基于生态系统理论的注意缺陷多动障碍儿童综合干预的理论模式

黄翠梅; 王鸿武

doi:10.3969/j.issn.1672-4933.2024.06.011

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基于生态系统理论的注意缺陷多动障碍儿童综合干预的理论模式

康复教育 | 更新时间：2024-11-04

- 基于生态系统理论的注意缺陷多动障碍儿童综合干预的理论模式
- A Theoretical Model of Comprehensive Intervention for Children with Attention Deficit Hyperactivity Disorder Based on Ecological Systems Theory
- 中国听力语言康复科学杂志 2024年22卷第6期页码：606-609
- 作者机构：
  
  1.韶关市第一人民医院韶关 512000
  2.汕头大学医学院第二附属医院儿童医院汕头 515041
- 作者简介：
  
  黄翠梅本科副主任医师；研究方向：儿童保健
  王鸿武，E-mail：458213437@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.06.011
  中图分类号： R494
- 纸质出版日期：2024-11-15，
  
  收稿日期：2024-04-25，
- 稿件说明：
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黄翠梅,王鸿武.基于生态系统理论的注意缺陷多动障碍儿童综合干预的理论模式[J].中国听力语言康复科学杂志,2024,22(06):606-609.

HUANG Cui-mei,WANG Hong-wu.A Theoretical Model of Comprehensive Intervention for Children with Attention Deficit Hyperactivity Disorder Based on Ecological Systems Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):606-609.
黄翠梅,王鸿武.基于生态系统理论的注意缺陷多动障碍儿童综合干预的理论模式[J].中国听力语言康复科学杂志,2024,22(06):606-609. DOI： 10.3969/j.issn.1672-4933.2024.06.011.

HUANG Cui-mei,WANG Hong-wu.A Theoretical Model of Comprehensive Intervention for Children with Attention Deficit Hyperactivity Disorder Based on Ecological Systems Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):606-609. DOI： 10.3969/j.issn.1672-4933.2024.06.011.

摘要

注意缺陷多动障碍（attention deficit hyperactivity disorder，ADHD）是生物-心理-社会多因素作用的结果，当前学者及同行推荐心理行为干预，积极推行医教结合的联动及监测模式，但关于医教结合的联动机制，及如何构建社会支持系统仍在探索。本文基于发展心理学中的生物生态系统理论，从微观系统、中间系统、外层系统、宏观系统和历时系统等角度阐述影响ADHD儿童发展的因素及各因素之间的关系，进而设计综合、多元的治疗和支持方案，以期为ADHD多模式干预策略提供理论指导，为ADHD儿童及家庭提供更好的支持。

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is the result of the multiple factors of bio-psycho-social interactions. Currently

scholars and colleagues recommend psychological behavior interventions and advocate the active implementation of a medical education integration linkage and monitoring model. However

the linkage mechanism of medical education integration and how to build a social support system are still explored. This article is based on the ecological systems theory

and elaborates on the factors that affect the development of children with ADHD and their relationships from the perspectives of microsystem

mesosystem

exosystem

macrosystem

and chronosystem. Corresponding treatment and support plans are proposed in order to provide theoretical guidance for multi-model ADHD intervention strategies and better support for ADHD children and families.

关键词

注意多动缺陷障碍生态系统理论干预模式

Keywords

Attention deficit hyperactivity disorderEcological systems theoryIntervention model

references

Wolraich ML, Hagan JF, Allan C, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents[J].Pediatrics,2019,144(4):e20192528.

Wang T, Liu K, Li Z, et al.Prevalence of attention deficit/hyperactivity disorder among children and adolescents in china: a systematic review and meta-analysis[J]. BMC Psychiatry, 2017, 17(1):32-43.

金星明, 禹东川. 注意缺陷多动障碍标准化门诊建设与规范化管理[M]. 北京: 科学出版社, 2019.1.

Thapar A, Cooper M. Attention-deficit hyperactivity disorder[J]. Lancet, 2016, 387(10024):1240-1250.

黄环环, 何凡. 儿童注意缺陷多动障碍常见精神科共患病及治疗[J]. 中国实用儿科杂志, 2023, 38(8):588-592.

Amnie A. Current evidence and diverse perspectives on attention-deficit/hyperactivity disorder: a systematic review[J]. Journal of Psychological Research, 2022, 4(2):1-10.

Dalteg A, Zandelin A, Tuninger E, et al. Psychosis in adulthood is associated with high rates of ADHD and CD problems during childhood[J]. Nordic Journal of Psychiatry, 2014, 68(8):560-566.

Wolraich M, Brown L, Brown RT, et al. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents[J]. Pediatrics, 2011, 128(5):1007-1022.

Bronfenbrenner U. 人类发展生态学[M]. 韩国语版. 李荣,译. 首尔:首尔教育科学社,1992.11-60.

余敏, 王睿, 何海燕. 家庭因素与学龄前儿童心理行为问题的关系研究[J]. 中国妇幼卫生杂志, 2022, 13(3):6-11.

张宇翔. 不同亚型的注意力缺陷多动障碍儿童智力特征及家庭因素的分析[D]. 广州医科大学, 2020.

张桂香, 薛莉, 朱萍, 等. 注意缺陷多动障碍儿童家庭环境特征和行为问题与社会功能损害关系的研究[J]. 中国儿童保健杂志, 2020, 28(1):37-40.

金颖, 傅义程. 在职培训对小学教师指导注意缺陷多动障碍儿童能力的影响——北京市教师培训的实证研究[J]. 北京大学学报:自然科学版, 2022, 58(5):967-973.

Raman N, Abr JVR. Clinical and psycho-social profile of child and adolescent mental health care users and services at an urban child mental health clinic in South Africa[J]. Afr J Psychiatry, 2013, 16(5):356-363.

Khalis A, Mikami A, Hudec KL. Positive peer relationships facilitate adjustment in the transition to university for emerging adults with adhd symptoms[J]. Emerging Adulthood, 2018, 6(4):243-254.

Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention -deficit/hyperactivity disorder in children and adolescents[J]. Pediatrics, 2011, 128(5):1007-1022.

National Collaborating Center for Mental Health (UK), National Institute for Health and Clinical Excellence (NICE): Guidance. Attention deficit hyperactivity disorder: diagnosis and management of ADHD in children, young people and adults clinical guidelines[M]. Leicester: The British Psychological Society and London: The Royal College of Psychiatrists, 2009.13-18.

O'Dell SM. Understanding the Contributions of Family Processes to Educational Outcomes for Children with ADHD: A Longitudinal Analysis[D]. Lehigh University, 2013.

Shaw M, Hodgkins P, Caci H, et al. A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment[J]. BMC Med, 2012, 10(99):1-15.

Taylor JA, Valentine AZ, Sellman E, et al. A qualitative process evaluation of a randomised controlled trial of a parenting intervention in community (school) settings for children at risk of attention deficit hyperactivity disorder (ADHD)[J]. BMC Psychiatry, 2015, 15(290):1-11.

沈力, 王瑜, 田园, 等. 医教结合对学龄期注意缺陷多动障碍儿童干预效果的研究[J]. 中国儿童保健杂志, 2019, 27(9):1034-1038.

Shahidullah JD, Carlson JS, Haggerty D. Integrated care models for ADHD in children and adolescents: A systematic review[J]. Fam Syst Health, 2018, 36(2):233-247.

荣月芳, 夏林娣. 儿童注意力缺陷多动障碍患儿家长健康教育需求的调查[J]. 中国实用护理杂志, 2015, 31(7):528-530.

毛颖梅, 张旭, 马丽华, 等. 北京市小学教师对ADHD的认知现状、态度及影响因素分析[J]. 北京联合大学学报(自然科学版), 2021, 35(4):85-92.

盖笑松, 兰公瑞, 刘希平. 国内注意缺陷/多动障碍儿童干预效果的元分析[J]. 心理学报, 2008, 40(11): 1190-1196.

Taanila A, Ebeling H, Tiihala M, et al. Association between childhood specific learning difficulties and school performance in adolescents with and without ADHD symptoms: a 16-year follow-up[J]. J Atten Disord, 2014, 18(1): 61-72.

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