伴与不伴ADHD的抽动障碍患儿个性与生活质量特征研究

Comparison of the characteristics of personality, self concepts and quality of life in children between tic disorder and comorbid attention deficit hyperactivity disorder and tic disorder

【目的】探讨伴与不伴注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的抽动障碍(ticdisorder,TD)患儿的个性和生活质量特征。【方法】采用艾森克个性问卷(少年版)(EPQ)及儿少主观生活质量问卷(ISLQ),对伴有ADHD的TD(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)组60例,不伴ADHD的TD组60例,正常对照组71例儿童分别进行评估。【结果】EPQ中CAT组和TD组精神质、神经质因子得分均明显高于N组,CAT组明显高于其他两组(P<0.01);CAT组掩饰性得分明显低于TD组和N组(P<0.01)。ISLQ中CAT组和TD组总体满意度得分均明显低于N组,CAT组明显低于其他两组(P<0.01),其中CAT组家庭生活、同伴交往、学校生活、自我认识、认知成分、抑郁体验得分均低于TD组(P<0.05),TD组家庭生活、同伴交往、学校生活、自我认识、认知成分得分均低于N组(P<0.05)。【结论】CAT和TD患儿个性及生活质量都明显比正常儿童差,而CAT患儿比TD患儿存在更为明显的个性缺陷和生活质量低下。

【 Objective 】 To compare the characteristics of personality,self-concepts and quality of life in children between tic disorder（TD） and comorbid attention deficit hyperactivity disorder and tic disorder（CAT）.【 Methods 】 60children with CAT,60children with TD and 71normal children were collected.All cases were evaluated with Eysenck Personality Questionnaire（Junior Edition）（EPQ）,and the Inventory of Subjective Life quality（ISLQ）.【 Results 】 Compared with the N group,those children with CAT and TD had personality characterized by higher neuroticism and psychoticism.The scores of neuroticism and psychoticism were higher significantly than those in TD and N group（P〈0.01）.Compared with the TD and N group,the CAT group had lower score of lie in EPQ（P〈0.01）.In ISLQ,the scores of children with CAT and TD were remarkably lower than those of N group in overall satisfaction;Compared with the TD and N group,the CAT group had lower score of satisfaction（P〈0.01）.The scores of family life,peer relations,school life,self awareness,intelligence,depression experience were lower significantly than those in TD group.Compared with the N group,those children with TD characterized by lower family life,peer relations,school life,self awareness,intelligence（P〈0.05）.【 Conclusion 】 Compared with the normal children,subjects with CAT and TD show inferior self personality and quality of life,and children with CAT show more serious trend than TD children.