中国健康心理学杂志2026，Vol.34Issue(6)：825-830,6.DOI:10.13342/j.cnki.cjhp.2026.06.005
心理行为干预联合重复经颅磁刺激对学习困难合并注意缺陷与多动障碍(ADHD)儿童情绪障碍及孤独感的影响
Influence of psycho—behavioral intervention combined with repetitive transcranial magnetic stimulation on emotional disorders and loneliness in children with learning difficulties and ADHD
摘要
Abstract
Objective:To explore the influence of combination of psycho—behavioral intervention and repetitive transcranial magnetic stimulation(rTMS)on emotional disorders and loneliness in children with learning difficulties complicated with attention deficit hyperactivity disorder(ADHD).Methods:A total of 98 patients with learning diffi-culties and ADHD admitted to the hospital from January 2023 to January 2025 were selected and categorized into study group(psycho-behavioral intervention plus rTMS,n=49)and control group(rTMS,n=49)based on random number table method.The symptoms[Swanson,Nolan and Pelham-Ⅳ scale(SNAP-Ⅳ)],cognitive function[Wisconsin Card Sorting Test(WCST)and digital symbol conversion test],emotional disorders[Depression Self-Rating Scale for Children(DSRSC)and Screen for Child Anxiety Related Emotional Disorders(SCARED)],loneliness[Children's Loneliness Scale(CLS)and UCLA Loneliness Scale(ULS-8)]and quality of life[Quality of Life Scale for Children and Adolescents(QLSCA)]were compared between both groups of children before and after interven-tion.Results:After intervention,the SNAP-Ⅳ scores in the study group were lower than those in the control group(t=-4.192,-4.714,-4.644,-5.366;P＜0.05).The correct rate of WCST and score of digit symbol conversion test in the study group after intervention were higher compared to the control group(t=9.254,9.117;P＜0.05).After inter-vention,the scores of DSRSC and SCARED were lower in the study group compared with those in the control group(t=-7.708,-8.443;P＜0.05).The scores of CLS and ULS-8 in the study group after intervention were lower com-pared to the control group(t=-5.256,-7.622;P＜0.05).After intervention,the study group had higher QLSCA scores than the control group(t=7.048,9.899,7.636,8.030,7.401;P＜0.05).Conclusion:Psycho-behavioral inter-vention combined with rTMS can significantly improve the core symptoms,cognitive function,emotional disorders and loneliness,and enhance the quality of life in children with learning difficulties and ADHD.关键词
心理行为干预/重复经颅磁刺激/学习困难/注意缺陷与多动障碍/情绪障碍Key words
Psycho-behavioral intervention/Repetitive transcranial magnetic stimulation/Learning difficulties/Attention deficit and hyperactivity disorder/Emotional disorders分类
医药卫生引用本文复制引用
侯会丹..心理行为干预联合重复经颅磁刺激对学习困难合并注意缺陷与多动障碍(ADHD)儿童情绪障碍及孤独感的影响[J].中国健康心理学杂志,2026,34(6):825-830,6.基金项目
河南省医学科技攻关计划联合共建项目(编号:LHGJ20230024) （编号:LHGJ20230024）
