摘要
目的调查孤独性障碍儿童胃肠道症状和饮食行为问题的发生率。方法随机调查2010年3月-2011年3月在南京医科大学附属脑科医院儿童心理卫生研究中心就诊的、符合《精神障碍诊断与统计手册(第4版)》修订版(DSM-IV-TR)孤独性障碍诊断标准且家长自愿参加调查研究的69例儿童作为病例组。同时在南京市普通幼儿园中抽取96名正常儿童作为对照组。采用自制的儿童胃肠道及饮食行为调查表调查儿童的一般情况、胃肠道症状及饮食行为情况。结果病例组胃肠道症状发生率为87.0%,其中便秘(59.4%vs.34.4%,χ2=12.04,P=0.002)、腹泻(63.80%vs.44.80%,χ2=8.85,P=0.012)、偏食(65.2%vs.39.6%,χ2=10.55,P=0.001)的发生率均高于对照组。结论孤独性障碍儿童存在较高比例的胃肠道症状及饮食行为异常,其中以便秘、腹泻及偏食最为突出。
Objective To investigate the incidence of gastrointestinal symptoms and dietary behavior problems in children with autism. Methods 69 children were selected from the children's mental health research center of Nanjing Brain Hospital Affiliated of Nanjing Medical University from March 2010 to March 2011. All met the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders,fourth edition,text revision( DSM-IV-TR),and their parents were volunteered to participate in the study. Meanwhile,96 normal children were recruited from kindergarten in Nanjing as the control group. Children 's general condition,gastrointestinal symptoms and dietary behavior are investigated with self-made children's gastrointestinal and dietary behavior questionnaire. Results The incidence of gastrointestinal symptoms in the autistic group was 87. 0%. The incidence of constipation( 59. 4% vs. 34. 4%,χ2= 12. 04,P = 0. 002),diarrhea( 63. 80% vs. 44. 80%,χ2= 8. 85,P = 0. 012) and partial eclipse( 65. 2% vs. 39. 6%,χ2= 10. 55,P = 0. 001)of the autistic group were significantly higher than those of the control group. Conclusion Children with autistic disorder have a higher incidence of gastrointestinal symptoms and abnormal diet behavior,and constipation,diarrhea and partial eclipse are the most common.
出处
《四川精神卫生》
2017年第6期539-542,共4页
Sichuan Mental Health
基金
南京医科大学科技发展基金面上项目(09NJMUM130)
关键词
孤独性障碍
胃肠道症状
饮食行为
Autistic disorder
Gastrointestinal symptoms
Dietary behavior
