甲状腺功能低下患儿心理健康状况分析

Analysis on mental health in children with hypothyroidism

目的 对本市新生儿疾病筛查并确诊的56例甲状腺功能低下（CH）患儿进行了心理调查,探讨患儿的心理卫生状况.方法 采用艾森克个性问卷（ EPQ）和Achenba儿童行为量表（CBCL）,由专门医生及在其指导下根据患儿近期行为表现由家长逐项填写测试.结果 EPQ结果提示CH患儿具有内向、情绪不稳定性的个性倾向;CBCL检测结果显示,CH患儿心理行为异常通常以抑郁、社会退缩、体诉和违纪等等内化的行为问题为主.结论 在长期治疗过程中,不定期随访的同时,更应该加强心理行为指导,最大限度地降低儿童行为问题的发生率,从而促进其心理行为的健康发展.

Objective To evaluate mental health status of children with hypothyroidism in the city of Rizhao. Methods Eysenck Personality Questionnaire （EPQ） and Achenbach Child Behavior Checklist （CBCL） were applied to 56 children with hypothyroidism. Results EPQ results showed that these children were introvert and instable in their personality, while the CBCL results showed that these children tended to have behavioral problems, such as depression, withdrawn, somatic complaints, and delinquency. Conclusion This study suggests that efforts should be made to strengthen psychological interventions so as to minimize the incidence of behavioral problems in children with hypothyroidism.