成都市区和近郊儿童脆弱儿童综合症流行病学特征的研究

VULNERABLE CHILD SYNDROME IN CHENGDU REGION AND ITS EPIDEMIOLOGIAL FEATURE.

脆弱儿童综合症（ｖｕｌｎｅｒａｂｌｅｃｈｉｌｄｓｙｎｄｒｏｍｅ，ＶＣＳ）是指某些生活事件导致父母对若干疾病的潜意识恐惧，从而认为自己的孩子超常“脆弱”，这种心理状态影响孩子和亲子关系，出现诸如病态的分离困难，过度保护，并使儿童出现一系列行为问题。作者采用多阶段混合型随机抽样方法对成都市区和近郊人群中４２０名儿童使用含１５个变量的定式问卷进行调查，并应用Ｆｏｒｓｙｔｈ－Ｅｌｅｎ量表评价母亲脆弱感觉，用儿童适应能力量表、Ｃｏｎｎｅｒ教师量表和父母问卷、艾森克个性问卷分别评定儿童的社会适应行为、行为问题和个性倾向。结果：线性相关分析显示ＶＣＳ典型表现的项数与５个危险因素有关，导出的回归方程为ｙ１＝０．３６０９ｘ２＋１．００５５ｘ３＋０．３０９４ｘ４－０．２５８８ｘ５＋０．８３２７ｘ９＋１．２８７９，Ｌｏｇｉｓｔｉｃ回归分析显示：独生子女（ｘ２＝１）发生ＶＣＳ的ＯＲ＾＝２．１２３０；严重疾患史（ｘ３＝１）的ＯＲ＾＝３．１２８６；男性儿童（ｘ４＝１）的ＯＲ＾＝１．６５０６；母亲流产或死胎史（ｘ９＝１）的ＯＲ＾＝２．２１３７。本文资料还显示，儿童的脆弱性和社会适应能力指标（ＡＤＱ）及儿童行为问题指标（ＰＳＱ、ＴＲＳ）之?

ulnerable child syndrome(VCS) is characterized by the parents who,influenced by an unusual event like a critical illness early in the childs life,have a strong feeling that their child is extrodinarily vulnerable and develop a subconscious fear hence result in overprotection,pathological seperation difficulty,etc.and may lead to various behavioral problems of the child.The authors took a random sample of 420 children in Chengdu region.A parent questionaire was developed to evaluate the correlation between the conditions prevalence and 15 possible risk factors(x2,x2,…,x15).ForsythEllen Vulnerability Scale(FEVS) was also applied as a ruler of mothers vulnerability feeling.In addition,a Chinese version of revised Adative Ability Scale for Children(AASC),Conners Teacher Rating Scale(TRS) and Parents Sympton Questionaire(PSQ) as well as Eysenck Personality Qustionaire(EPQ) were used to characterize the study population.The results of linear analysis showed that the number of typical VCS manifestation correlated significantly with 5 out of 15 possible risk factors,and a regression equation was infered as:y1=03609x2+10055x3+03094x4-02588x5+08327x9+12879.Logistic regression analysis showed the odds ratio(OR^) of VCS in single child in a family(x2=1) was 21230;Hx of critical illness(x3=1) increased the OR^ to 31286;male child had OR^=16506 over female and the mothers Hx of abortion or still birth had OR^=22137.The rest of the study comfirmed that there were weak but significant correlations between childrens vulnerability and parameters of social adaptive ability(ADQ) and Conners scales as assessments of childrens behavioral disorders.Conclusion:VCS is a relatively common problem among Chinese families which may be characterized epideologically differently from western countries.The condition may play a negative role in childrens psychologicalbehavioral development and worth to be investigated further.