伴与不伴对立违抗性障碍的注意缺陷多动障碍儿童自我意识分析

A Study of Self-Concept of ADHD with and Without Oppositional Defiant Disorder

目的:探讨注意缺陷多动障碍(ADHD)儿童伴对立违抗性障碍(ODD)的自我意识特点。方法:对湖南省六个地区进行抽样调查,共抽样9495名儿童。用二阶段流行病学调查方法后,凡符合诊断标准的儿童填写儿童自我意识量表(Children's self-concept Scale,CSCS),其中最后CSCS资料齐全者425人(对照组146人,单纯ADHD 170人,AD-HD伴ODD 109人)。结果:单纯ADHD组及ADHD合并ODD组在量表总分方面明显低于对照组(P<0.01),主要表现在行为因子、智力因子、焦虑因子、合群因子、幸福因子方面;在躯体因子这一项目上单纯ADHD组及ADHD合并ODD组得分也低于对照组(P<0.05)。ADHD合并ODD组在量表总分上要明显低于单纯ADHD组,表现在行为因子、智力因子、焦虑因子、合群因子、幸福因子方面;在躯体因子这一项目上ADHD合并ODD组得分要高于单纯ADHD组。结论:伴或不伴ODD的ADHD患儿的自我意识都明显比正常儿童差,而伴ODD的ADHD患儿自我意识又要明显比不伴ODD的ADHD患儿差。

Objective： To explore the characteristics of self-concept of children with attention in children with attention deficit hyperactivity disorder（ADHD） and oppositional defiant disorder（ODD）. Methods： A sampling survey was made of 9495 children from six regions of Hunan province together. After using the two stages epidemiologic research methods,425 children having completed Children＇s Self-Concept Scale,including 146 normal controls, 109 ADHD＋ODD children and 170 pure ADHD children （criteria of DSM-IV）,were collected as our sample. Results： In the Children＇s Serf-Concept Scale,the scores of ADHD with and without ODD children were lower than those of the normal group,including total score, behavior, intelligence, anxiety, gregariousness, happiness （P〈0.01） and body factor（P〈0.05）. Meanwhile, the scores of ADHD with ODD children were lower than those of the pure ADHD,including total score,behavior,intelligence,anxiety, gregariousness,and happiness,but body factor score was higher than that of the pure ADHD. Conclusion： The level of self-concept of ADHD with or without ODD is significantly lower than that of the normal children. And the level of ADHD with ODD is lower than that of the pure ADHD.