目的 探索注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)家谱图的特征及其在家庭治疗中的应用。 方法 对20例ADHD患者,采用与患者和家庭成员一起绘制家谱图的形式,以结构式家庭治疗理论对家谱图进行解释、分析。 结果 20例家谱图显示:多数ADHD患者家庭存在着家庭功能和结构的不良,如纠结的母子关系、代际不清疏离的关系和控制的父母。 结论 家谱图在ADHD治疗中,对于启发患者和家庭内省,自己寻找线索发现和解决问题等方面起到了积极的作用。

Objective To explore the application and effects of genogram in structural family therapies for attention deficit hyperactivity disorder(ADHD). Methods Twenty patients diagnosed as ADHD and their family members were consecutively enrolled.Genealogical charts were drawn by each family and interpreted and analysed by one therapy with the theory of structural family therapy. Result The imbalance in family structure and dysfunction was revealed from the genograms in these twenty families with ADHD patients,like tangled relationship between mother and child,intergenerational unclear estranged relationship and control parents. Conclusion Genogram plays an positive role in structural family therapy of ADHD,and inspiring the awareness of ADHD patients and their families to find out the clues to solutions.