沙盘游戏治疗注意缺陷多动障碍儿童的临床价值研究  

Clinical value of Sandplay in the treatment of children with attention deficit hyperactivity disorder

作　　者：张丽蓉 丘文戈[2] 陈宇香 邱小灵 ZHANG Li-rong;QIU Wen-ge;CHEN Yu-xiang(Huizhou First Maternity and Child Health Hospital,Huizhou 516000,China)

机构地区：[1]惠州市第一妇幼保健院,516000 [2]惠州市中心人民医院,516000

出　　处：《中国现代药物应用》2021年第8期55-57,共3页Chinese Journal of Modern Drug Application

基　　金：2018年广东省惠州市科技计划项目(项目编号:2018Y041)。

摘　　要：目的探讨沙盘游戏对注意缺陷多动障碍(ADHD)儿童的治疗价值及临床意义。方法68例ADHD患儿,根据治疗意愿不同分为研究组与对照组,各34例。研究组进行为期12周的沙盘游戏治疗,对照组不接受沙盘游戏治疗。比较两组治疗前后Conners父母症状问卷(PSQ)评分、Achenbach儿童行为量表(CBCL)评分。结果治疗后,对照组品行问题、学习问题、心身障碍、冲动-多动、焦虑、多动指数评分与治疗前比较差异无统计学意义(P>0.05);研究组冲动-多动、焦虑、多动指数评分均低于治疗前,差异有统计学意义(P<0.05);研究组冲动-多动、多动指数评分低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组CBCL总粗分(44.18±8.97)分、社交退缩(2.18±0.88)分、攻击(9.53±8.15)分、违纪(2.24±2.76)分均低于治疗前,且均低于对照组的(50.19±6.53)、(3.13±0.98)、(14.24±8.82)、(4.41±2.93)分,差异有统计学意义(P<0.05)。结论沙盘游戏治疗能改善ADHD儿童的焦虑情绪及注意缺陷、多动冲动等行为,可作为ADHD儿童综合治疗方案的非药物治疗措施。Objective To discuss the therapeutic value and clinical significance of Sandplay in the treatment of children with attention deficit hyperactivity disorder(ADHD).Methods A total of 68 ADHD children were divided into research group and control group according to their willingness to treatment,with 34 cases in each group.The research group was treated with Sandplay for 12 weeks,and the control group was not treated with Sandplay.The Conners parent symptom questionnaire(PSQ)score and Achenbach child behavior checklist(CBCL)score were compared between the two groups.Results After treatment,the conduct problems,learning problems,psychosomatic disorders,impulse-hyperactivity,anxiety,hyperactivity index scores of the control group had no statistically significant difference compared with those before treatment(P>0.05);the impulsehyperactivity,anxiety,hyperactivity index scores of the research group were lower than those before treatment,and the difference was statistically significant(P<0.05);the impulse-hyperactivity and hyperactivity index scores of the research group were lower than those of the control group,and the difference was statistically significant(P<0.05).After treatment,the CBCL total score(44.18±8.97)points,social withdrawal(2.18±0.88)points,aggression(9.53±8.15)points,and discipline violation(2.24±2.76)points of the research group were lower than those before treatment,and(50.19±0.88),(3.13±0.98),(14.24±8.82),(4.41±2.93)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Sandplay can improve the anxiety,attention deficit,hyperactivity and other behaviors of ADHD children,and it can be used as a non-drug treatment measure for ADHD children.

关 键 词：沙盘游戏 注意缺陷多动障碍 儿童 心理治疗 

分 类 号：R749.94[医药卫生—神经病学与精神病学]