中国临床心理学杂志

慢性抽动障碍儿童行为问题的对照研究

作者：马学梅¹ 赵云静² 赵亚茹² 宋辉青²

单位：1. 解放军313医院
2. 中国医科大学附属第二医院发育儿科辽宁沈阳 110004

分类号：R395.2

出版年,卷(期):页码：2007,15(2):186-187

摘要：

目的：比较伴与不伴注意缺陷多动障碍(ADHD)的慢性抽动障碍(CTD)儿童和ADHD以及正常对照儿童行为问题的差异。方法：对伴与不伴ADHD的CTD儿童和ADHD以及正常对照儿童采用儿童行为量表(CBCL)进行对比分析。结果：CTD+ADHD组和ADHD组儿童总的行为问题发生率、CBCL多数因子分及行为问题总分与单纯CTD组和对照组比较，差异有统计学意义(P﹤0.05)，而单纯CTD组和对照组两组间只有强迫、多动、攻击因子分和行为问题总分有统计学差异(P﹤0.05)。结论：伴有ADHD的CTD儿童与ADHD儿童相似，存在较高的行为问题发生率和较多的行为问题，提示伴有的ADHD是CTD儿童行为问题的主要来源。

Objective:To analyse the behavioral problems of children with chronic tic disorders(CTD).Methods:Children with CTD only and with comorbid attention deficit hyperactivity disorder(ADHD)as well as ADHD and normal controls were assessed by Child Behavior Checklist(CBCL).The rates and scores of behavioral problems between groups were compared.Results:The rate of behavioral problems, total score and most subscales scores in CTD comorbid ADHD group and ADHD group were significantly higher than those of CTD only and control group.There were no significant differences between CTD only and control group except obsessive compulsive problem, hyperactivity behavior, aggressive behavior and total score.Conclusion:The present study suggests that comorbid ADHD was associated with more behavioral problems.

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参考文献：

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