中国临床心理学杂志

成人注意缺陷多动障碍的团体认知行为治疗效果观察

作者：王晓丽¹ 2 蔡太生¹

单位：1. 中南大学湘雅二院医学心理研究所长沙 410011
2. 武警广东总队医院广州 510507

分类号：R395.5

出版年,卷(期):页码：2016,24(3):572-574

摘要：

目的：探讨团体认知行为治疗对成人注意缺陷多动障碍（ADHD）核心症状、执行功能、焦虑抑郁情绪的效果。方法：对40例成人ADHD患者进行12周团体认知行为治疗，使用ADHD评定量表（ADHD-RS）、执行功能行为评定量表成人版（BRIEF-A）、焦虑自评量表（SAS）以及抑郁自评量表（SDS）评估疗效。结果：ADHD评定量表总分逐渐降低，以第1周评分作为基线值，对比12周治疗进行两两比较，结果ADHD评定量表总分第4-12周与第1周均有显著差异。BRIEF除情感控制分量表外，其余量表分值第12周均显著低于第1周。第12周SAS以及SDS量表总分均显著低于第1周。结论：团体认知行为治疗对成人ADHD的核心症状、执行功能、焦虑抑郁症状具有良好的治疗效果。

Objective: To investigate the efficacy of group cognitive behavior therapy in adults with attention deficit hyperactivity disorder (ADHD) on the core symptoms,executive function,depressive mood.Methods: A total of 40 adult ADHD patients received cognitive behavioral group therapy for 12 weeks.The efficacy was assessed by ADHD Rating Scale (ADHD-RS),executive function behavior rating scale (BRIEF-A),self-rating anxiety scale (SAS) and self-rating depression scale (SDS).Results: CBGT significantly relived the ADHD symptoms in these patients.The results showed that the scores of ADHD-RS were significantly lower at the 4-12th week than that at the 1st week (P<0.01).There was no significant difference between emotional control index in 1st week and that in 12th week (P>0.05),however,the rest of the BRIEF-A indexes were significantly lower than the first week (P<0.01).The scores of SAS and SDS were significantly lower at the 12th week than at the 1st week (P<0.01).Conclusion: The 12 weeks' group cognitive behavior therapy may improve the core symptoms,executive function,depressive symptoms of ADHD adults.

基金项目：

作者简介：

参考文献：

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