臺灣博碩士論文加值系統

目的：為探討完整認知行為親子治療對注意力缺失過動疾患（ADHD）兒童的療效，以門診治療及結合兩種治療方式予以對照。方法：來自精神科轉介且符合收案條件之46位ADHD男童，依序列入等待名單，並分配至門診組（定期回診追蹤服藥，n=17）、完整認知行為治療組（簡稱CCBT組，參與完整認知行為治療團體但未回診服藥，n=7）與門診加CCBT組（簡稱門＋C組，定期回診服藥且參與CCBT團體，n=22），治療效果以兒童行為檢核表（CBCL）評估。結果：以無母數統計之魏克遜符號等級考驗進行前後測差異比較，發現門＋C組在內化、焦慮/憂鬱、外化、攻擊行為、思考問題、總分等症狀量尺與情感性問題、焦慮問題、注意力過動問題等DSM量尺的後測分數顯著低於前測（p＜.05），CCBT組則是在焦慮/憂鬱、違規行為、思考問題、注意力問題、總分等症狀量尺與情感性問題、注意力過動問題、品行問題等DSM量尺中的後測顯著低於前測（p＜.05），而門診組在CBCL各量尺中的前後測分數皆無顯著差異（p＞.05）。討論：將與其他研究文獻做比較，探究治療療效歷程。

Objective: To investigate the effectiveness of comprehensive cognitive behavioral therapy for ADHD children, using two methods of therapy, outpatient therapy and combination therapy as comparison. Methods: Forty-six boys with ADHD referred from the psychiatric department and qualified for the study were recruited, they went into the waiting list in the order referred, and were assigned to the outpatient group (routinely go back to outpatient clinics to follow up on medication use, n=17), the comprehensive cognitive behavioral therapy group (CCBT, participate in the comprehensive cognitive behavioral therapy group but does not go back to outpatient clinics for medication, n=7) or the outpatient plus CCBT group (O+C group, routinely go back to outpatient clinics for medication and participate in the CCBT group, n=22), the Child Behavior Checklist (CBCL) was used to evaluate therapy effectiveness. Results: Wilcoxon signed ranks test, a non-parametric statistical analysis, was used to conduct pre and post within group comparison, results found for the O+C group, post-test scores of internalizing, anxious/depressed , externalizing , aggressive behavior , thought problems , total problems of symptom scales and affective problems, anxious problems, attention deficit hyperactivity problems of DSM scales were significantly lower than pre-test scores (p＜.05). For the CCBT group, post-test of anxious/depressed, rule-breaking behavior, thought problems, attention problems, total problems in the symptom scales and affective problems, attention deficit hyperactivity problems, conduct problems in the DSM scale had significantly improved (p＜.05).The outpatient group did not show significant differences between pre- and post-test scores in CBCL subscales (p＞.05). Discussion: Will be compared with other studies, and investigate the therapy effectiveness process.

第一章 序論................................................1
第一節 注意力缺失過動疾患的本質..........................3
第二節 ADHD的治療.......................................12
第三節 完整認知行為治療的相關理論與概念.................24
第四節 研究目的與假設...................................30
第二章 研究方法...........................................31
第一節 研究對象.........................................31
第二節 研究工具.........................................32
第三節 完整認知行為親子治療團體（CCBT親子團體）..... 40
第四節 研究程序.........................................49
第五節 統計分析.........................................52
第三章 研究結果...........................................53
第一節 人口學變項之統計結果.............................53
第二節 不同治療組別在前測基準線的等同性.................57
第三節 療效評估結果.....................................59
第四章 討論...............................................64
第一節 完整認知行為治療之結果與討論.....................64
第二節 與過去文獻之比較與整合...........................69
第三節 研究限制與未來方向...............................76
第四節 研究貢獻.........................................78
參考文獻..................................................79

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