6～11岁肥胖儿童行为问题调查

Survey on the Behavioral Problems in Children with Obesity from 6 to 11 Years Old

目的:调查6～11岁肥胖儿童行为的问题。方法:采用Achenbach's 儿章行为量表(CBCL),对安徽省安庆市与铜陵市111名调查对象进行问卷调查。结果:肥胖儿童行为问题发生率为36.94%,男、女分别为40.38%和33.90%,性别间差异无统计学意义(P>0.05)。4～16岁正常儿童青少年行为问题总发生率为12.97% (男童13.44%、女童12.52%),肥胖儿童整体及按性别比较,行为问题发生率均较高(u 分别为7.52、5.70和4.96,P均<0.01)。男童行为问题各因子发生率由高到低依次为:强迫行为34.62%、分裂焦虑23.08%、抑郁19.23%、体诉15.39%、交往不良13.46%、社交退缩9.62%、多动9.62%、攻击性9.62%和违纪表现5.77%,各因子发生率差异有统计学意义(x^2=-25.25,P<0.05);女童行为问题各因子发生率依次为:分裂强迫23.73%、抑郁11.86%、多动10.17%、性问题10.17%、体诉8.48%、攻击性8.48%、社交退缩6.78%、残忍表现6.78%和违纪表现5.09%,差别有统计学意义(x^2=15.59,P<0.05)。男、女童共有的6个行为问题因子:社交退缩、多动、体诉、违纪表现、攻击性、抑郁,无性别差异(P 均>0.05)。结论:肥胖儿童行为问题发生率远远高于全国4～16岁儿童青少年, 肥胖男童主要表现在强迫行为、分裂焦虑、抑郁、体诉、交住不良,女童主要表现在分裂强迫、抑郁、多动、性问题。

Objective： To survey and analyze the features of the behavioral problems in children with obesity from 6 to I I year old. Methods： 111 subjects in Anqing city and Tongling city in Anhui province were investigated by Achenbach child behavior checklist. We analyzed the results with statistical methods. Results： The prevalence rate of the behavioral problems in children with obesity was 36.94%, and that in boys and girls were 40.38% and 33.90% respectively. There was no statistical significant difference between boys and girls investigated （X^2=-0.50,P〉0.05）. Comparing with normal children and adolescents of 4 to 16 year old, whose rates of behavior problem were 12.97% in general, 13.44% in boys and 12.52% in girls, these prevalence rates were significantly higher （The u values were 7.52, 5.70 and 4.96, All P〈0.01））. The prevalence rates of each factors of the behavioral problems in boys investigated were compulsive activity （34.62%）, schizoid （23.08%）, depression （19.23%）, somatic complain （15.39%）, social problem （13.46%）, withdraw 9.62%, hyperactive （9.62%）, aggressive 9.62% and delinquency 5.77% in turn, and there was statistical significant difference among these prevalence rates （X^2=-15.59, P〈0.05）. The prevalence rates of each factor of the behavioral problems in girls investigated were split （23.73%）, depression （11.86%）, hyperactive （10.17%）, sexual problem （10.17%）, somatic complain 8.48% , aggressive 8.48% , withdraw 6.78%, cruel ruthless 6.78% and delinquency 5.09%. In tum, and there was statistical significant difference among these prevalence rates too （ X^2=15.59, P〈0.05）. The prevalence rates of those of 6 factors in common between boys and girls have no statistical significant differences （X^2 test,all P〈0.05）.Conclusion：The prevalence rate of the behavioral problems in the children with obesity was higher than that of the normal children and adolescents of 4 to 16 year old, especially in Compulsive Activity, Schizoid, Depression, Somatic complain and Social problem in boys and in Split, Depression, Hyperactive and Sexual Problem in girls.