论文部分内容阅读
目的:探讨注意缺陷多动障碍(ADHD)与抽动障碍(TD)共病(CAT)患儿家庭环境特征及其与个性、自我意识之间的相关性。方法:采用家庭环境量表中文版(FES-CV)、艾森克个性问卷(少年版,EPQ)、Piers-Harris儿童自我意识量表(PHCSS)对注意缺陷多动障碍与抽动障碍共病(CAT)组60例、ADHD组79例、TD组60例、正常对照组(N组)71例儿童分别进行评估。结果:CAT组与ADHD组比较FES-CV、EPQ、PHCSS各因子得分均无明显差异,CAT组儿童在FES-CV中亲密度、知识性与组织性得分低于TD组(P<0.05),道德宗教观、知识性、娱乐性、组织性得分低于N组(P<0.05),独立性、矛盾性得分高于N组(P<0.05)。CAT组儿童精神质、神经质因子得分显著高于N组(P<0.01)。CAT组儿童行为、智力与学校情况、躯体外貌与属性、合群4个分量表得分及总分显著低于N组(P<0.01)。相关分析显示FES-CV中的矛盾性与EPQ中的掩饰程度呈负相关,道德宗教观与神经质呈负相关;FES-CV中的矛盾性与PHCSS中的行为因子呈显著负相关。结论:CAT患儿的家庭存在家庭功能缺陷,其家庭环境对患儿的个性及自我意识发展有一定的影响。
Objective: To explore the relationship between family environment and personality and self-awareness in children with attention deficit hyperactivity disorder (ADHD) and tic (TD) comorbidity (CAT). Methods: Familiar with attention-deficit hyperactivity disorder (ADHD) and tic disorder (FES-CV), Eysenck Personality Inventory (EPQ) and Piers-Harris Children’s Self-Consciousness Scale 60 cases in CAT group, 79 cases in ADHD group, 60 cases in TD group and 71 cases in normal control group (N group). Results: The scores of FES-CV, EPQ and PHCSS in CAT group were not significantly different from those in ADHD group. The scores of intimacy, knowledge and organization of FES-CV in CAT group were lower than those in TD group (P <0.05) Morality, religion, entertaining and organizational scores were lower than those in group N (P <0.05), and scores of independence and contradiction were higher than those in group N (P <0.05). The scores of psychoticism and neuroticism in CAT group were significantly higher than those in N group (P <0.01). CAT group children’s behavior, intelligence and school conditions, physical appearance and attributes, cohort 4 subscale score and score was significantly lower than the N group (P <0.01). Correlation analysis showed that the contradiction between FES-CV and EPQ was negatively correlated, while the morality and religion were negatively correlated with neuroticism. The contradiction between FES-CV and behavioral factors in PHCSS was negatively correlated. Conclusion: Families with CAT children have family function defects, and their family environment may have some impact on their personality and self-awareness.