中国临床心理学杂志

注意缺陷多动障碍儿童行为问题的对照研究

作者：赵云静郗春艳马学梅

分类号：R395.1

出版年,卷(期):页码：2006,14(2):140-141

摘要：

目的：比较注意缺陷多动障碍(Attention Deficit Hyperactivity Disorder，ADHD)临床亚型和正常儿童的行为问题。方法：将符合DSM-ⅣADHD诊断标准的男童70例分为注意障碍为主型(PI)44例，以多动/冲动为主型(HI)6例、混合型(CT)20例，采用儿童行为量表(Child Behavior Checklist，CBCL)比较各亚型和正常儿童的行为问题。结果：ADHD组行为问题发生率(48.57%)明显高于对照组(12.70%)，P＜0.01；ADHD各亚型行为问题发生率存在统计学差异(P＜0.01)，混合型最高；ADHD亚型与对照组CBCL因子分的4组间比较显示分裂性、强迫性、体诉、多动、攻击性、违纪因子及CBCL总分存在统计学差异；分裂性因子PI＞HI，攻击性因子CT，HI＞PI，违纪因子HI＞PI，CT。结论：ADHD男童行为问题发生率高于正常儿童，其中混合型行为问题发生率最高；ADHD临床亚型行为问题特点不同。

Objective: To analyse the behavioral problems of children with attention deficit hyperactivity disorder.Methods: 70 boys fulfilled ADHD criteria of DSM-IV were further divided into 3 subtypes: predominantly inattentive(PI, 44 cases), predominantly hyperactive-impulsive(HI, 6 cases) and combined type(CT, 20 cases).Compare the behavioral problems of subtypes of ADHD and 63 normal children.Results: The incidence of behavioral problems in boys with ADHD(48.57%) was significantly higher than that in control group(12.70%), and significant differences in incidence of behavioral problems were found among the three subtypes of ADHD.ADHD CT subtype had the highest rate of behavioral problems.PI subtype had more fissility than HI;CT and HI subtypes had more aggressive behaviors, and HI had more delinquence than PI and CT.Conclusion: Boys with ADHD had more behavioral problems than normal ones.CT subtype had the highest rate.The characteristics of behaviors were different among three subtypes.

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参考文献：

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