抽动障碍患儿自我意识及少儿主观生活质量的相关性分析  

Correlation between Self-concept and Subjective Quality of Life among Children with Tic Disorders

作　　者：解金娜 项紫霓 谭歆 匡桂芳 

机构地区：[1]青岛市妇女儿童医院心理卫生科,山东青岛市266034

出　　处：《中国康复理论与实践》2016年第9期1052-1055,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的：探讨抽动障碍患儿自我意识与主观生活质量的相关性。方法2015年3-9月，采用儿童自我意识量表（PHCSS）及少儿主观生活质量问卷（ISLQ），对65例抽动障碍患儿及71例正常儿童进行评定，进行单因素分析、相关性分析和多因素回归分析。结果抽动障碍组PHCSS评分与正常组无显著性差异（t〈1.624, P〉0.05）。抽动障碍组ISLQ的学校生活、自我认识、认知成分评分低于正常组（t〉2.051, P〈0.05）。抽动障碍组除PHCSS行为与ISLQ同伴交往、学校生活、生活环境、自我认识、认知成分， PHCSS智力与学校情况与ISLQ家庭生活、同伴交往、生活环境，PHCSS躯体外貌与属性与ISLQ家庭生活、生活环境，PHCSS焦虑与ISLQ家庭生活、同伴交往、认知成分，PHCSS合群与ISLQ同伴交往，PHCSS总分与ISLQ家庭生活、生活环境不相关外，其余各项均有相关性（P〈0.05）。回归分析显示，抽动障碍患儿PHCSS中合群评分是影响ISLQ总体满意度的主要危险因素（β=0.301, P〈0.05）。结论抽动障碍患儿生活质量部分下降。自我意识一定程度影响生活质量，应及早干预。Objective To explore the correlation between self-concept and subjective quality of life among children with tic disorders （TD）. Methods The Piers-Harris Children＇s Self-concept Scale （PHCSS） and the Inventory of Subjective Life Quality （ISLQ） were complet-ed by 65 children with TD and 71 normal children from March to September, 2015; and analyzed with single factor analysis, correlation analysis and multi factors regression analysis. Results There was no significant difference in PHCSS scores between the TD children with and normal ones （t〈1.624, P〉0.05）. The ISLQ scores of school life, self-awareness and cognitive component were less in the TD children than in the normal ones （t〉2.051, P〈0.05）. The PHCSS subscores correlated with ISLQ subscores （P〈0.05）, except the following：PHCSS scores of behavior did not correlate with ISLQ scores of peer relationship, school life, living environment, self-awareness and cognitive com-ponent;PHCSS scores of intelligence and school environment did not correlate with ISLQ scores of family life, peer interaction and the liv-ing environment;PHCSS scores of physical appearance and properties did not correlate with ISLQ scores of family life and living environ-ment;PHCSS scores of anxiety did not correlate with ISLQ scores of family life, peer interaction and cognitive component;PHCSS scores of affiliation did not correlate with ISLQ scores of peer interaction;and PHCSS total score did not correlate with ISLQ scores of family life and living environment. PHCSS scores of affiliation were the factor related with the quality of life （β=0.301, P〈0.05）. Conclusion The quali-ty of life may be impaired in the children with TD, which may associate with the self-concept and need further intervention.

关 键 词：抽动障碍 儿童 自我意识 生活质量 

分 类 号：R749.94[医药卫生—神经病学与精神病学]