注意缺陷多动障碍儿童的生活质量及相关因素分析  

Quality of life and related factors in children with attention deficit hyperactivity disorder

作　　者：张跃兵[1] 李荣琴[1] 王爱芹[1] 张国华[2] 刘霞[3] 魏洪凯[1] 尚鲁宁[1] 

机构地区：[1]济宁市精神病防治院,山东济宁272051 [2]济宁市石桥中学,山东济宁272069 [3]济宁医学院,山东济宁272067

出　　处：《中国儿童保健杂志》2016年第8期804-806,813,共4页Chinese Journal of Child Health Care

摘　　要：目的评估注意缺陷多动障碍儿童(ADHD)的生活质量,分析影响因素。方法对符合《美国精神障碍诊断与统计手册(第四版)》(DSM-Ⅳ)ADHD诊断标准的96例患儿与110例同龄正常儿童使用儿少主观生活质量问卷(ISLQ)、Achenbach儿童行为量表、父母教养方式评价量表进行评估。结果 ADHD儿童生活质量总分低于同龄正常儿童,在家庭生活、同伴交往、生活环境、焦虑体验、抑郁体验、认知成分、情感成分各维度得分均低于正常对照组,差异具有统计学意义(P<0.05);回归分析显示:母亲情感温暖、父亲情感温暖得分与ADHD儿童生活质量正相关,攻击行为、注意问题和父亲干涉与ADHD儿童生活质量负相关。结论 ADHD儿童生活质量较差,其行为问题和不良的父母教养方式越多,生活质量就越差。Objective To study the quality of life and related factors in children with attention-deficit /hyperactivity disorder （ADHD）. Methods 96 patients meeting the diagnoses of ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-Ⅳ） were selected into test group. 110 healthy children were selected into control group. Inventory of Subjective Life Quality（ISLQ） ,Achenbach＇s Child Behavior Checklist （CBCL） and Egma Minnen av Bardndosnauppforstran（EMBU）were administered to them. Results The ADHD patients had lower scores of the quality of life in aggregate score, family life, peer intercommunions, living conditions, anxiety experience, depression experience, cog- nitive components and emotional components than healthy children （P〈0. 05）. Correlation analysis showed that scores of parents＇ affection warmth was positively correlated with scores of quality of life. However, the scores of aggressive behav- iors, attention deficiency, father＇s punishment were negatively correlated with scores of quality of life. Conclusion The quality of life in ADHD is obviously lower than healthy children. Attention deficit symptom and poor parental rearing practices are negatively associated with quality of life.

关 键 词：注意缺陷多动障碍 生活质量 相关因素 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]