以兒童行為檢核表與教師報告表評估學齡前注意力缺陷過動症兒童之父母管教訓練團體療效

目的：本研究為了探討學齡前注意力缺陷過動症兒童在父母訓練團體之治療效果。方法：研究自2001年至2005年期間，歷經六個梯次團體，共有二十七位兒童由精神科醫師所轉介，兒童之父母參與十一次父母訓練課程。其中有六位兒童的父母在治療期間中途退出而未納入本研究資料中。全程參與組與中途退出組在兒童智力(全量表智商與語文智商)、基本人口學變項上以及父母之教育程度並無顯著差異。研究以父母報告兒童行為檢核表 (Child Behavior Checklist，簡稱CBCL) 與教師報告表 (Teacher’s Report Form，簡稱TRF) 分別由父母與老師在治療前（第一次課程）與治療後（第十一次課程）完成的評估。結果： (1) 所有後測資料皆低於或將近等於前測評量分數； (2) 在CBCL中顯示所有症狀量尺、內化、外化與總問題量尺分數在治療前後皆顯著降低 (p < .05)；(3) 在TRF中顯示退縮/憂鬱量尺在治療前後皆顯著降低 (p < .05)；(4) DSM導向量尺也顯示出在CBCL中情感性問題、焦慮問題、注意力缺陷過動問題、對立性反抗問題以及品行問題在治療前後皆顯著降低 (p < .05)。討論：在父母報告CBCL與老師報告TRF之治療效果於討論中進一步探討。

關鍵字

注意力缺陷過動症；父母管教訓練；父母訓練；兒童行為檢核表；治療效果

並列摘要

Objective: To investigate the effect of parent management training (PMT) on preschool children with attention deficit/hyperactivity disorder (ADHD) in group therapy. Method: From 2001 to 2005, 27 of children, referred by psychiatrists, and parents of these children participated in six therapy groups for an eleven session parent training program. Six children/parents dropped out and all the data from these children were not included in the study. There were no significant differences in the children’s FIQ and VIQ, demographic variables, and education level of parents between the included group and the non-included group. The Child Behavioral Checklist (CBCL) and Teacher Report Form (TRF) were completed by parents and teachers at the first session (pretest) and session eleven (posttest). Results: (1) All the posttest rating scores were lower or nearly equivalent to the pretest rating scores. (2) The CBCL showed that all syndrome scales, and internalizing, externalizing, and total problem were significantly (p < .05) different between the pretest and posttest. (3) The TRF showed that withdrawn/depressed syndrome were significantly (p < .05) different between the pretest and posttest. (4) The DSM-orientated scale also showed that affective problems, anxiety problems, and ADHD, ODD, CD problems of the CBCL were significantly (p < .05) different between the pretest and posttest. Discussion: The treatment effects on CBCL and TRF are discussed.

並列關鍵字

ADHD, ； PMT, ； PT, ； CBCL, ； treatment effect

參考文獻

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