抽动障碍学龄期儿童行为问题与母亲亲职压力关系  

Relationship between behavioral problems and maternal parenting stress in school-age children with tic disorder

作　　者：黄赛君[1] 俞红[1] 刘珂 蔡容平 孙亚莲[1] 何小颖[1] HUANG Saijun;YU Hong;LIU Ke;CAI Rongping;SUN Yalian;HE Xiaoying(Foshan Maternal & Child Health Hospital,Foshan(528000),Guangdong Province,China)

机构地区：[1]广东省佛山市妇幼保健院

出　　处：《中国学校卫生》2018年第12期1828-1830,1834,共4页Chinese Journal of School Health

基　　金：佛山市卫计局研究项目(2015354)

摘　　要：目的探讨抽动障碍学龄期儿童行为问题与母亲亲职压力之间的关系,为抽动障碍学龄期儿童的科学干预提供数据。方法使用Achenbach儿童行为量表(CBCL)和亲职压力简表(PSI—SF)对佛山市妇幼保健院儿童保健科83例学龄期抽动障碍患儿与佛山市某小学91名正常儿童进行比较分析。结果学龄期抽动障碍组儿童的行为问题多于正常对照组(t=-9.06,P<0.01);抽动障碍组儿童母亲亲职压力总分、各分量表得分均高于正常对照组(t值分别是-4.52,-3.66,-2.07,-5.15,P值均<0.05);男童行为问题总分、分裂性、抑郁、体诉、社交退缩与亲职困扰分量表呈正相关(r值分别为0.20,0.23,0.18,0.22,0.20,P值均<0.05),女童行为问题总分、抑郁、社交退缩、体诉、多动、残忍与亲子互动失调分量表呈正相关(r值分别为0.41,0.51,0.42,0.43,0.29,0.30,0.28,P值均<0.05)。结论学龄期抽动障碍儿童比正常儿童行为问题多,交际能力较差,病例组母亲普遍存在较高水平的亲职压力。母亲感受到的亲职困扰越多,男童出现内向性行为问题越多;而亲子互动功能失调与女童行为问题的出现有关。Objective To understand maternal parenting stress in school-age children with tic disorder(TD)and to explore its relation with behavioral problems.Methods A total of 83 children with TD and 91 normal control were implemented with Achenbach Child Behavior Checklist(CBCL)and Parenting Stress Index-Short Form(PSI-SF).Results School-age children with TD had more behavior problems than that of normal control(t=-9.06,P<0.01);maternal parenting stress score and three subscale scores in TD were significantly higher than those in normal control group(t=-4.52,-3.66,-2.07,-5.15,P<0.05).Total score in CBCL,as well as disruptive behavior problems,depression,somatic complaints,social withdrawal in boys was positively correlated with maternal parenting stress(r=0.20,0.23,0.18,0.22,0.20,P<0.05).Total score of behavioral problems,depression,social withdrawal,body complaints,hyperactivity and cruelty in girls was positively correlated with parent-child interaction disorder(r= 0.41,0.51,0.42,0.43,0.29,0.30,0.28,P<0.05).Conclusion School-age children with tic disorder have more behavioral problems than that normal control peers.Mothers of tic disorder children generally exist higher levels of parenting stress.Correlation between parenting stress and behavior problems exhibit significant gender differences.More introverted behavioral problems in boys and more parent-child interactive problems in girls are observed when their mothers perceive high maternal parenting stress.

关 键 词：抽搐性运动障碍 精神卫生 行为 压力 儿童 学龄前 

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]