Systemic Family Therapy to the Children with Behavioral Problems_Chinese Journal of Evidence-Based Medicine

Authors：

LI Jing ¹ , XU Xiufeng ¹ , ZHAO Xudong ²

1. Department of Psychiatry; The First Affiliated Hospital of Kunming Medical College; Kunming 650031; China2. Department of Psychiatry; Affiliated Tongji Hospital of Shanghai Tongji University; Shanghai 200060;

Corresponding author：

Keywords：

Behavioral problems of children; Family dynamics; Systemic family therapy

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Objective 　To research whether systemic family therapy is a useful intervention for behavioral problems.
Methods 　Two hundred and seventy six children who were in the fourth grade of elementary school were assessed by family dynamics questionnaires and their parents were tested by Achenbach Child Behavioral Checklist. Fifty-seven children with behavioral problems were divided into two groups: 20 children and their parents agreed to receive systemic therapy for four weeks and 37 children and their parents who refused this therapy formed the control group.All children and their parents were reassessed after four months. Data were analyzed by SPSS 11.5.
Results　 The characteristics of family dymanmic and children’s behavior improved significantly after systemic therapy. The "depressing and hostile family" at mosphere became "harmonious and open" (P=0.000) and this was also significantly better than the control group after therapy(P=0.000). "Self-differentiation of family members" was significantly improved after therapy (P=0.000) and also was significantly better than the control group after therapy (P=0.005). "Patient is helpless victim" changed to "Patient can do something" (P=0.000) and this was significantly better than the control group after therapy (P=0.003) . Total CBCL score decreased in the treatment group after therapy (P=0.003 for father, P=0.000 for mother). Compared with the control group. Total CBCL score also showed decreases (P=0.033 for father, P=0.014 for mother).
Conclusions 　The techniques of systemic family therapy are practical and effective methods to intervene children’s behavioral problems.

Citation： LI Jing,XU Xiufeng,ZHAO Xudong. Systemic Family Therapy to the Children with Behavioral Problems. Chinese Journal of Evidence-Based Medicine, 2004, 04(8): 532-536. doi: Copy

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26.	［14］Wang YL. The related study of the developing style of parents to the mental healthy level of high school students [J]. The Journal of Health Psychology, 2003; 11 (6): 419 - 421.
27.	王艳玲.父母教养方式与高中学生心理健康水平的相关研究[J].健康心理学杂志,2003;11(6):419～421.
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1. ［1］Tao GT. The present of Chinese children’ s mental healthe [J]. The Chinese Journal of China Children’ s Health Care,1997; 5(3): 179 -183.
2. 陶国泰.中国儿童心理卫生的现状[J].中华儿童保健杂志,1997;5(3):179～183.
3. ［2］Wang XD, Wang XL, Ma H. A handbook of assessing measure in mental health[M]. Chinese Journal Publishing of mental health in Beijiig, 1999.
4. 汪向东,王希林,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志出版社,1999.
5. ［3］Yang JZ, Kang CY. A first draft and the analysis of validity and reliability for family dynamics questionnaires[J]. Chinese Journal of Mental Health, 2001; 15(2): 92.
6. 杨建中,康传嫒.系统家庭动力学问卷的初编及信效度分析[J].中国心理卫生杂志,2001;15(2):92.
7. ［4］Ni JZ, Jia YP, Liu XJ. The comparing study of schizophrenias by applying systemic family therapy or not[J]. Healthy Psychology Journal, 2002; 8(1): 105-106.
8. 倪俊芝,贾燕屏,刘小娟.系统家庭治疗精神分裂症对照研究[J].健康心理学杂志,2002;8(1):105～106.
9. ［5］Stierlin H, Simon FB. The foundation and principle of systemic family therapy[J ]. Chinese Journal of Mental Health, 1990;4(4): 184Stieriin H,Simon FB.
10. 系统家庭治疗基础和原则[J].中国心理卫生杂志,1990:4(4):184.
11. ［6］Zhao XD, Xuan X. Analysis of systemic family therapy treating a patient with conduct disorder [J]. Mental Medicine of Shanghai, 1998; 10:205-209.
12. 赵旭东,宣煦.系统家庭治疗1例品行障碍的分析[J].上海精神医学,1998;10:205～209.
13. ［7］Zhao XD. The handout of systemic family therapy [ A ]. The Continuous Teaching material of Chinese-Germany Advanced Psychotherapists [M].
14. 赵旭东.系统家庭治疗讲义[A].中德高级心理治疗师连续培训项目教材[M].
15. ［8］Tao GT. Mental behavioral and developmental disorders of children[J]. The Chinese Journal of China Children’s Health Care, 2000; 8(5): 311 -313.
16. 陶国泰.儿童心理行为和发育障碍概论[J].中国儿童保健杂志,2000;8(5):311～313.
17. ［9］Tao GT. Mental, behavioral and developmental disorders of children[J]. The Chinese Journal of China Children’ s Health Care, 2000; 8(5): 311 -313.
18. 陶国泰.儿童心理行为和发育障碍概论[J].中国儿童保健杂志,2000;8(5):311～313.
19. ［10］Fu WQ,Yue WH. Family relationship and indvedual mental and behavioral disorders [J]. Mental Medicine of Shandong,2000; 13(4): 62 -64.
20. 傅文青,岳文浩.家庭关系与个体心理行为障碍:家庭的派遣差异[J].山东精神医学,2000,13(4):62～64.
21. ［11］Zhou XH. Systemic family therapy is used to treat schizophrences[J]. People’s Health Medicial Journal of China,2003; 15(6): 361 -362.
22. 周秀华.系统家庭治疗在精神分裂症患者中的应用[J].中国民康医学杂志,2003;15(6):361～362.
23. ［12］Nichols MP, Schwart RC. Family Therapy: Concepts andMethods[M]. 4 ed Boston: Allyn and Bacon, 141 -177.
24. ［13］Yi CL, Qian MY, Zhang XY. Bowen brief introduction of important point of the theory of systemic family therapy [J].Mental Heath Journal of China, 2004; 18 ( 1 ): 53 - 55.
25. 易春丽,钱铭怡,章晓云.Bowen系统家庭的理论及治疗要点简介[J].中国心理卫生杂志,2004;18(1):53～55.
26. ［14］Wang YL. The related study of the developing style of parents to the mental healthy level of high school students [J]. The Journal of Health Psychology, 2003; 11 (6): 419 - 421.
27. 王艳玲.父母教养方式与高中学生心理健康水平的相关研究[J].健康心理学杂志,2003;11(6):419～421.
28. ［15］Peplac LA, Perlman D. Loneliness: A Source Book of Current Theory, R esarch, and Therapy [M]. New York: Wiley-Interscience.
29. ［16］Wartenburger I, Heekeren HR, Abutalebi J. Early setting of Grammatical Processing in The Bilingual Brain [J ]. Neuron,2003; 37: 59 - 170.

Chinese Journal of Evidence-Based Medicine

Systemic Family Therapy to the Children with Behavioral Problems

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