家长培训合并哌醋甲酯治疗对注意缺陷多动症障碍患儿家庭关系的影响  

Effect of parent training in combination with methylphenidate treatment on family relationships for children with attention deficit/hyperactivity disorder

作　　者：张艳[1] 康传媛[1] 赵兴蓉[1] 宣煦[1] 丁凯景[1] 刘瑞湘[1] 王艳娇[1] 杨润许 李雪蓉[1] 万帅[1] 

机构地区：[1]昆明医科大学第一附属医院精神科,云南昆明650032

出　　处：《中国当代儿科杂志》2014年第2期185-189,共5页Chinese Journal of Contemporary Pediatrics

基　　金：云南省卫生厅卫生系统学科带头人培养计划项目(D-201238);2012云南省卫生科技计划项目(2012ws0008);昆明医学院"十二五"校级重点建设学科(精神病与精神卫生学)

摘　　要：目的了解家长培训合并哌醋甲酯治疗对注意缺陷多动障碍(ADHD)患儿家庭关系的干预效果。方法对59例ADHD患儿家长进行为期5周的家长培训,在培训前后使用Conners儿童行为问卷(父母用)、ADHD和对立违抗障碍(ODD)症状分级父母评量表、照料者压力问卷、亲子关系自评量表、儿童自我意识量表等进行评估。结果和基线相比,培训后Conners儿童行为问卷总分、品行问题及焦虑因子分下降,ADHD症状分级父母评量表各因子分(注意缺陷、多动、冲动)和对立违抗行为均有下降,照料者压力问卷总分下降,亲子关系自评量表总分、儿童自我意识量表总分以及躯体外貌属性、智力和学校行为因子分提高,以上差异均有统计学意义(P<0.05)。结论 ADHD患儿家长培训能促进亲子间发展良好关系,减轻家长育儿压力。Objective To investigate the effect of parent training combined with methylphenidate treatment on family relationships in children with attention deficit/hyperactivity disorder （ADHD）. Methods Fifty-nine parents of children with ADHD under methylphenidate treatment participated in a modified 5-week training program. The intervention effect was evaluated using the Conners Parent Symptom Questionnaire, ADHD Rating Scale-IV Home Version （ADHD-RS-IV Home Version）, Caregiver Strain Questionnaire, Parent-Child Relationship Self-rating Scale and Piers-Harris Children＇s Self-Concept Scale. Parents also completed the training satisfaction survey before and after the intervention. Results After the 5-week parent training, compared with the baseline values, total scores of Conners Parent Symptom Questionnaire and scores of conduct problems and anxiety significantly decreased, and scores of attention deficit, hyperactivity, impulsivity and oppositional defiant behaviors of ADHD-RS-IV Home Version, and Caregiver Strain Questionnaire total scores were all significantly decreased （P〈0.05）, while total scores of the Parent-Child Relationship Self-Rating Scale and Piers-Harris Children＇s Self-Concept Scale were significantly increased （P〈0.05）. Conclusions Modified 5-week parent training program may improve parent-child relationship and reduce parenting stress inADHD families.

关 键 词：注意缺陷多动障碍 家长培训 亲子关系 育儿压力 

分 类 号：R749.94[医药卫生—神经病学与精神病学]