摘要
【目的】了解不同类型注意缺陷多动障碍(attention deficit/hyperactivity disorder,ADHD)儿童的行为特点。【方法】对湖南省六个地区进行抽样调查共9 495名儿童。采用二阶段流行病学调查方法,用半定式诊断检查表(K-SADS-PL)和DSM-IV对ADHD筛查阳性患儿进行临床诊断,凡符合ADHD诊断标准的由照管者填写Achenbach儿童行为量表。【结果】①ADHD三种亚型CBCL各行为问题分项中仅在退缩、性问题、活动情况三个分项中没有组间差异,其余分项中均存在组间差异;②两两分析比较在社交问题、注意问题、攻击行为、外化性问题、行为问题总分、社交情况、学校情况、社交能力总分等8个分项表现为一致的组间差异,即三种亚型与对照组相比差异均具有显著性,而三种亚型之间差异无显著性;而其余分项则在三种亚型间分别显示出不同的组间差异。【结论】ADHD三种亚型儿童行为问题在CBCL各分项中的表现不尽一致。
[Objective] To explore the behavioral characteristics among different subtypes of attention deficit/hyperactivity disorder（ADHD） male children. [Methods] The research group conducted a sample survey in six regions in Hunan Province sampling a total of 9 495 children using the Second-Phase-Interview approach. After the first phase of the Child Mental Disorders Screening survey form were completed, the second phase of diagnostic tests using the half table （K- SADS-PL） and the DSM-IV for ADHD in subjects with positive screening were conducted clinically. The caring person then filled the Achenbach Child Behavior checklist（CBCL） for children who met the diagnostic criteria. [Results] （D3 subtypes of ADHD manifested congruent outcomes in 3 subscales （withdrawal, sex problem, activity score ）among all CBCL subscales, while the rest subseales show the contrast.②Through the Post Hoc Test, 8 subscales of CBCL including social problems, attentive problems etc manifested same differences among 3 subtypes and controls,while other subscales of CBCL showed their distinct specificities. [Conclusions] Different subtypes of ADHD children manifeste incongruent behavioral characteristics among CBCL subscales.
出处
《中国儿童保健杂志》
CAS
2009年第2期131-133,共3页
Chinese Journal of Child Health Care
基金
国家自然科学基金项目(30570660)
中华医学基金会(CMB)资助(Small Grants Program#02-777)
关键词
注意缺陷多动障碍
行为
儿童
attention deficit/hyperactivity disorder
behavior
child
