中国全科医学2017，Vol.20Issue(29)：3600-3605,6.DOI:10.3969/j.issn.1007-9572.2017.07.y06
注意缺陷多动障碍儿童问题行为及其影响因素分析
Analysis on the Problem Behaviors and Influencing Factors in Children with Attention-deficit Hyperactivity Disorder
摘要
Abstract
Objective To study the problem behaviors and their influencing factors in children with attention deficit hyperactivity disorder (ADHD).Methods From October 2013 to June 2014,a questionnaire survey was conducted to the children of Grade 1 to 4 from five public primary schools in a city of Heilongjiang Province by means of the convenient extraction method.The general situation questionnaire,Conners parents questionnaire (PSQ),children's temperament questionnaire,Ruteer children's behavior questionnaire (parental questionnaire),Chinese version of the children's sleep habits questionnaire (CSHQ),and parental rearing scale were used to investigate.It was judged positive for ADHD screening according to the score of PSQ hyperactivity index ≥1.5 points.And ADHD was diagnosed by ICD-10 as experimental group.132 cases were matched as control group according to the principle of homogeneity.Multivariate Logistic regression was used to analyze the influencing factors of ADHD.Results A total of 6 280 questionnaires were distributed and 5 742 valid questionnaires were collected.The recovery efficiency was 91.4％.352 cases were positive for ADHD screening,and the screening positive rate was 6.1％.132 cases were diagnosed as ADHD and the prevalence rate was 2.3％.There were no statistically significant differences in the avoidance and emotional nature scores between the two groups (P ＞ 0.05);the scores of activity,regularity,adaptability,reaction intensity,persistence,attention dispersion and reaction threshold in the temperament questionnaire of the experimental group were higher than those in the control group (P ＜ 0.05).The score of Ruteer children's behavior questionnaire in the control group was lower than that in the experimental group (t =47.98,P ＜ 0.001).There were no statistically significant differences in sleep anxiety,night wakening,abnormal sleep,sleep apnea,daytime sleepiness and total scores between the two groups CSHQ (P ＞ 0.05);the sleep habits,sleep latency and sleep duration scores of CSHQ in the experimental group were lower than those in the control group (P ＜ 0.05).The father's severely punishment,refused to deny,over-protection and mother's over-interference,refused to deny,severely punishment scores in the control group were lower than those in the experimental group (P ＜ 0.05).Mother's emotional warmth score was higher than that of the experimental group (P ＜ 0.05).Multivariate Logistic regression analysis showed that the birth weight,activity,avoidance,intensity of reaction,attention dispersion,severe father's punishment,mother's emotional warmth,and severe mother's punishment were influencing factors of ADHD (P ＜ 0.05).Conclusion Children with ADHD have more problem behaviors,and there are risk factors in terms of family upbringing.关键词
注意力缺陷障碍伴多动/儿童行为/影响因素分析Key words
Attention deficit disorder with hyperactivity/Child behavior/Root cause analysis分类
医药卫生引用本文复制引用
李杨,杨金伟,周郁秋,曹建琴,杨军,贾祥瑞..注意缺陷多动障碍儿童问题行为及其影响因素分析[J].中国全科医学,2017,20(29):3600-3605,6.基金项目
教育部人文社会科学项目青年基金课题(13YJCZH093) （13YJCZH093）
黑龙江省卫生厅科研课题(2011-229) （2011-229）
哈尔滨医科大学(大庆)种子基金 （大庆）
