注意缺陷多动障碍与抽动障碍共病男生家庭环境与行为特征的相关性

Correlation between family environment and behavior characteristics of boys with attention deficit hyperactivity disorder combined with tic disorder

【目的】探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)与抽动障碍(tic disorder,TD)共病(CAT)男生家庭环境与行为特征之间的相关性。【方法】采用家庭环境量表中文版(FES-CV)、Achenbach儿童行为量表(CBCL)对注意缺陷多动障碍与抽动障碍共病(CAT)组、ADHD组、TD组及正常对照组(N组)各50例男童分别进行评估。【结果】FES-CV中,CAT组情感表达、知识性、娱乐性及组织性得分低于N组,矛盾性、独立性得分高于N组(P<0.01),知识性得分低于TD组(P<0.05)。CBCL中CAT组所有10个分量表得分均高于对照组(P<0.01),强迫性得分高于ADHD组(P<0.05),除分裂性和强迫性之外的其余因子得分均高于TD组(P<0.01)。相关分析显示FES-CV中的亲密度与CBCL中的强迫性、社会退缩、多动、攻击、违纪,情感表达与抑郁、多动、攻击,知识性与体诉,娱乐性与攻击性等呈不同程度的负相关。【结论】CAT男童存在不同程度的家庭功能缺陷,其不良的家庭环境与患儿的行为问题之间有较高的相关性。

[Objective] To explore the correlation between family environment and behavior characteristics of boys with attention deficit hyperactivity disorder（ADHD）combined with tic disorder（TD）（CAT）. [Method] 50 boys in each group of CAT, ADHD, TD and normal group were investigated using Family Environment Scales-Chinese Version（FES-CV） and the Child Behavior Checklist（CBCL）. [Results] In FES-CV,the scores of emotional expression,intellectual-cultural orientation,entertainment and organization of CAT group were significantly lower but independence and contradictoriness were higher than those of normal control group（P〈0. 01）, contrasted with TD group, the score of intellectual-cultural orientation of CAT group were decreased（P〈0.05）. In CBCL, all of scores in CAT group wel-e remarkably higher than the N group（P〈0.01） ,the scores of obsession in the CAT group were increased compared with ADHD group（P〈0.05） ,most of scores in the CAT group were obviously higher except divisiveness and abruption when compared with the TD group（P〈 0.01）. Correlation analysis showed that there was a negative correlation between cohesion in FES-CV and obsession, social recession,hyperactivity,aggression and undiscipline in CBCL, and there were similiar trends between emotional expression and depression hyperactivity aggression. [Conclusion] Family function defect in boys with CAT have a certain impact on behavior problems of those children.