摘要
目的 研究系统家庭治疗是否适用于干预儿童的行为问题。方法 采用家庭动力学自评量表调查 2 76名小学四年级学生的家庭动力学特征 ,采用Achenbach儿童行为父母问卷 (简称CBCL量表 )调查他们的行为情况。在检出有行为问题的 5 7例儿童中 ,以全体家庭成员自愿参加干预活动的 2 0例作为干预组 ,以任何一名家庭成员不愿参加干预活动的 37例作为异常对照组 ,对干预组儿童及其父母进行 4个月的系统家庭治疗。 4个月后 ,对两组学生和家长重新发放上述量表进行调查。数据分析采用SPSS11 5软件。结果 干预治疗后 ,干预组家庭动力学和儿童行为发生了变化 ,与干预前比较有显著性差异 ,表现为家庭气氛由“沉闷、敌对”向“和谐愉快、平等开放”的方向转变 (P =0 0 0 0 ,P =0 0 0 0 ) ,家庭成员的个性化程度由低向高转变 (P =0 0 0 5 ,P =0 0 0 0 ) ,疾病观念由“认为患者是无能为力的受害者”向“患者可以有所作为”的方向转变 ,实现“疾病观念的软化”(P =0 0 0 3,P =0 0 0 0 ) ;干预前后以较 ,以及干预组与异常对照组比较 ,其CBCL总分下降 (P =0 0 0 3/ 0 0 0 0 ,P =0 0 33/ 0 0 14 )。结论 系统家庭治疗干预儿童行为问题是可行的和有效的。
Objective To research whether systemic family therapy is a useful intervention for behavioral problems.Methods Two hundred and seventy six children who were in the fourth grade of elementary school were assessed by family dynamics questionnaires and their parents were tested by Achenbach Child Behavioral Checklist . Fifty-seven children with behavioral problems were divided into two groups: 20 children and their parents agreed to receive systemic therapy for four weeks and 37 children and their parents who refused this therapy formed the control group.All children and their parents were reassessed after four months. Data were analyzed by SPSS 11.5. Results The characteristics of family dymanmic and children’s behavior improved significantly after systemic therapy. The “depressing and hostile family” at mosphere became“harmonious and open” (P=0.000) and this was also significantly better than the control group after therapy(P=0.000). “Self-differentiation of family members” was significantly improved after therapy(P=0.000) and also was significantly better than the control group after therapy(P=0.005). “Patient is helpless victim” changed to “Patient can do something”(P=0.000) and this was significantly better than the control group after therapy(P=0.003) . Total CBCL score decreased in the treatment group after therapy(P=0.003 for father, P=0.000 for mother). Compared with the control group. Total CBCL score also showed decreases( P=0.033 for father, P=0.014 for mother).Conclusions The techniques of systemic family therapy are practical and effective methods to intervene children’s behavioral problems.
出处
《中国循证医学杂志》
CSCD
2004年第8期532-536,共5页
Chinese Journal of Evidence-based Medicine
