發(fā)布時間：2018-05-25 03:16

  本文選題：ADHD傾向兒童 + 認知行為療法　； 參考：《云南師范大學》2017年碩士論文

【摘要】：注意力缺陷多動障礙(Attention deficit hyperactivity disorder,以下簡稱ADHD)是兒童和青少年時期常見的精神和行為障礙之一,如果不對ADHD兒童進行及時的治療、干預,會對其學業(yè)、工作和社會生活產(chǎn)生廣泛而消極影響。因為ADHD是一種臨床上的精神疾病,在臨床診斷上必需由兩位以上的兒童精神病學的�？漆t(yī)生通過神經(jīng)系統(tǒng)相關的多方面檢查才能下結論(鄒憶玲,2006),出于研究的嚴謹性,研究者在本研究中的干預對象都是通過篩查具有ADHD癥狀表現(xiàn),但沒有經(jīng)過醫(yī)生確診的的兒童,在以下的研究中將之稱為ADHD傾向兒童。本研究旨在通過對ADHD傾向兒童進行參與式觀察,總結ADHD傾向兒童在校的生存現(xiàn)狀,得出一套對ADHD傾向兒童有效的系統(tǒng)式團體輔導訓練方案,通過長期的注意力團體輔導訓練,并對該套方案進行效果驗證。本研究的研究對象為昆明市某公立小學三年級、四年級中通過篩查且自愿參加的ADHD傾向兒童,以觀察法、訪談法、行動研究法做為主要研究方法,全程采用ABA倒反實驗設計,將研究全程分為A?階段為自然觀測期(2周),B階段進行輔導訓練階段(9個月),A?階段為輔導訓練結束后持續(xù)變化期(2個月后)。在ABA設計基礎上,本文分為三個部分,第一個部分為昆明市某小學三、四年級部分ADHD傾向兒童的現(xiàn)狀及特點研究。主要采用Conner's父母問卷、Conner's教師問卷、SNAP-IV量表為測量工具,同時以個案癥狀表現(xiàn)與問題行為記錄表為輔助觀察工具,對某公立小學三、四年級的部分學生進行了篩查和為期2周的參與式觀察,并對研究對象的現(xiàn)狀進了描述總結,探討了ADHD傾向兒童的特點。第二部分研究主要為輔導訓練方案集的編制,通過查閱文獻,以及研究者自身對ADHD兒童和ADHD傾向兒童的輔導經(jīng)驗總結,以游戲藝術治療,認知行為治療為基礎,配合感統(tǒng)訓練形成ADHD傾向兒童輔導訓練活動庫,并系統(tǒng)化的將其編制為一本為期9個月的團體輔導方案集。第三部分研究則是針對輔導方案集的效果驗證初步研究,通過對輔導訓練進行過程效果評估和結果效果評估,采用量化結合質(zhì)化的統(tǒng)計形式,對為期9個月的輔導訓練進行效果的初步評估。結果如下:1、以游戲藝術治療和認知行為治療為基礎,結合多種治療方法的注意力團體輔導訓練對ADHD傾向兒童的注意力有著明顯的改善,間接改善了ADHD傾向兒童的其他多動癥狀。2、在輔導訓練過程中,保證輔導訓練活動的趣味性并長期持續(xù)的堅持下去能很好維持兒童參與輔導訓練的積極性,間接提高了輔導訓練的效果。3、學校、家長、輔導者三方指定統(tǒng)一的規(guī)范并聯(lián)合進行能夠有效的幫助參與輔導的兒童在學習生活中形成結構式的規(guī)范行為,對于輔導效果的維持、鞏固與提高產(chǎn)生不可忽視的影響。4、經(jīng)過輔導訓練的ADHD傾向兒童在注意缺陷,多動沖動和多動指數(shù)這三個因子上有較為顯著的改善。
[Abstract]:Attention deficit Hyperactivity Disorder (ADHD) is one of the most common mental and behavioral disorders in children and adolescents. If children with ADHD are not treated and intervened in time, their studies will be improved. Work and social life have a wide range of negative effects. Because ADHD is a clinical mental disorder, two or more pediatric psychiatrists have to go through various neurological tests in order to reach a conclusion (Zou Yiling, 2006, due to the rigour of the study. The subjects of intervention in this study were children who had ADHD symptoms but were not diagnosed by a doctor, as described in the following study as ADHD prone children. The purpose of this study was to make a participatory observation on children with ADHD propensity, sum up the existing situation of children with ADHD tendency in school, and obtain a set of systematic group counseling training program for ADHD tendency children, and through long-term attention group counseling training. The effect of the scheme is verified. The research object of this study is the third grade of a public primary school in Kunming. In the fourth grade, the children who are inclined to ADHD by screening and participating voluntarily. The main research methods are observation method, interview method and action research method. The whole process is designed by ABA reverse experiment design. Divide the whole study into A? The stage is that the natural observation period is 2 weeks and the second stage is the stage of counseling and training. The stage was a continuous change period after the end of coaching (2 months later). On the basis of ABA design, this paper is divided into three parts. The first part is a study on the present situation and characteristics of ADHD tendency children in grade three and four of a primary school in Kunming. The SNAP-IV scale of teachers' questionnaire of Conner's parents' questionnaire was used as the measuring tool, and the record of symptom and problem behavior of a public primary school was used as a supplementary observation tool. Some of the students in grade 4 were screened and observed for 2 weeks, and the present situation of the subjects was described and summarized, and the characteristics of the tendency of children with ADHD were discussed. The second part of the study is mainly for the compilation of counseling and training programs, through consulting the literature, as well as the researcher's own counseling experience of ADHD children and ADHD prone children, which is based on the art of game therapy and cognitive behavior therapy. With the help of sensual training, the ADHD orientation training activity library for children was formed, and it was systematically compiled into a nine-month group counseling program. The third part of the study is aimed at the primary research of the effect verification of the counseling program set. Through the process effect evaluation and the result effect evaluation of the coaching training, the statistical form of quantitative combined with qualitative is adopted. A preliminary evaluation of the effectiveness of the 9-month coaching program was conducted. The results are as follows: 1. Based on the art of game therapy and cognitive behavior therapy, the attention of children with ADHD propensity was significantly improved by the attention group training combined with a variety of treatments. Indirectly improved other ADHD traits of children with ADHD propensity. In the course of counseling training, the children's enthusiasm for participating in counseling training can be well maintained by ensuring the interest of counseling training activities and persisting in them for a long time. Indirectly improved the effect of counseling training. 3. Schools, parents, counselors, three parties designated unified norms and jointly to help the children who participate in counseling to form structural normative behavior in their learning and life, to maintain the counseling effect. Consolidation and improvement have an important influence. 4. The children who have been trained by ADHD have significant improvement in the three factors of attention deficit, hyperactivity impulse and hyperactivity index.
【學位授予單位】：云南師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：B844.1

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