抽动障碍患儿的行为问题及其个性特征(英文)  

Behavior disorders and personality in children with tic disorders

作　　者：陈英才[1] 吴春燕[1] 穆莉芳[1] 姜德春[1] 李晶[1] 王欣[2] 

机构地区：[1]黑龙江省大庆油田总医院儿科,黑龙江省大庆市163001 [2]哈尔滨医科大学附属第二医院儿科,黑龙江省哈尔滨市150086

出　　处：《中国临床康复》2005年第20期232-234,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:儿童心理行为障碍性疾病影响儿童的生长发育中行为及个性特征的形成。目的:探讨抽动障碍患儿的心理行为问题及个性特征。设计:以抽动障碍儿童为观察对象,健康儿童为对照组的调查分析。单位:黑龙江省大庆油田总医院集团儿科。对象:选择2003-02/2004-12在黑龙江省大庆油田总医院集团儿科门诊就诊的符合抽动障碍诊断的患儿110例(患儿组),男92例,女18例。以不同表现形式又分为3组,短暂性抽动障碍组46例,慢性抽动或发声障碍组34例,抽动-秽语综合征组30例。入选病例均为新诊断病例,未服用任何其他药物,排除颅内器质性疾病。选择同期本院健康体检儿童30人为对照组,年龄7～14岁,男24例,女6例。以上参与者监护人均知情同意。方法:①采用Achenbach 儿童行为量表筛查儿童的社交能力和行为能力(包括13条行为问题。每一条行为问题有一个分数称为粗分,113条的粗分称为总粗分。按照年龄把113条行为问题归纳为9个因子,即体诉、交往不良、强迫性、违纪、多动、分裂样、不成熟、敌意性、攻击性,把每一因子所包括条目的粗分加起来,就是这个因子的分数),将因子分与文章选择定的健康的行为正常儿童为对照,判断该儿童是否具有该项行为异常,各因子分与健康对照越接近,该方面的行为问题越少,社会能力越强。②采用儿童艾森克个性问卷｛4个人格类型的基本维度为内外向型、神经质、精神质、一个效度量表(掩饰性)。掩饰性维度标准分>70表示评定无效,神经质维度标准分>61.5表示神经质非常明显,内外向、神经质维度标准分>56.7表示情绪不稳定或有此倾向,内外向维度标准分>56.7,神经质维度标准分<43.3为(外向)多血质气质类型或具有多血质倾向,神经质维度、内外向维度标准分均<43.3为(内向)黏液质气质类型或具有黏液质倾向,内外向维度标准分<43.3,神BACKGROUND：Psychological disorder and behavior disorders can affect the development of behavior and personality in children.OBJECTIVE：To investigate the behavior disorders and the personality in children with tic disorders （TD）.DESIGN：A comparative investigation between TD children and the healthy controls.SETTING：It was conducted at the Department of Pediatrics,Daqing Oil Felid General Hospital in Heilongjiang Province.PARTICIPANTS：Totally 110 outpatients including 92 males and 18 females, diagnosed as TD at the Department of Pediatrics, Daqing Oil Felid General Hospital,were selected （TD group） from February 2003 to December 2004.According to the clinical manifestations,they were divided into transient tic disorder group （46 cases）,chronic motor/vocal tic disorder group （34 cases） and Tourette Syndrom （TS） group（30 cases）.All the patients were newly diagnosed without any medication and intracranial organic diseases.Meanwhile,30 children with normal physical examination finding, between the ages of 7 and 14,24 males and 6 females, were selected as controls. Informed consents were obtained from guardians of all the participants.METHODS： ①Achenbach＇s Child Behavior Checklist （CBCL） was used to measure the children＇s social skills and behaviors （It contains a 113-item behavior problems scale.According to the children＇s ages,the items were classified into 9 factors,including somatic complains,poor social skills,compulsions,undisciplined,hyperactivity,Asperger syndrome,immaturity,hostility and aggressiveness.The scores of referring items constitute the total score of each factor）.Comparison of these scores between patients and healthy controls is helpful to determine if a factor in affected children is abnormal.The closer the relationship between the patients and the controls is, the less behavioral problems the patients have and the better social skills they have. ②Eysenck Personality Questionnaire （EPQ） was adopted in this study to evaluate the personality i

关 键 词：抽搐性运动障碍 问卷 儿童行为 短暂性抽动障碍 心理行为问题 个性特征 ACHENBACH儿童行为量表 患儿 儿童艾森克个性问卷 大庆油田总医院集团 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R179[医药卫生—临床医学]