摘要
目的 了解意外伤害儿童心理学特点 ,为采取心理干预措施提供依据。方法 采用艾森克个性问卷 (EPQ)和Achenback儿童行为量表 (CBCL) (父母用表 ) ,对 7～ 11岁住院治疗的意外伤害儿童 (伤害组 )和正常健康儿童 (对照组 )各 81例进行测试。结果 (1)EPQ的P、E、N分量表得分伤害组高于对照组 (P <0 0 5或 <0 0 0 1) ,L分量表对照组则高于伤害组 (P <0 0 0 1)。 (2 ) )伤害组CBCL平均得分 (37 6 2± 11 0 3)高于对照组 (17 77± 12 12 ,P <0 0 0 1) ;行为问题检出率 [32 0 9% (2 6 / 81) ]亦高于对照组 [11 11% (9/ 81) ,P <0 0 0 1],OR值 3 78,95 %CI为 1 6 6～ 8 5 9。行为因子的敏感性(32 1% )较低 ,特异性 (88 9% )和阳性结果价值 (74 3% )较高。伤害组男童在多动、攻击性、违纪 ,女童在多动、攻击性、抑郁、违纪等因子M均高于对照组 (P均 <0 0 1)。 (3)伤害组男童CBCL平均得分(39 84± 10 99)高于女童 (34 2 6± 10 4 3,P <0 0 5 )。伤害的危险因子男童为攻击、多动、违纪 ,女童为攻击、违纪、抑郁。结论 意外伤害儿童心理、行为问题较多 ,应采取心理干预措施 ,降低儿童意外伤害的发生。
Objective To study psychologic features of accidentally injured children to provide basis for application of psychologic intervening measures Methods Eysenck personality questionnaire (EPQ) and Achenback child behavior capacity list(CBCL) (list for parents) were used to test accidentally injured children 7-11 years of age who were hospitalized (injury group) and healthy childre (control group) Each group was composed of 81 cases Results (1) Scores of P, E and N branch capacity lists in EPQ of injury group were all higher than those of control group( P <0 05 or <0 001) But the score of L branch capacity of control group was higher that that of injury group ( P <0 001) (2)Boys of injury group in seven factors of restlessness, violation of discipline,attack, harmful contact, schizoid anxiety, depression and body complaint and girls of injury group in seven factors of restlessness, cruelty, attack, depression,body complaint, social flinching and violation of discipline had higher scores than those in control group did ( P <0 01) (3)Detectable rate of behavior problems of injury group was 32 09% (26/81),higher than that of control group [11 11% (9/81), P <0 001] The odds ratio (OR)was 3 78, 95% CI was 1 66～8 59 ( P <0 01) The behavior factor had a lower sensitivity ( 32 1%)and a higher specificity (88 9%) and lower positive result value(74 3%).(4) Average CBCL score of boys in injury group (39 84 ±10 99) was higher than that of girl in injury group(34 26±10 43, P <0 05) Boys in two factors of violation of discipline and attack, girls in factor of depression factor M had higher score than the opposite sex subjects did ( P <0 05 or 0 01) (5) Average CBCL score (37 62±11 03) of injury group was higher than that of control group (17 77±12 12 , P <0 001) Logistic multiple factor analysis showed that boys′accidentally injured factors were attack, restlessness, violation of disciplin
出处
《中华儿科杂志》
CAS
CSCD
北大核心
2004年第1期35-38,共4页
Chinese Journal of Pediatrics
关键词
意外伤害
心理学
心理干预
儿童行为
个性量表
Wounds and injuries Child psychology
Personality inventory
child behavior
