），（15．74±2．21）；违纪（9．23±2．41），（15．62±2．51）；攻击性（15．24±3．62），（26．54±3．11）；多动（7．16±3．32），（11．89±2．65）。两组比较有统计学意义（P〈0．01）；研究组治疗前后比较差异有统计学意义（P〈0．01）。结论行为治疗（军训＋成长教育）是治疗青少年品行障碍的行之有效的方法。Objective To study the curative effect of behavior therapy （military training and growth education） on conduct disorder of adolescent inpatients. Methods Using a random grouping and control-study method, 87 inpatients with conduct disorder were divided into the study group and the control group. On the basis of drug therapy, the study group adopted the behavior therapy （ military training and growth education） , and was assessed 1 week and 12 weeks after admission using Achenbaeh＇ s Child Behavior Checklist （CBCL）. The assessment resuhs were statistically treated. Results After 12 weeks of behavior therapy, the CBCL scores of the study group and the control group were （ 13.46 ± 3.28） and （ 18.41± 4.26 ） in anxiety and obsession, （ 8.65 ±3.34） and （ 12.57 ±3.28 ） in schizophrenia like, （ 11.87 ± 3.21 ） and （ 14.85 ±3.55 ） in depression and withdrawn, （8.62± 3.67） and （ 15.74 ± 2.21 ） in immaturity, （ 9.23 ± 2.41 ） and （ 15.62 _＋ 2.51 ） in violation of discipline, （ 15.24 ±3.62 ） and （26.54±3.11 ） in aggressiveness, （ 7.16 ±3.32） and （ 11.89 ±2.65 ） in hyperactive syndrome. There was a statistical meaning between the two groups （ P 〈 0. 01 ）. In addition, there was a statistical meaning between before and after the therapy in the study group （P 〈 0. 01 ）. Conclusions Behavior therapy （military training and growth education） is an effective method in the treatment of conduct disorder of adolescent inpatients.

关 键 词：行为治疗 品行障碍 疗效 

分 类 号：R749.94[医药卫生—神经病学与精神病学]