2—3岁儿童行为问题调查和早期干预效果评价

Study and effectiveness of integrated interventions for behavioral problem of children aged 2 - 3

目的：了解佛山市2—3岁儿童行为问题发生特点，研究社区儿童心理卫生综合干预措施的干预效果。方法：采用整群抽样的方法将所研究的社区儿童分为干预组和对照组，干预组采取儿童心理卫生综合心理措施。干预1年后用CBCL量表对适龄儿童进行调查，其中干预组儿童235人，对照组适龄儿童389名。结果：对照组儿童行为问题检出率为29．4％，干预组为22．6％；干预组儿童6个行为因子的粗分低于对照组，其中抑郁、睡眠、攻击和破坏4因子的组间差异有统计学意义；在有行为问题的儿童中，干预组和对照组在内向、外向型问题的内部构成亦不同。结论：对2—3岁儿童进行早期心理干预可以取得明确的近期效果。

Objective： To investigate the occurrence rate of psychological behavioral problem and explore the effects of psychological intervention in 2 - 3 years old children of Foshan. Methods： The children were assigned to control group and intervention group by cluster sampling, and the children in the latter group had been adopted to psychological intervention for one year. The sample size of the former group was 389 and that of the latter was 235. The Aehenbach＇s child behavior checklist （CBCL） was used to determine ehildreng behavior problems. Results： 29.4% in control group and 22.6% in intervention group occurred behavioral problem. The crude scores in the six behavioral factors of intervention group were lower than that of the control group. Statistical significance were found between the two groups in depress, sleep problems, aggressive and destructive factors respectively. Among the children with behavioral problem, the constitutional proportions of internalizing and externalizing problems were different form the intervention group to the control group. Conclusion： Psychological intervention on 2 - 3 years old children has confirmative short term effects.