家庭治疗合并药物治疗与单纯药物治疗ADHD儿童的比较  

Comparison of combined family therapy with drugs and simple medications in ADHD

作　　者：杭荣华[1] 吴明飞[2] 李业平[2] 杨玉祥[1] 

机构地区：[1]皖南医学院心理学教研室,安徽芜湖241002 [2]芜湖市第四人民医院三病区,安徽芜湖241002

出　　处：《皖南医学院学报》2012年第2期152-156,共5页Journal of Wannan Medical College

基　　金：安徽省教育厅人文社科基金项目(2009sk388)

摘　　要：目的:探索家庭治疗合并药物治疗对注意缺陷多动障碍(ADHD)儿童的行为及其家庭功能的影响。方法:将84例ADHD儿童分为综合组(43例)和药物组(41例),正常儿童41例为对照组,药物组接受常规的利他林治疗16周,综合组在药物治疗的基础上接受家庭治疗8次共16周。在入组时和家庭治疗结束后,分别采用Conners父母评定问卷(PSQ)、家庭功能量表(FAD)对3组儿童进行评定。结果:①治疗后,除了综合组的"心身障碍"及药物组的"心身障碍"和"情感反应"无明显改变,综合组和药物组的PSQ和FAD各因子分均显著下降,治疗前后的差异均有统计学意义[如综合组多动指数(1.02±0.42)vs.(0.68±0.23),药物组多动指数(1.10±0.45)vs.(0.69±0.22),P均<0.05];②治疗后在PSQ方面,3组组间的比较均无显著差异;③治疗后在FAD方面,3组组间的差异均有显著统计学意义[如综合组与药物组的"总的功能"(2.18±0.26)vs.(2.54±0.23),综合组与对照组的"总的功能"(2.18±0.26)vs.(1.65±0.28),药物组与对照组的"总的功能"(2.54±0.23)vs.(1.65±0.28),P均<0.05]。结论:家庭治疗结合药物治疗能有效改善ADHD儿童的症状及家庭功能,且对家庭功能的改善作用优于药物治疗。Objective：To investigate the effects of combined family therapy with drugs on the behaviors of children with attention deficit hyperactivity disorder（ADHD） and family functioning.Methods：Eighty-four ADHD children were allocated to study group（n=43） and medication group（n=41） and another 41 normal children were recurited as control subjects.The medication group received stimulant Ritalin for 16 weeks,and the study group were given additional family therapy for 8 times on 16-week basis of drug therapy.All children in the three groups were assessed using Conners Parent Symptom Questionnaire（PSQ） and Family Assessment Device（FAD） before treatment and closure of family therapy.Results：Either in study group or medicaiton group except for psychosomatic factor and emotional reaction,the factor scores of PSQ and FAD were decreased significantly after stimulant intervention [e.g.,hyperactivity index for the study group and medication group：（1.02±0.42） vs（0.68±0.23）;（1.10±0.45） vs（0.69±0.22）,P0.05].No significant difference was seen with PSQ,wherase the factor scores on FAD were significant different in the three groups after treatment（P0.05;P0.05） [e.g.,general functioning between study group and medication group：（2.18±0.26） vs（2.54±0.23）;（2.18±0.26） vs.（1.65±0.28） for study group and controls;（2.54±0.23） vs（1.65±0.28） for medication group and controls].Conclusion：Combined family therapy with stimulant drugs is more effective on improvement of symptoms of ADHD children and family functioning,and is suprior to simple medicantion in this aspect.

关 键 词：家庭治疗 注意缺陷多动障碍(ADHD) 儿童 对照研究 

分 类 号：R749.94[医药卫生—神经病学与精神病学]