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作 者:马艳艳 尚煜 王川[1] 吕莹 MA Yan Yan;SHANG Yu;WANG Chuan;LV Ying(Maternal and Child Health Hospital of Chaoyang District,Beijing 100021,China)
出 处:《中国妇幼卫生杂志》2022年第3期1-5,共5页Chinese Journal of Women and Children Health
基 金:2020年度朝阳区精神卫生特色服务项目——朝阳区学龄前儿童行为问题流行病学调查(2020007)。
摘 要:目的 探讨学龄前儿童行为问题与社交能力的关系,为家长和保健医师处理学龄前儿童行为问题提供依据。方法采取整群随机抽样的方法,抽取北京市朝阳区5所幼儿园1 028名4~6岁儿童为调查对象,采用Achenbach儿童行为量表对家长开展问卷调查,采用相关性分析和logistic回归方法分析学龄前儿童行为问题的影响因素及与社交能力的相关性。结果学龄前儿童行为问题的总检出率为14.60%,男童检出率相对较高的分别是性问题(12.42%)、社会退缩(2.85%)和抑郁(2.44%),女童检出率相对较高的分别是多动(6.38%)、肥胖(4.47%)和分裂样表现(3.62%)。儿童行为问题总分及各因子与社交能力存在负相关。多因素分析显示,社交能力得分高是儿童行为问题的保护因素(OR=1.133,95%CI:1.034~1.241)。结论 学龄前儿童行为问题可能与社交能力具有一定的相关性。进行学龄前儿童行为问题的诊断和干预时,可参考其与兄弟姐妹或其他儿童相处等社交能力的表现情况。Objective To explore the relationship between preschool children’s behavior problems and social ability, so as to provide scientific evidence for parents and health-care physicians to deal with children’s behavioral problems. Methods A total of 1 028 preschool children aged 4-6 years from 5 kindergartens in Chaoyang District, Beijing were recruited by random cluster sampling method. Achenbach Child Behavior Checklist Questionnaire(CBCL) was used to investigate children’s parents.Correlation analysis and logistic regression were used to analyze the influencing factors of preschool children’s behavior problems and the correlation of behavior problems and social ability. Results The overall detection rate of behavior problems among preschool children was 14.60%. The high detection rates of boys were sexual problems(12.42%), social withdrawal(2.85%) and depression(2.44%),respectively, while girls were hyperactivity(6.38%), obesity(4.47%) and schizophrenia(3.62%), respectively. Scores of children’s behavior problems were negatively related with social ability. Multivariate logistic regression analysis showed that high social ability score was a protective factor for children’s behavioral problems(OR=1.133, 95%CI:1.034-1.241). Conclusion Preschool children’s behavior problems might be correlated with social ability. When their behavioral problems are diagnosed and intervened, the social ability such as getting along with their siblings or others children should be referred to.
关 键 词:学龄前儿童 ACHENBACH儿童行为量表 社交能力 行为问题
分 类 号:R179[医药卫生—妇幼卫生保健]
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