对立违抗性障碍儿童行为和自我意识的相关研究(英文)

Correlation study on behavioral problems and self-concept of children with oppositional defiant disorder

目的:了解具有对立违抗性障碍(oppositional defiant disorder,ODD)儿童的行为特征和自我意识,并探讨二者之间的关系。方法:对来自湖南省中小学生心理健康状况流行病学调查研究中的全部对象进行DSM-IV诊断,其中符合ODD诊断标准的对象及对照组由父母填写Achenbach儿童行为量表(CBCL),儿童自己填写儿童自我意识量表。结果:在CBCL各项目中除活动情况ODD组与对照组无差别外,余项差异均有统计学意义(P<0.01),儿童自我意识量表中ODD患者的行为、智力与学校表现、焦虑、合群、幸福与满足和总分均显著低于对照组(P<0.01),并且ODD患者的自我意识量表和CBCL具有低度相关,表现为自我意识量表的行为和总分分别与行为问题总分、外化性问题负相关,智力与学校情况、总分和社会能力总分正相关,合群与行为问题总分负相关(P<0.05)。结论:ODD患者存在广泛的行为问题,社会能力差;自我意识普遍性降低;而且行为问题和自我意识具有相关性。

Objective To investigate the behavioral problems and self-concept of children with oppositional defiant disorder（ODD） and the correlation between them.Methods The subjects came from a sample survey of primary and middle school students＇ mental status in 6 regions in Hunan province.Achenbach child behavior checklist（CBCL） was filled out by parents.The Children＇s self-concept scale（CSCS） was completed by children themselves.Results There were significant differences between the scores of ODD group and the normal control among all CBCL subscales except the activities scale,and the scores for the CSCS scales were all lower in patients with ODD than the control group except for the physical appearance and attributes（P0.01）.In addition,according to correlation analysis,the CBCL scores yielded small but significant correlations with the CSCS scores for children with ODD（P0.05）.Conclusion Children with ODD have generally behavioral problems,poor social competence,and lower self-concept,whose behaviors were correlated with their self-concept.