行为治疗干预疗法对青少年注意缺陷与多动障碍患者情绪及冲动行为的改善  

The Improvement of Emotions and Impulsive Behavior in Adolescents with Attention Deficit Hyperactivity Disorder through Behavioral Intervention Therapy

作　　者：王兵 朱歌 王晓浩 WANG Bing;ZHU Ge;WANG Xiaohao(Department of Mood Disorders,Zhengzhou Eighth People's Hospital,Zhengzhou Henan 450000,China;Sleep Medicine Center,Zhengzhou Eighth People's Hospital,Zhengzhou Henan 450000,China;Early Intervention Department,Zhengzhou Eighth People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第八人民医院心境障碍一科,河南郑州450000 [2]郑州市第八人民医院睡眠医学中心,河南郑州450000 [3]郑州市第八人民医院早期干预一科,河南郑州450000

出　　处：《临床研究》2025年第3期93-96,共4页Clinical Research

摘　　要：目的探究行为治疗干预疗法对青少年注意缺陷与多动障碍(ADHD)患者情绪及冲动行为的改善。方法纳入郑州市第八人民医院自2020年1月至2023年12月收治的120例ADHD患者,应用随机分组法将其分为研究组(行为治疗干预疗法,n=58例)及对照组(常规康复治疗,n=62例),对两组患者分别进行6个月的康复治疗。比较患儿治疗前后的情绪状态与攻击行为、注意力情况及他人评价结果并进行分析。结果研究组应用行为干预治疗的贝克抑郁自评量表(BDI)及外显攻击行为量表(MOAS)评分优于对照组,组间比较差异具有统计学意义(P<0.05);治疗后,注意力缺陷多动障碍评定量表SNAP-IV-26及儿童行为量表(CBCL)评分得分显著下降,研究组的治疗效果优于对照组,两组间比较差异具有统计学意义(P<0.05)。两组分组治疗后,长处和困难问卷(SDQ)得分在治疗3个月和6个月显著下降,组间和组内比较差异具有显著统计学意义(P<0.05)。结论行为治疗干预疗法对于ADHD青少年的情绪及冲动行为具有显著的改善效果。患儿在接受治疗后,情绪得到改善,表现出更少的攻击性、冲动性和破坏行为。Objective To explore the effects of behavioral intervention therapy on the emotions and impulsive behaviors of adolescents with Attention Deficit Hyperactivity Disorder(ADHD).Methods A total of 120 adolescents with ADHD admitted to Zhengzhou Eighth People's Hospital from January 2020 to December 2023 were included in the study.They were randomly divided into a study group(behavioral intervention therapy,n=58)and a control group(conventional rehabilitation treatment,n=62).Both groups underwent 6 months of rehabilitation treatment.The emotional status,aggressive behaviors,attention levels,and evaluations by others before and after treatment were compared and analyzed.Results The scores of the Beck Depression Inventory(BDI)and the Modified Overt Aggression Scale(MOAS)in the study group who received behavioral intervention therapy were superior to those in the control group,with statistically significant differences(P<0.05).After treatment,the scores from the SNAP-IV-26 ADHD Rating Scale and the Child Behavior Checklist(CBCL)showed significant reductions,with the treatment effects in the study group being superior to those in the control group,also showing statistical significance(P<0.05).After grouped treatment,the Strengths and Difficulties Questionnaire(SDQ)scores significantly decreased at 3 months and 6 months of treatment,with significant statistical differences both between and within groups(P<0.05).Conclusion Behavioral intervention therapy has a significant positive effect on improving emotions and impulsive behaviors in adolescents with ADHD.After treatment,the children exhibited improved emotions with less aggression,impulsivity,and destructive behavior.

关 键 词：注意缺陷多动障碍 行为干预疗法 青少年 冲动行为 

分 类 号：R749.95[医药卫生—神经病学与精神病学]