癫痫患儿气质特征及相关影响因素的研究

Temperament characteristics and its determinants in children with epilepsy

目的 探讨癫痫患儿的气质特征及有关的影响因素.方法 对60对癫痫患儿及正常儿童进行气质测评,将两组结果比较;同时对癫痫患儿气质有关影响因素进行比较分析.结果 癫痫儿童组各气质维度得分均高于对照组,其中两组间适应性、反应强度差异有统计学意义（P〈0.05）,规律性、趋势性、情绪本质及坚持度差异均有统计学意义（P〈0.01）;癫痫患儿气质难养倾向性（40.0%）高于对照组（13.3%,X^2=10.91,P〈0.01）.癫痫患儿气质特征与主要照顾者、首发年龄、母亲文化水平有关.结论 癫痫患儿气质偏向于消极;父母为主要照顾者、母亲文化水平越高患儿气质偏向易养;癫痫首发年龄越早,患儿气质趋向于难养.

Objective To investigate the temperament of children with epilepsy and the effects of various epilepsy-related variables on it. Methods The temperament of 60 pairs of epilepsy and normal children were assessed by temperament scale. The results of the two groups were compared. Epilepsy-related variables were analyzed. Result The scores of all dimensional variables in the epilepsy group were higher than that in normal group. The differences in adaptability and intensity of response between the two groups was statistically significant （ P 〈0. 05）, and the differences in rhythmicity, approach-withdrawal toward new situations, emotional nature and persistence were more notable （ P 〈0.01）. The temperament of epilepsy children was incline to difficult temperament（ X2 = 10. 91, P 〈0.01）. Age at onset of epilepsy, main caregiver and maternal education level had impaction on the temperament of epilepsy children..Conclusions The temperaments of epilepsy children tend to be negative. Children＇s temperaments are inclined to easy when their mothers are well educated and their main caregivers are parents, while they tend to be difficult temperament when the age of onset is early.