腺样体肥大学龄期儿童的行为问题  

Behavioral problems in schoolage children with adenoidal hypertrophy

作　　者：张作庆 王婷婷[2] 韩海斌[2] 刘洁[2] 王璐 田博[2] ZHANG Zuoqing;WANG Tinging;HAN Haibin;LIU Jie;WANG Lu;TIAN Bo(Major in Psychiatry and Mental Health,Faculty of Medicine,Qingdao University,Qingdao 266071,Shandong Province,China;Depatment of Pediatrics,Qingdao Mental Health Center,Qingdao 266000,Shandong Povince,China)

机构地区：[1]青岛大学医学部,山东青岛266071 [2]青岛市精神卫生中心儿少科,山东青岛266000

出　　处：《中国心理卫生杂志》2023年第6期485-490,共6页Chinese Mental Health Journal

基　　金：山东省卫生科技发展计划(2018WS367);2020年度青岛市医药科研指导计划项目(2020-WJZD160)。

摘　　要：目的:探讨学龄期儿童腺样体肥大与其心理行为问题的相关性。方法:学龄期腺样体肥大患儿103例和学龄期健康儿童105例,采用自制一般情况问卷、腺样体肥大相关情况调查表、Conners父母用症状问卷(PSQ)、儿童社交焦虑量表(SASC)分析被试儿童心理行为问题的严重程度。结果:腺样体肥大组PSQ总分及品行障碍、学习问题、冲动-多动、多动指数因子得分均高于正常对照组,儿童SASC总分及害怕否定评价、社交回避苦恼因子分均高于正常对照组(均P<0.05)。多元线性分析显示,腺样体肥大病程、有无腺样体肥大并发症、腺样体肥大内镜下分度与学龄期儿童PSQ得分正向关联(β=0.57、0.17、0.28,P<0.05);腺样体肥大发病年龄、腺样体肥大病程与学龄期儿童SASC得分正向关联(β=0.38、0.49,P<0.05)。结论:学龄期儿童腺样体肥大与心理行为问题的严重程度相关。Objective:To explore the correlation between adenoida1 hypertrophy in school-age children and their psychobehavioral problemns.Methods:Totally 103 cases of schoo1-age adenoidal hypertrophy and 105 normal-children of school age were randornly included,and the sevenity of psychobehaviora1 prob1erns in the subjects was analyzed using a homemade genera1 situ ation questionnaire,a questionnaire related to adenoidal hypertrophy,P arent Symptom Questiomnaire,and Social Anxiety Scale for Children.Results:The total scores of PSQ with symptom questionnaires index factors,leamning problemns index factors,impulsivity-hyperactivity index factors and byperac-tivity index factors were higher than those of the normal control group in the adenoida1 hypertrophy group,and the tota1 scores of SASC,the evaluation of fear of negation factor score,and the socia1 avoidance distress factor score were higher than:those of the normal confrol group(Ps<0.05).Multiple regression analysis showed fthat the course of the course of adenoida1 bypertrophy,the presence or absence of cormplications of adenoida1 hypertrophy,and en-doscopic grading of adenoidal bypertrophy were posively associated with PSQ scores in schoo1-age children(β=0.57,0.17.0.28,Ps<0.05).Age of onset of adenoidal bypertrophy and course of adenoida1 bypertrophy were pos-ively associated with SASC scores in schoo1-age children(β=0.38,0.49,Ps<0.05).Conclusion:It suggests that adenoid hypertrophy in schoo1-age children is related to the sevenity of psychobehaviora1 problemns.

关 键 词：心理行为问题 腺样体肥大 学龄期儿童 

分 类 号：B844.1[哲学宗教—发展与教育心理学] R765.41[哲学宗教—心理学]