焦虑对注意力缺陷/多动障碍儿童社会功能的影响  

Effects of anxiety on social functions of children with attention-deficit/hyperactivity disorder

作　　者：李朝英[1] 张晓辉[2] 李少华[1] 姬静璐[1] 袁博[1] 王玉[1] 

机构地区：[1]河北大学附属医院儿科,071000 [2]保定市儿童医院外科

出　　处：《江苏医药》2016年第24期2686-2689,共4页Jiangsu Medical Journal

摘　　要：目的探讨焦虑对注意力缺陷/多动障碍(ADHD)患儿社会功能的影响。方法按儿童焦虑性情绪障碍筛查表评分,137例ADHD患儿中,表现为无焦虑者80例(A组)、仅1种焦虑者24例(B组)和≥2种焦虑者33例(C组)。对患儿的生活质量(QOL)、日常生活能力(ADL)、行为能力、同伴问题和患儿父母心理健康状态进行评估和比较。结果C组QOL评分低于A、B组,而ADL和行为能力评分高于A、B组(P<0.05)。协方差分析结果:年龄、父母心理健康状态与QOL和ADL呈正向影响。年龄对行为能力呈正向影响。父母心理健康状态对同伴问题呈正向影响。年龄跟同伴问题呈负向影响。结论伴有≥2种焦虑的ADHD患儿的QOL、ADL和行为能力均较差。Objective To investigate the effects of anxiety on the social functions in children with attention-deficit/hyperactivity disorder（ADHD）.Methods A total of 137 children with ADHD was divided into groups of A（without anxiety manifestation）,B（with one anxiety manifestation）and C（with two or more anxiety manifestations）.The quality of life（QOL）,activities of daily life（ADL）,behavior ability and peer rating problems,parents＇mental health status were evaluated and compared among three groups.Results QOL score was lower in group C than that in groups of A and B（P〈0.05）,but the scores of ADL and behavior ability were higher in group C than those in groups of A and B（P〈0.05）.Covariance analysis showed that the age and parents＇mental health status had a positive effect on QOL and ADL,the age had a positive effect on behavior ability,the parents＇mental health status had a positive effect on peer rating problems,and the age had a negative effect on peer rating problems.Conclusion The QOL,ADL and behavior ability are poorer in ADHD children with severe anxiety disorders（two or more anxiety manifestations）.

关 键 词：焦虑 注意力缺陷/多动障碍 社会功能 儿童 

分 类 号：R749[医药卫生—神经病学与精神病学]