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【目的】探索结构式家庭治疗(structural family therapy,SFT)对儿童注意缺陷多动障碍(attention deficithyperactivity disorder,ADHD)中家庭环境的影响及其临床意义。【方法】应用结构式家庭治疗理论和技巧,通过重组家庭的角色、任务和界限,改善ADHD患儿的家庭内部环境。【结果】经过结构式家庭治疗,研究组家庭的亲密度、情感表达和成功性评分均有明显提高,而矛盾性和控制性显著降低,与对照组比较差异均有统计学意义(P<0.01)。【结论】结构式家庭治疗对于改善ADHD患儿的家庭内部环境具有积极、有效的作用,以提高儿童ADHD临床综合治疗与干预的疗效。
【Objective】 To explore the effect of structural family therapy (SFT) on home environment in children with attention deficit hyperactivity disorder (ADHD) and its clinical significance. 【Method】 By using the theory and technique of structured family therapy, the family internal environment of ADHD children can be improved by reorganizing the family’s roles, tasks and boundaries. [Results] After structured family therapy, the family members’ intimacy, emotional expression and success score of the study group were significantly increased, while the contradiction and control were significantly reduced (P <0.01) . 【Conclusion】 Structural home therapy has a positive and effective effect on improving the home environment of children with ADHD so as to improve the clinical efficacy of ADHD treatment and intervention.