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长沙市小学生冲动行为评估与影响因素探讨
作者:李介民1  罗雪梅1  沈奕2  蔡益民1  罗珍胄3 
单位:1. 中南大学湘雅二医院儿科  湖南 长沙 410011 
2.
 中南大学湘雅二医院骨科  湖南 长沙 410011 
3.
 中南大学公共卫生学院流行病与卫生统计学教研室 
关键词:儿童 冲动 影响因素 Barratt冲动量表 
分类号:R395.2
出版年,卷(期):页码:2009,17(3):351-353
摘要:

目的:探讨儿童冲动行为评估与影响因素。方法:在长沙市随机抽取6~12岁儿童1736名,由家长完成对受试儿童的Barratt冲动量表和家庭情况问卷调查。结果:儿童的冲动性以男性组较高(P<0.01)。BIS总分及运动因子、缺少计划因子得分随着年龄增长而呈下降趋势(P<0.01)。孕期病症组及早产组的儿童冲动性较高(P<0.05)。母亲高学历组、母亲从事技术、干部、教师或医师等职业组的儿童冲动性较低(P<0.01);家庭经济收入处于中上等水平组冲动性较低(P<0.01);父母离异组,父母情绪躁狂、焦虑或抑郁组,教育态度不一致组,不采取说服教育组儿童的冲动性均有明显增高(P<0.05或P<0.01)。结论:儿童冲动行为与围生期因素及家庭养育环境相关。

Objective: To explore the evaluation and influential factors of impulsiveness in children. Methods: 1736 children aged 6 to 12 years were selected randomly from Changsha, whose parents completed the questionnaires of family status questionnaire and Barratt Impulsiveness Scale 11th version (BIS-11). Results: The impulsiveness in male is higher than female among children (P<0.01). The total score of BIS, as well as the score of moter impulsiveness and non-planning impulsiveness factors were decreasing along with age, and there was a significant difference between the different age groups (P<0.01). Children, with mother in the diseased during pregnancy group or premature delivery group, had a higher impulsiveness (P<0.05). The impulsiveness in children was lower (P<0.01) in such family environment: mother with a high educational background, and mother with an occupation as technician, officer, teacher or doctor, etc. The impulsiveness in children was lower in middle-high income family (P<0.01), and was higher in these group (P<0.05 or P<0.01): divorced family group, parents with mania, anxiety or depression group, parents with divergently educational attitude group, and parents with no persuasive education group. Conclusion: The results of the current study shows that perinatal factors and family environment is correlated with hyperactive-impulsive level in children.

基金项目:
湖南省科学技术厅科技计划项目(06FJ3154)
作者简介:
参考文献:

[1] John L,Evenden. Varieties of impulsivity.Psychopharmacology,1999,146:348
[2] Patton JH,Stanford ES,Barratt ES. Factou structure of the Barratt Impulsiveness Scale. Joumal of Clinical Psychology,1995,51:768-774
[3] 李飞,苏林雁,耿耀国. Barratt 冲动量表用于儿童的信度和效度初步研究.中国临床心理学杂志,2006,14(2):115-117
[4] 耿耀国,叶蓓,苏林雁,等.冲动的心理学与神经生化研究进展.临床心身疾病杂志,2008,14(6):556-558
[5] 黄广文,苏林雁,周先勇,等.儿童对立违抗障碍相关因素分析.中国实用儿科杂志,2007,22(7):513-516
[6] Kalff AC,Kroes M,Vled TS,et al. Factors affecting the relation betqqeen parental education as well as occupaton. Soc Psychiatry Epidemiol,2001,36(7):324
[7] 高雪屏,于素维,苏林雁.儿童青少年多动冲动行为与父母养育方式的关系.中国临床心理学杂志,2003,11(1):36-38

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