Abstract: Objective To explore structural family therapy on children with attention deficit hyperactivity disorder (ADHD) in the influence of family environment and its clinical significance. Methods It was improved ADHD children suffering from within the family environment by applicating structure-based family therapy theory and skills,through the restructuring of family roles,tasks,and boundaries. 【Result】 After structural family therapy,family cohesion,emotional expression and the successful scores of study group were significantly higher,and contradictions and control scores were significantly reduced,compared with the control group(P<0.01). Conclusion Structural family therapy for the improvement of ADHD children family environment has a positive,effective role,in order to improve children's ADHD clinical comprehensive treatment and intervention effect.

Key words: structural family therapy, attention deficit hyperactivity disorder, family environment

摘要： 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 deficit hyperactivity 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。

关键词: 结构式家庭治疗, 注意缺陷多动障碍, 家庭环境