全病程管理中ADHD儿童规范化亲子沙盘治疗的疗效研究

Study on the Efficacy of Standardized Parent-Child Sandplay Therapy for Children with ADHD in Whole Course Management

摘要: 目的：探讨在全病程管理中规范化亲子沙盘治疗注意缺陷多动障碍(ADHD)的临床疗效研究。方法：选取2024年12月到2025年5月在西南儿童康复医院发育行为科进入全病程管理就诊的20例ADHD儿童与一位家长(父亲/母亲)为研究对象，给予为期8周，每周1次的亲子沙盘治疗。采用非参数配对检验进行统计分析比较治疗前后SNAP-IV父母评定量表评分与Weiss功能性缺陷程度评定量表评分。结果：ADHD的注意缺陷与对立违抗两大核心症状后测平均分相比于前测评估显著降低(P < 0.05)；ADHD儿童的社会功能和学习/学校功能维度后测得分相比于前测评估分别在0.05水平上显著下降。结论：本研究在ADHD儿童全病程管理中采用的规范化亲子沙盘治疗能改善ADHD儿童的核心症状(注意力不集中与对立违抗)和学习/学校功能。

Abstract: Objective: To explore the clinical efficacy of standardized parent-child sand table therapy for attention deficit hyperactivity disorder (ADHD) in whole course management. Method: 20 children with ADHD and one parent (father/mother) who entered the whole course management treatment at the Developmental Behavior Department of Southwest Children’s Rehabilitation Hospital from December 2024 to May 2025 were selected as the research subjects. They were treated with parent-child sand table therapy once a week for 8 weeks. A non-parametric paired test was used for statistical analysis to compare the scores of the SNAP-IV Parent Rating Scale and Weiss Functional Deficiency Scale before and after treatment. Result: The average score of the two core symptoms of ADHD, attention deficit and oppositional disobedience, was significantly lower in the post test than in the pre-test evaluation (P < 0.05); The post test scores for the learning/school functioning dimensions of ADHD children showed a significant decrease at the 0.05 level compared to the pre-test assessment. Conclusion: The standardized parent-child sand table therapy used in the whole course management of ADHD children in this study can improve the core symptoms (inattention and oppositional disobedience) and learning/school function of ADHD children.