Abstract:

To investigate whether family intervention could improve anxiety and depression in children with attention deficit hyperactivity disorder （ADHD） and their parents. Methods　All patients with ADHD from the Mental Health Department of a maternal and children’s health center in Guangzhou，China were recruited between 2009 and 2010. When treated with methylphenidate，some of them accepted family intervention. The children were given SCARED and DSRSC，and their parents were SAS and SDS to assess anxiety and depression. Results　The mean total score of the SCARED assessing anxiety of children with ADHD was （13.28±0.43） in cases treated with family intervention after 4 weeks and was significantly lower than that before family intervention （P < 0.01）. At 12 weeks the score of the SCARED was （9.31±0.32），which was significantly lower than that before family intervention，after 1 and 4 weeks，and that in the controls（P < 0.01）. Mean scores of DSRSC assessing depression of children with ADHD were （9.42±0.26），which was  significantly lower than that before family intervention. After accepting family intervention for 12 weeks，the score of the DSRSC was significantly lower than that before family intervention，after 1 and 4 weeks，and that in the controls（P < 0.01）. The total score of the SAS assessing anxiety of their parents was （48.16±6.31） after 4 weeks，which was significantly lower than that before family intervention （P < 0.01）. After accepting family intervention for 12 weeks，the score of the SAS was （41.96±5.85），which was significantly lower than that before family intervention，after 1 and 4 weeks，and that in the controls（P < 0.01）. The score of SDS assessing depression of their parents was （50.68±6.43） at 4 weeks，which was significantly lower than that before family intervention （P < 0.01）. After accepting family intervention for 12 weeks，the score of the SDS was （40.37±2.42） which was significantly lower than that before family intervention，after 1 and 4 weeks，and that in the controls （P < 0.01）. Conclusion　Family intervention based on medication is an effective intervention for children with ADHD to improve anxiety and depression in them and their parents.

Key words: attention deficit hyperactivity disorder, family intervention, anxiety, depression

摘要：

探讨家庭干预是否能改善注意缺陷多动障碍（ADHD）患儿及其父母的焦虑抑郁情绪。方法　对2009年1月至2010年10月在广州市妇女儿童医疗中心心理专科首次就诊的ADHD患儿62例，随机分为对照组31例和研究组31例。研究组在服用药物的基础上进行家庭干预。所有患儿均取得知情同意书。采用儿童焦虑性情绪障碍筛查表（SCARED）、儿童抑郁障碍自评量表（DSRSC）、父母焦虑自评量表（SAS）、父母抑郁自评量表（SDS）分别评定两组患儿及其父母焦虑抑郁情绪。结果　研究组治疗4周后SCARED评分为（13.28±0.43）分，较治疗前降低，差异有统计学意义（P < 0.01）；治疗后12周为（9.31±0.32）分，较治疗前、治疗后1周、对照组治疗后12周降低，差异均有统计学意义（P < 0.01）。研究组治疗后4周DSRSC评分为（9.42±0.26）分，与治疗前差异有统计学意义（P < 0.01）；治疗后12周较治疗前、治疗后1周、对照组治疗后12周降低，差异有统计学意义（P < 0.01）。研究组患儿父母SAS评分治疗后4周为（48.16±6.31）分，与治疗前比较，差异有统计学意义（P < 0.01）；治疗后12周为（41.96±5.85）分，较治疗前、治疗后1周、治疗后4周及对照组治疗后12周降低，差异有统计学意义（P < 0.01）。研究组患儿父母SDS评分治疗后4周为 （50.68±6.43）分，与治疗前降低，差异有统计学意义（P < 0.01）；治疗后12周为（40.37±2.42）分，较治疗前、治疗后1周、治疗后4周及对照组治疗后12周降低，差异有统计学意义（P < 0.01）。结论　服用药物结合家庭干预能有效缓解患儿及其父母的焦虑抑郁情绪。

关键词: 注意缺陷多动障碍, 家庭干预, 焦虑, 抑郁