以兒童行為檢核表與教師報告表評估注意力缺陷過動症 兒童之認知行為親子治療團體成效

The Effectiveness of a Filial Cognitive-Behavioral Therapy Group for Children with Attention Deficit/Hyperactivity Disorder: the Child Behavior Checklist and Teacher Report Form as Evaluating Tools

黃舜琪(Shun-Chi Huang)

指導教授 ： 黃惠玲

高雄醫學大學/健康科學院/行為科學研究所/碩士(2006年)

https://doi.org/10.6832/KMU.2006.00081

摘要

目的：為了瞭解認知行為治療團體（CBT）在治療注意力缺陷過動症兒童（ADHD）之成效。方法：本研究收案期間為2001年至2005年，由精神科醫師轉介32對親子，參加了五梯次的22節次治療團體。本研究未納入一位收養兒童與7位中途退出兒童之資料。在全程參加與中途退出團體之兒童智商（IQ）、父母的人口學變項與教育程度均無顯著差異。兒童的父母與老師在節次1（前測）與節次21（後測）時，分別完成了兒童行為檢核表（CBCL）與教師報告表（TRF）。結果：（1）所有症候群的後測分數皆低於前測分數。（2）CBCL的內化症候群、焦慮/憂鬱症後群、身體化抱怨症候群、思考問題症候群、與整體問題症候群的前測、後測分數達到顯著差異（p < .05）。（3）TRF的退縮/憂鬱症候群、思考問題症候群、注意力問題症候群、不注意問題次症候群、與整體問題症候群的前測、後測分數達到顯著差異（p < .05）。（4）CBCL的DSM導向量尺在情感性問題、焦慮問題、ADHD問題，與TRF的DSM導向量尺在情感性問題、焦慮問題、ADHD問題、不注意次量尺之前測、後測分數達到顯著差異（p < .05）。討論：本研究進一步討論治療效果背後之治療歷程。

關鍵字

ADHD ； CBT ； CBCL ； 治療效果

並列摘要

Objective: To investigate the effect of cognitive-behavioral treatment (CBT) on children with attention deficit/hyperactivity disorder (ADHD) in group therapy. Method: From 2001 to 2005, 32 sets of children/parents, referred by psychiatrists, participated in five therapy groups for a twenty-two session CBT program. One adopted child and seven 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 IQ, demographic variables, and education level of parents between the included group and the excluded group. The Child Behavioral Checklist (CBCL) and Teacher Report Form (TRF) were completed by parents and teachers at the first session (pretest) and session 21 (posttest). Results: (1) All the posttest rating scores were lower than the pretest rating scores. (2) The CBCL showed that internalizing syndrome, anxious/depressed syndrome, somatic complaints syndrome, thought problems syndrome, and total problems were significantly (p < .05) different between the pretest and posttest. (3) The TRF showed that withdrawn/depressed syndrome, thought problems syndrome, attention problem syndrome, inattention subsyndrome, and total problems were significantly (p < .05) different between the pretest and posttest. (4) The DSM-orientated scale also showed that affective problems, anxiety problems, and ADHD problems of the CBCL, and affective problems, anxiety problems, ADHD problems, and inattention subscale of the TRF were significantly (p < .05) different between the pretest and posttest. Discussion: The therapeutic processes underlying the treatment effects are discussed.

並列關鍵字

ADHD ； CBT ； CBCL ； treatment effect

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