Effectiveness of Behavioral Parent Therapy in Preschool Children with Attention-Deficit Hyperactivity Disorder

注意力缺陷過動症學齡前兒童之父母行為治療效果

黃惠玲(Huei-Lin Huang) ； 呂嘉華(Chia-Hua Lu) ； 蔡曉薇(Hsiao-Wei Tsai) ； 趙家琛(Chia-Chen Chao) ； 何采諭(Tsai-Yu Ho) ； 莊勝發(Sheng-Fa Chuang) ； 蔡志浩(Chih-Hao Tsai) ； 楊品珍(Pin-Chen Yang)

《The Kaohsiung Journal of Medical Sciences》 25卷7期 (2009/07) Pp. 357-365

摘要

本研究目的為探討注意力缺陷過動症兒童(ADHD)之父母行為治療效果（behavioral parent therapy，簡稱BPT），以兒童行為檢核表（Child Behavior Checklist，簡稱CBCL）與老師報告格式(Teacher Report Form，簡稱TRF)等多向度評估。研究自2001年至2005年期間，共六個梯次團體21位家中有學齡前注意力缺陷過動症兒童的父母，參與十一次父母訓練課程，治療前後父母填寫CBCL、老師填寫TRF。研究結果發現，兒童的行為與情緒在BPT後均有改善，特別是在：父母所填寫CBCL的內化問題、焦慮／憂鬱症狀、身體抱怨、外化問題、違反規範行為、攻擊行為、社交問題、思考問題以及注意力問題；在CBCL的DSM導向量尺上，也顯現情感性問題、焦慮問題、身體問題、注意力缺陷過動問題、對立性反抗問題以及品性問題等治療前後有顯著改善；老師所評量TRF的DSM導向量尺上，注意力不足症候群在治療後皆顯著降低，其他症候群則無顯著性的改善。本篇研究結果顯示，BPT顯著地改善兒童在家中的行為問題，以及在學校中的注意力不足問題。

關鍵字

注意力缺陷過動症 ； 父母行為治療 ； 兒童行為檢核表 ； 學齡前兒童

並列摘要

The purpose of this study was to assess the effectiveness of a behavioral parent therapy (BPT) program in children with attention-deficit hyperactivity disorder (ADHD) using multidimensional evaluations, the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF). Between 2001 and 2005, the parents of 21 preschool children with ADHD were divided into six groups and participated in a series of 11 BPT sessions. Before and after BPT, the parents completed the CBCL, and the teachers completed the TRF. The behavioral and emotional problems of the children showed improvement after the BPT sessions, specifically for the following categories: internalizing problems, anxious/depressed syndromes, somatic complaints, externalizing problems, rule-breaking behaviors, aggressive behaviors, social problems, thought problems, and attention problems. In the DSM-oriented scale of the CBCL, affective problems, anxiety problems, somatic problems, ADHD problems, oppositional defiant disorder problems, and conduct disorder problems showed significant improvements. On the DSM scale of the TRF, Inattention syndrome improved significantly after the BPT sessions, while other syndromes showed non-significant changes. We conclude that the BPT program significantly improved the children's behavioral problems at home and inattention problems at school.

並列關鍵字

attention-deficit hyperactivity disorder ； behavioral parent therapy ； Child Behavior Checklist ； preschool children