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【目的】通过抑郁、焦虑情况及应激性生活事件调查,探讨儿童青少年肠易激综合征(irrtable bowel syn-drome,IBS)的社会心理因素。【方法】对2009年1月—2010年6月本院儿童消化科诊治的IBS患儿进行儿童抑郁障碍自评量表、儿童焦虑性情绪障碍筛查表、青少年生活事件量表测评。对同期50例健康儿童进行青少年生活事件量表测评。【结果】1)儿童抑郁障碍自评量表得分:IBS组睡得很香、吃东西香、对自己有信心及爱与家人交谈项目得分显著低于全国常模组(P<0.05或0.01),总是想哭、肚子痛、感到孤单、感到悲哀、感到烦恼项目得分显著高于全国常模组(P<0.05或0.01);2)儿童焦虑性情绪障碍筛查表:IBS组各项得分均显著高于全国常模组(P<0.01);3)青少年生活事件量表:IBS组人际关系因子、学习压力因子及总应激量显著高于健康对照组(P<0.05或0.01)。【结论】抑郁、焦虑情况及应激性生活事件与儿童青少年IBS密切相关。
【Objective】 To investigate the psychosocial factors of children with juvenile irritable bowel syndrome (IBS) through the investigation of depression, anxiety and stressful life events. 【Methods】 From January 2009 to June 2010, children with IBS diagnosed and treated in Children’s Gastroenterology Department were evaluated by Childhood Depression Disorder Scale, Children’s Anxiety Emotional Disorders Screening List and Children’s Life Events Scale. A total of 50 healthy children in the same period were assessed on the life event scale of adolescents. 【Results】 1) Children’s depression self-rating scale scores: IBS group slept very well, eat something fragrant, have confidence in themselves and love and family talk item score was significantly lower than the national norm group (P <0.05 or 0.01) , Always want to cry, stomachache, feel lonely, feel sad, feel trouble project score was significantly higher than the national norm group (P <0.05 or 0.01); 2) children anxiety disorder screening table: IBS group scores (P <0.01); 3) Adolescent Life Events Scale: The interpersonal factors, learning stress factors and total stress in IBS group were significantly higher than those in healthy control group (P <0.05 or 0.01). 【Conclusion】 Depression, anxiety and stressful life events are closely related to IBS in children and adolescents.