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儿童气质测评与多动症的相关性研究
http://www.100md.com 2020年2月5日 《中国当代医药》 2020年第4期
     [摘要]目的 分析兒童多动症(ADHD)的影响因素。方法 选取2018年6月~2019年6月在我院确诊为ADHD的35例儿童作为观察组,选取同期我院的35例非ADHD健康儿童作为对照组。比较两组的基本资料、Conner′s问卷量表指标评分、儿童气质量表指标评分,并分析ADHD的相关影响因素。结果 两组的父母文化程度、婚姻状况比较,差异有统计学意义(P<0.05);观察组患儿的焦虑、学习问题、品行问题、身心问题、多动指数、冲动多动等评分高于对照组,差异有统计学意义(P<0.05);观察组的活动水平、反应强度、坚持度、注意分散度等评分均高于对照组,差异有统计学意义(P<0.05);观察组的难养型气质儿童占比为37.14%,高于对照组的8.57%,差异有统计学意义(P<0.05);观察组的中间型气质儿童占比为51.43%,低于对照组的77.14%,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,父母文化程度、父母婚姻状况、活动水平、焦虑、学习问题、品行问题、身心问题、多动指数、冲动多动、中间型气质、难养型气质、反应强度、坚持度、注意分散度等是ADHD的影响因素(P<0.05)。结论 父母文化程度、婚姻状况、焦虑、学习问题、品行问题、身心问题、多动指数、冲动多动、活动水平、反应强度、坚持度、注意分散度等因素与ADHD密切相关,难养型气质更容易形成ADHD。

    [关键词]儿童气质测评;多动症;影响因素;问卷调查

    [中图分类号] R749.94 [文献标识码] A [文章编号] 1674-4721(2020)2(a)-0110-05

    A study on the correlation between temperament assessment and attention deficit hyperactivity disorde in children

    YAN Juan-feng CHEN Lei WU Hong-ling YANG Hong-ping

    Department of Child Healthcare, Maternal and Child Health Hospital in Xinyu City, Jiangxi Province, Xinyu 338025, China

    [Abstract] Objective To analyze influencing factors of attention deficit hyperactivity disorder (ADHD) in children. Methods A total of 35 children who were confirmed with ADHD in our hospital during the period from June 2018 to June 2019 were enrolled as observation group. A total of 35 healthy non-ADHD children in our hospital during the same period were enrolled as control group. The basic data, scores of Conner′s questionnaire scale indexes and children′s temperament indexes were compared between the two groups. The relevant influencing factors of ADHD were analyzed. Results There were statistically significant differences in parents′ educational levels and marital status between the two groups (P<0.05). The scores of anxiety, learning problems, conduct problems, physical and mental problems, hyperactivity index and impulsive hyperactivity in observation group were higher than those in control group, the differences were statistically significant (P<0.05). The scores of activity level, reaction intensity, persistence degree and attention dispersion degree in observation group were higher than those in control group, the differences were statistically significant (P<0.05). The proportion of children with refractory temperament in observation group was 37.14%, which was higher than that in control group (8.57%), the difference was statistically significant (P<0.05). The proportion of children with intermediate temperament in the observation group was 51.43%, which was lower than that in the control group (77.14%), and the difference was statistically significant (P<0.05). The results of multivariate Logistic regression analysis showed that parents′ educational levels, parents′ marital status, activity level, anxiety, learning problems, conduct problems, physical and mental problems, hyperactivity index, impulsive hyperactivity, intermediate temperament, refractory temperament, reaction intensity, persistence and attention dispersion degree were influencing factors of ADHD (P<0.05). Conclusion Parents′ educational levels, marital status, anxiety, learning problems, conduct problems, physical and mental problems, hyperactivity index, impulsive hyperactivity, activity level, reaction intensity, persistence and attention dispersion degree are closely related with ADHD. Children with refractory temperament are more easy to be accompanied with ADHD., 百拇医药(严娟凤 陈蕾 吴红玲 杨红平)