成人注意缺陷多动障碍的24周团体认知行为治疗开放试验

发布时间：2018-05-12 17:39

本文选题：成人注意缺陷多动障碍 + 认知行为治疗　；参考：《中国心理卫生杂志》2014年12期

【摘要】：目的:初步评估团体认知行为治疗(CBT)对成人注意缺陷多动障碍(ADHD)核心症状、执行功能、自尊水平及生活质量等的效果。方法:对27例成人ADHD患者进行12周CBT和3次后期巩固治疗(4周1次),使用ADHD评定量表(ADHD-RS)、执行功能行为评定量表成人版(BRIEF-A)、自尊量表(SES)和世界卫生组织生存质量测定量表简表(WHOQOL-BRIEF)评估疗效。采用多次重复测量方差分析对第1周、第12周和第24周的各指标得分进行比较。结果:24周CBT后ADHD-RS得分及BRIEFA中转换和任务监控得分均低于第1周得分(均P0.05),SES得分及WHOQOL-BREF的生理领域得分均高于第1周得分(均P0.05)。结论:包含3次后期巩固治疗阶段的团体认知行为治疗可改善成人注意缺陷多动障碍患者的核心症状、执行功能、自尊水平和生活质量。
[Abstract]:Objective: to evaluate the effect of group cognitive behavior therapy (CBT) on ADHD, executive function, self-esteem and quality of life in adults with attention deficit hyperactivity disorder (ADHD). Methods: 27 adult ADHD patients were treated with CBT for 12 weeks and consolidation therapy for 3 times. ADHD-RSV was used to evaluate the quality of life (QOL) of the World Health Organization (WHO). The ADHD-RSV, the adult version of the Executive functional behavior Assessment scale (ADHD-RSV), the Self-esteem scale (SES) and the World Health Organization (WHO) were used to evaluate the quality of life of 27 adult patients with ADHD. WHOQOL-BRIEF was used to evaluate the efficacy. The scores of the indexes in week 1, week 12 and week 24 were compared by multiple repeated analysis of variance. Results after 24 weeks of CBT, the scores of ADHD-RS, BRIEFA conversion and task monitoring were lower than those of the first week (P0.05SES and WHOQOL-BREF scores were higher than those of the 1st week (P0.05). Conclusion: group cognitive behavior therapy, which includes three stages of post-consolidation therapy, can improve the core symptoms, executive function, self-esteem level and quality of life of adults with attention deficit hyperactivity disorder (ADHD).
【作者单位】：北京大学第六医院;北京大学精神卫生研究所;卫生部精神卫生学重点实验室(北京大学);
【基金】：北京市科学技术委员会‘首都临床特色应用研究’专项资助课题(Z131107002213068) 教育部新世纪优秀人才支持计划基金项目(NCET-11-0013)
【分类号】：R749.99

【共引文献】