摘要
目的了解儿童注意缺陷多动障碍患者合并其他行为问题的情况。方法采用Conners儿童行为问卷（父母用），对符合美国精神病协会《精神障碍诊断和统计手册》第4版（DSM—Ⅳ）注意缺陷多动障碍诊断标准的1006例患者进行了合并行为问题的研究，分析不同性别、不同亚型患儿Conners量表测试结果，以分析注意缺陷多动障碍合并其他行为障碍的特点。结果多动／冲动为主型、注意缺陷为主型和混合型行为问题各占18．3％、55．9％和25．9％，其分布经比较有显著性差异（X2=9．054，P〈0．05）；1006例患者主要分布在7～11岁之间，占总人次的78．1％，其中以9岁组为最多；合并学习问题者占57．6％、品行问题占50．1％，焦虑占36．2％，心身障碍占17．3％；女性患儿各因子异常率和总分异常率均高于男性，除心身障碍因子外，其余因子异常率性别间经比较差异有统计学意义（X2=11．148，P〈0．01）；多动／冲动为主型行为问题发生率由高到低为品行问题、学习问题、焦虑和心身障碍；注意缺陷为主型和混合型行为问题发生率顺序均为学习问题、品行问题、焦虑和心身障碍；以上4种障碍发生率均以混合型行为问题最高，不同亚型各因子异常率经比较均存在显著性的差异。结论注意缺陷多动障碍患儿合并行为问题较多，性别和亚型间存在差异；症状愈严重，合并障碍比例愈高。
Objective To investigate behavial problems of children with attention deficit and hyperactivity disorder （ADHD）. Methods With Conner＇ s parents symptom questionnaire（ PSQ）, 1 006 children with ADHD who met the criteria of DSM-Ⅳ were studied. The PSQ results of different gender and subtypes of ADHD were compared, the combined behavioral problems or comorbidity were analyzed. Results The incidence of behavial problems associated with ADHD in predominantly hyperactive-impulsive type group, predominantly inattentive type group and mixed type group were 18. 3% , 55. 9% and 25. 9% respectively and there was a significant difference between predominantly hyperactive-impulsive type group and predominantly inattentive type group （X2 = 9. 054, P 〈 0. 05 ）. Among 1 006 children investigated, most children （78.1%） were 7 to 11 years old, of which the number of children aged 9 years was the most. The rates of associated learning problem, conduct disorder, anxiety and psychosomatic disorder were 57. 6% , 50. 1% , 36. 2% and 17. 3% respectively. The rates of 4 associated problems and the abnormal rate of total scores in the girls were significantly higher than those in the boys, and there was a significant difference in abnormal rates of other factors except psychosomatic disorder factor between the two genders （X2 = 11. 148, P 〈 0.01 ）. The orders from high to low in incidences of behavial problems of children with predominantly hyperactiveimpulsive type ADHD were conduct disorder, learning problem, anxiety and psychosomatic disorder, while those of children with predominantly inattentive type and mixed types ADHD were both learning problem, conduct disorder, anxiety and psychosomatic disorder. The highest abnormal rates of 4 behavial problems mentioned above were all seen in mixed type ADHD group. In abnormal rates of 4 behavial problems there were significant differences between different ADHD subtypes. Conclusion The associated behavial problems or comorbidity of children with ADHD are diverse and there are significant differences both between the two genders and between different subtypes . The more severe the symptoms, the more the incidences of associated berhavial problems.
出处
《中国妇幼健康研究》
2009年第2期114-116,共3页
Chinese Journal of Woman and Child Health Research
关键词
注意缺陷多动障碍
儿童
行为问题
Conners儿童行为问卷
attention deficit and hyperactivity disorder （ADHD）
children
behavioral problem
Conner＇ s parents symptom questionnaire （ PSQ ）
