伴对立违抗性障碍的注意缺陷多动障碍儿童焦虑抑郁情绪分析

Study of anxious and depressive emotion of attention deficit hyperactivity disorder with oppositional defiant disorder

【目的】了解伴与不伴对立违抗性障碍(oppositional defiant disorder,ODD)的注意缺陷/多动障碍(attentiondeficit hyperactivity disorder,ADHD)情绪问题。【方法】对门诊就诊儿童以DSM-Ⅳ中ADHD和ODD诊断标准进行诊断,得到ADHD伴ODD者55例(占总数中59.14%),ADHD不伴ODD者38例(占总数中40.86%)。采用自行编制的家庭情况调查表,调查每一患儿情况。采用儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表评估儿童焦虑抑郁情绪。对两组儿童的焦虑抑郁情绪问题进行比较分析。【结果】ADHD+ODD组在躯体/惊恐、广泛焦虑、分离焦虑、社交恐怖、学校恐怖及焦虑总分、抑郁总分得分均显著高于ADHD组(t=2.105～5.145,P<0.001～0.05)。【结论】伴ODD的ADHD儿童比单纯ADHD儿童存在更为明显的焦虑抑郁性情绪问题。应注重ADHD、ODD儿童情绪问题干预。

【Objective】 To explore the emotional problem of attention deficit hyperactivity disorder（ADHD） with and without oppositional defiant disorder（ODD）. 【Methods】 55（59.14%） ADHD children with ODD,38（40.86%） ADHD children without ODD,93 children were evaluated with the Screen for Child Anxiety Related Emotional Disorders（SCARED） and Depression Self-rating Scale for Children（DSRSC）,and 93 parents completed family information.Anxious and depressive emotion problems were compared with two groups. 【Result】 The ADHD with ODD group showed significantly higher somatization/panic,general anxiety,separated anxiety,socialization phobia,school phobia and anxiety total score,depression total score（t=2.105~5.145,P0.001~0.05）. 【Conclusions】 Children of ADHD with ODD have much more anxious and depressive emotion problems than simply ADHD.More attention should be paid to intervene the emotional problem of children with ADHD and ODD.