CAJ | 학술논문

目的探讨对立违抗性障碍(oppositional defiant disorders,ODD)儿童行为和初始沙盘特点.方法 ODD儿童24例,正常儿童24名,采用CONNERS父母问卷(PSQ)和沙盘工具,对ODD儿童和正常儿童的行为和初始沙盘特征进行比较分析.结果 1.ODD儿童与正常儿童PSQ各因子得分比较,品行问题[(1.31±0.53)分、(0.36±0.31)分]、学习问题[(2.01±0.66)分、(0.57 ±0.51)分]、冲动-多动[(1.60±0.77)分、(0.35±0.41)分]、焦虑[(0.60±0.50)分、(0.27±0.25)分]及多动指数[(1.12±0.31)分、(0.78±0.28)分]评分均高于正常对照组,差异有统计学意义(P＜0.05).2.0DD儿童与正常儿童在使用各类沙具的数量上比较,ODD儿童使用交通工具和武器明显多于正常儿童,植物及石头明显少于正常儿童,差异有统计学意义(P＜0.05).3.ODD儿童与正常儿童沙盘主题特征比较,ODD组较多出现混乱、忽视、受伤及威胁4个创伤主题,而较少出现整合和能量2个治愈主题,差异有统计学意义(P＜0.05).结论 ODD儿童比正常儿童有更多焦虑体验.ODD儿童在初始沙盘上多呈现攻击性类沙具和创伤主题.
목적 탐토대립위항성장애(oppositional defiant disorders,ODD)인동행위화초시사반특점.방법 ODD인동24례,정상인동24명,채용CONNERS부모문권(PSQ)화사반공구,대ODD인동화정상인동적행위화초시사반특정진행비교분석.결과 1.ODD인동여정상인동PSQ각인자득분비교,품행문제[(1.31±0.53)분、(0.36±0.31)분]、학습문제[(2.01±0.66)분、(0.57 ±0.51)분]、충동-다동[(1.60±0.77)분、(0.35±0.41)분]、초필[(0.60±0.50)분、(0.27±0.25)분]급다동지수[(1.12±0.31)분、(0.78±0.28)분]평분균고우정상대조조,차이유통계학의의(P＜0.05).2.0DD인동여정상인동재사용각류사구적수량상비교,ODD인동사용교통공구화무기명현다우정상인동,식물급석두명현소우정상인동,차이유통계학의의(P＜0.05).3.ODD인동여정상인동사반주제특정비교,ODD조교다출현혼란、홀시、수상급위협4개창상주제,이교소출현정합화능량2개치유주제,차이유통계학의의(P＜0.05).결론 ODD인동비정상인동유경다초필체험.ODD인동재초시사반상다정현공격성류사구화창상주제.
Objective To explore the behavior and initial sandtray characters of the children with oppositional defiant disorders (ODD) in order to provide psychological and behavioral intervention as early as possible.Methods The differences of the Conners parent symptom questionnaire (PSQ) and initial sandtrays between 24 children with ODD and 24 normal children were compared.Results PSQ indicated that children with ODD had higher scores of conduct proble((1.31 ± 0.53),(0.36 ± 0.31)),learning problem ((2.01 ± 0.66),(0.57 ±0.5)),hyperactivity-impulsion ((1.60 ± 0.77),(0.35 ± 0.41)),anxiety ((0.60 ± 0.50),(0.27 ± 0.25)) and hyperactivity index((1.12 ± 0.31),(0.78 ± 0.28)) than normal children.On the use of toys,the experimental group was significantly higher in armament and transports and lower in plants and stones(P＜0.05).On the theme of sandtrays,the ODD group was significantly higher in disorder,neglect,injury,threat and lower in integration and energy (P ＜ 0.05).Conclusion The results show that the children with ODD have more anxiety experience than normal children and this may be associated with oppositional conduct.Children with ODD use more aggressive toys and wounded themes,revealing their attack and conflict.Psychological intervention can be provided according to the characters of behavior scale and initial sandtray.