八段锦结合团体行为治疗对注意缺陷多动障碍患儿干预效果的初步研究  

Combination of Baduanjin and behavioral group therapy as a treatment for children with ADHD:a preliminary study

作　　者：李梦瑶 朱大倩 丁强[1,3] 和婧伟 徐赟佳[1,3] 顾晓星 吴芷蘅 徐雯 LI Mengyao;ZHU Daqian;DING Qiang;HE Jingwei;XU Yunjia;GU Xiaoxing;WU Zhiheng;XU Wen(Department of Psychological Medicine, Children's Hospital of Fudan University, Shanghai 201102, China)

机构地区：[1]复旦大学附属儿科医院心理科,上海201102 [2]复旦大学附属儿科医院中医科,上海201102 [3]复旦大学中西医结合研究院

出　　处：《中国中西医结合儿科学》2020年第2期113-118,共6页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家重点研发计划课题项目(2016YFC1306102)。

摘　　要：目的研究中医八段锦功法结合团体行为治疗作为注意缺陷多动障碍(ADHD)儿童治疗方法的可行性。方法选择2017年12月至2019年3月在复旦大学附属儿科医院心理科就诊的ADHD患儿24例,符合精神障碍诊断与统计手册(第5版)ADHD的诊断标准。团体行为治疗采用基于美国Incredible Years的标准化团体行为治疗课程,八段锦功法在治疗过程中每天进行练习。治疗前后采用SNAP-Ⅳ量表、长处与困难问卷、Achenbach儿童行为量表、Piers-Harris儿童自我意识量表和中医证候积分量表评估治疗疗效。使用配对t检验或秩和检验比较治疗前后分数变化情况。结果治疗后儿童SNAP-Ⅳ多动冲动、对立违抗分数显著降低(P<0.01),治疗后中医证候积分量表分数降低具有显著统计学意义(P=0.001)。结论中医八段锦功法结合团体行为治疗可以有效改善ADHD儿童的症状,在临床上具有应用潜力,其改善的机制仍需进一步研究。Objective To investigate the feasibility of the combination of Baduanjin and behavioral group therapy as a treatment for children with ADHD.Methods We collected data from 24 children diagnosed with ADHD according to the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5).Behavioral group therapy was applied according to the Incredible Years Dina Dinosaur Treatment Program;Baduanjin daily practice was required during the treatment.The Swanson,Nolan,and Pelham Questionnaire(SNAP-Ⅳ),Achenbach Child Behavior Checklist(CBCL),Strengths and Difficulties Questionnaire(SDQ),Piers-Harris Children's Self-concept Scale(PHCSS)and Scoring Evaluation of the TCM Syndromes were used to evaluate the outcome.We used paired T test or rank-sum test to compare the data before and after treatment.Results There are significant decrease in SNAP-Ⅳhyperactivity-impulsivity symptom and oppositional defiant disorder symptom after treatment(P<0.01).The scores of TCM syndromes has significantly decreased after treatment(P=0.001).Conclusion The combined application of Baduanjin and behavioral group therapy is an effective treatment for children with ADHD.The mechanism of it needs to be further studied,and it has a promising potential in clinical practice.

关 键 词：注意力缺陷多动障碍 中医药 行为治疗 儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]