结构式家庭治疗对注意缺陷多动障碍儿童认知行为功能的影响.docVIP

精品论文 参考文献 结构式家庭治疗对注意缺陷多动障碍儿童认知行为功能的影响 傅晓燕 梅竹 　　上海市同济大学附属同济医院 上海 200065 　　摘要：目的 探索结构式家庭治疗（structural family therapy，SFT）对注意缺陷多动障碍（attention deficit hyperactivity disorder，ADHD）儿童认知行为功能的影响。方法 选择混合型ADHD儿童40例为研究组，接受结构式家庭治疗，在入组时和SFT结束后一个月，采用Conners父母症状问卷（PSQ）和威斯康星卡片分类测验（WCST）分别评定其行为和认知功能，并与对照组的40名健康儿童进行比较。结果 研究组在SFT治疗后，Conners父母症状问卷各因子得分显著下降，与治疗前比较差异有统计学意义（plt;0.05），显示患儿品行问题、学习问题、心身障碍、焦虑，冲动-多动，多动指数得分明显减低。威斯康星卡片分类测验各项得分与治疗前比较显著下降（plt;0.05），与对照??比较完成分类数和完成总应答数差异无统计学意义（pgt;0.05），但其余各项指标与对照组比较差异有统计学意义（Plt;0.05）。结论 结构式家庭治疗能有效改善ADHD儿童的异常行为，提高其部分认知功能，有待于继续探索和方法改进，为不断优化儿童ADHD的综合干预措施提供依据。 　　关键词：结构式家庭治疗；儿童；注意缺陷多动障碍；认知行为功能 　　Abstract objective：To explore the influence of structural family therapy（SFT）on behavior and cognitive function of children with attention deficit hyperactivity disorder.Methods：Choosing forty mixed type ADHD as study group to receive structural family therapy.The study grouprsquo;s behavior and cognitive function were assessed by Conners Parent Symptom Questionnaire（PSQ）and Wisconsin Card Sorting Test（WCST）on admission and one month after the end of SFT．In addition，a comparisons were carried out between the study group and the other group of forty healthy children.Results：The study group after SFT treatment，Conners parent symptom questionnaire factors had a overall decrease on behavior，learning problem，psychosomatic disorder，anxiety factor，impulsivity ndash;hyperactivity，hyperactivity index，which demonstrate significant differences（plt;0.05）.The Wisconsin Card Sorting Test scores decreased significantly，there was significant difference compared with before the treatment（plt;0.05），and compared with the control group categories control number and the total responses number，there was no significant difference between them，all the other indicators showed significant difference（Plt;0.05）.Conclusion：SFT could effectively improve the abnormal behavior of children with ADHD，and improve the cognitive function partially，which required further explorati