结构家庭疗法对儿童分离性焦虑症的疗效分析

摘要

目的：通过调整家庭成员关系的“结构家庭疗法”对儿童分离性焦虑症的治疗效果进行分析比较。方法：将18例儿童焦虑患者随机分为研究组和对照组各9例。两组患儿均维持原用治疗方案不变，在此基础上研究组患儿给予结构家庭疗法，观察12周，于治疗前后采用 Hamilton 焦虑测量量表(HAMA)评定患儿的焦虑程度；家庭功能量表(FAD)评价患儿家庭功能。结果：治疗后研究组患儿的焦虑总分显著下降(t=7.63；P<0.01)；患者 FAD 量表角色、情感介入、行为控制因子评分均明显改善(P<0.05)。结论：结构家庭疗法可不同程度的改善家庭功能，有助于缓解儿童分离性焦虑症的焦虑症状。%Objective:To investigate the clinical efficacy of structural family therapy (adjusting the relationship between family members) on separation anxiety disorder of childhood. Methods:18 children anxiety patients was randomly divided into study group and control group, 9 children in each group. All the patients maintained the old treatment program. Beside, the structural family thera-py had been used to study group. Both groups had been observed for 12 weeks. The Hamilton anxiety scale (HAMA) was used to as-sess the patient's level of anxiety before and after the treatment. The family assessment device (FAD) was used to assess the family function. Results: After the treatment, the total anxiety score of study group significantly decreased (t=0. 763; P<0. 05). The scores of the patients' role, emotional involvement, and behavior control were significantly improved (P<0. 05). Conclusions: The structural family therapy helps to alleviate thesymptoms of childhood's separation anxiety disorder and improvethe family function of the patients to some degrees.