中国行为医学科学
中國行為醫學科學
중국행위의학과학
2008年
12期
1089-1090
,共2页
刘春梅%罗学荣%叶海森%宁志军%杨伟%韦臻%管冰清%袁秀洪%丁军%张跃兵
劉春梅%囉學榮%葉海森%寧誌軍%楊偉%韋臻%管冰清%袁秀洪%丁軍%張躍兵
류춘매%라학영%협해삼%저지군%양위%위진%관빙청%원수홍%정군%장약병
注意缺陷多动障碍%对立违抗障碍%Achenbach儿童行为评定量表
註意缺陷多動障礙%對立違抗障礙%Achenbach兒童行為評定量錶
주의결함다동장애%대립위항장애%Achenbach인동행위평정량표
Attention-deficit hyperactivity disorder(ADHD)%oppositional defiant disorder(ODD)%CBCL
目的 了解注意缺陷多动障碍(ADHD)及伴对立违抗障碍(ODD)患儿的行为特点.方法 采用二阶段流行病学调查方法,对湖南省六地区9495名儿童用半定式诊断检查表(K-SADS-PL)和DSMⅣ诊断标准进行临床诊断.凡符合ADHD和ADHD+ODD诊断标准的儿童由父母填写Achenbach儿童行为量表.从筛查阴性者中随机抽取正常对照组儿童.结果 (1)单纯ADHD组、ADHD+ODD组CBCL各行为问题得分高于正常儿童对照组(P<0.01),ADHD+ODD组的违纪问题[(4.10±3.17)分,(2.68±2.63)分]、攻击行为[(8.80±6.34)分,(6.85±5.69)分]、外向性问题[(12.90±9.09)分,(9.54±7.88)分]、行为问题总分[(36.39±25.59),(30.35±24.32)]高于ADHD组.(2)ADHD组各社会能力得分低于正常儿童对照组(P<0.01),ADHD+ODD组学校分及社会能力总分低于正常儿童对照组(P<0.01).结论 ADHD患儿行为问题的发生高于正常儿童,合并ODD的ADHD患儿行为问题更加严重.
目的 瞭解註意缺陷多動障礙(ADHD)及伴對立違抗障礙(ODD)患兒的行為特點.方法 採用二階段流行病學調查方法,對湖南省六地區9495名兒童用半定式診斷檢查錶(K-SADS-PL)和DSMⅣ診斷標準進行臨床診斷.凡符閤ADHD和ADHD+ODD診斷標準的兒童由父母填寫Achenbach兒童行為量錶.從篩查陰性者中隨機抽取正常對照組兒童.結果 (1)單純ADHD組、ADHD+ODD組CBCL各行為問題得分高于正常兒童對照組(P<0.01),ADHD+ODD組的違紀問題[(4.10±3.17)分,(2.68±2.63)分]、攻擊行為[(8.80±6.34)分,(6.85±5.69)分]、外嚮性問題[(12.90±9.09)分,(9.54±7.88)分]、行為問題總分[(36.39±25.59),(30.35±24.32)]高于ADHD組.(2)ADHD組各社會能力得分低于正常兒童對照組(P<0.01),ADHD+ODD組學校分及社會能力總分低于正常兒童對照組(P<0.01).結論 ADHD患兒行為問題的髮生高于正常兒童,閤併ODD的ADHD患兒行為問題更加嚴重.
목적 료해주의결함다동장애(ADHD)급반대립위항장애(ODD)환인적행위특점.방법 채용이계단류행병학조사방법,대호남성륙지구9495명인동용반정식진단검사표(K-SADS-PL)화DSMⅣ진단표준진행림상진단.범부합ADHD화ADHD+ODD진단표준적인동유부모전사Achenbach인동행위량표.종사사음성자중수궤추취정상대조조인동.결과 (1)단순ADHD조、ADHD+ODD조CBCL각행위문제득분고우정상인동대조조(P<0.01),ADHD+ODD조적위기문제[(4.10±3.17)분,(2.68±2.63)분]、공격행위[(8.80±6.34)분,(6.85±5.69)분]、외향성문제[(12.90±9.09)분,(9.54±7.88)분]、행위문제총분[(36.39±25.59),(30.35±24.32)]고우ADHD조.(2)ADHD조각사회능력득분저우정상인동대조조(P<0.01),ADHD+ODD조학교분급사회능력총분저우정상인동대조조(P<0.01).결론 ADHD환인행위문제적발생고우정상인동,합병ODD적ADHD환인행위문제경가엄중.
Objective To explore behavior character of ADHD children with and without oppositional defiant disorder(ODD).Methods 9495 children were sampled from six regions in Hunan Province by using two phase epidemiological design. Children were performed by investigators who administered the semi-structured schedule (K-SADS-PL)and the DSM-IV diagnoses criteria for ADHD and ODD.Parents completed Child Behavior Checkiist(CBCL) for Attention-deficit hyperactivity disorder(ADHD) children.Normal children from negative screening were collected as control group. Results The result showed the subscales of behavioral problems were scored higher in ADHD without ODD group and ADHD with ODD group,ADHD with ODD obtained higher scores than ADHD without ODD on the CBCL aggressive behavior[(8.80±6.34)vs(6.85±5.69)],delinquent behavior[(4.10±3.17)vs(2.68±2.63)],externalizing[(12.90±9.09)vs(9.54±7.88)],total problems subscales.The subscales of social skills were scored lower in ADHD without ODD group,and there were significant differences.Conclusion Behavioral problems in children with ADHD than in normal children,behavior problems in ADHD with ODD are even more serious.
