结构式家庭治疗对ADHD儿童临床症状与家庭功能的改善作用  

Effects of structural family therapy on improving of symptoms and family function of children with attention deficits hyperactivity disorder

作　　者：吴佳奇 李强[1] 栾风焕 钱昀 魏晓薇 翟宏堃 WU Jiaqi;LI Qiang;LUAN Fenghuan;QIAN Yun;WEI Xiaowei;ZHAI Hongkun(Department of Social Psychology,Nankai University,Tianjin 300350,China;Jing an District Mental Health Center,Shanghai 200040,China;Shanghai Jiaotong University Medical School,Shanghai Mental Health Center,Shanghai 200030,China)

机构地区：[1]南开大学社会心理学系,天津300350 [2]上海市静安区精神卫生中心,上海200040 [3]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国心理卫生杂志》2022年第7期545-550,共6页Chinese Mental Health Journal

基　　金：重大慢性非传染性疾病防控研究(2016YFC1306102);国家社会科学基金重点项目(19ASH012)。

摘　　要：目的:探究结构式家庭治疗对ADHD儿童临床症状与家庭功能的作用。方法:采用随机对照临床试验设计,将60例符合DSM-5诊断标准的ADHD儿童随机分为药物治疗联合结构式家庭治疗组(联合组)和药物治疗组(单纯药物组),每组30例。采用Conners父母症状问卷(PSQ)评估临床症状,长处与困难问卷(SDQ)(父母版)评估社会功能的受损程度,家庭功能评估量表的“总的功能”分量表(FAD-GF)和儿童用家庭功能评估量表(FFAS-C)评估家庭功能。结果:基线期,联合组和单纯药物组在PSQ的品行问题分量表、学习问题分量表与焦虑分量表,SDQ的困难总分与亲社会行为分量表及FADGF、FFAS-C得分上的差异均无统计学意义(均P>0.05);6周干预后,联合组的PSQ品行问题分量表、学习问题分量表与焦虑分量表,SDQ的困难总分与亲社会行为分量表及FAD-GF、FFAS-C得分低于单纯药物组(均P<0.01)。结论:结构式家庭治疗可以在药物治疗基础上更有效地改善ADHD儿童的临床症状与家庭功能。Objective:To explore the effect of the structural family therapy(SFT)on the improving of symptoms and family function in children with attention deficits hyperactivity disorder(ADHD).Methods:A clinical randomized controlled trial design was used in this study.Totally 60 children with ADHD meeting the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)were randomly assigned to the SFT and medicine combination therapy group(combination group)and the medication group(simple drug group),30 in each group.The Conners Parental Symptom Questionnaire(PSQ)was used to evaluate the clinical symptoms,the Parents’Strengths and Difficulties Questionnaire(SDQ)was used to evaluate the impairment of social functioning,the Family Assessment Device-General Function(FAD-GF)and Family Functioning Assessment Scale for Children(FFAS-C)were used to evaluate the family functions.Results:There were no significant differences between the combination group and the simple drug group in the baseline scores of behavioral problems subscale,learning problems subscale,and anxiety subscale of PSQ,the total difficulty scores and the scores of prosocial behavior sub scale of SDQ,FAD-GF and FAAS-C(Ps>0.05).After 6 weeks of intervention,these scores were lower in the combination group than in the simple drug group(Ps<0.01).Conclusion:It suggest that structural family therapy could improve the clinical symptoms and family function in children with ADHD more effectively on the basis of drug therapy.

关 键 词：注意缺陷多动障碍 结构式家庭治疗 家庭功能 临床症状 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R749.059[医药卫生—临床医学]