儿童情感交叉擦腿综合征的相关因素及行为问题研究

Underlying factors and behavioral implications of childhood masturbation

【目的】了解儿童情感交叉擦腿综合征（childhood masturbation，CM）发生的相关因素、临床表现及家长可接受的就医模式；借助Achenbach儿童行为量表，评估6岁及6岁以上CM患儿同时伴发的行为问题。【方法】选取CM的儿童89例，通过电话交谈及完成一个CM相关因素的自编调查问卷；采用Achenbach儿童行为量表（CBCL家长用）对21例6～11岁女性患儿的行为问题进行评估；对资料进行统计分析。【结果】1）70．79％患儿在睡前躺着发生CM，并且有不同程度类似性高潮的表现，67．21％的3岁以上的患儿表示有舒服的快感。2）CM发生的相关影响因素众多，其中65．17％存在父母少陪，缺少亲密的身体接触和语言呵护等情感关怀缺失情况；46．07％的患儿开始此行为是对泌尿生殖系统疾病本能的反应，而后发展成习惯性动作。3）73．03％的家长则表示不同意将儿童此行为摄像备诊断所用。4）Achenhach儿童行为量表测试结果6岁以上CM组的行为问题得分（24．38±14．32）高于对照组（20．76±15．3），但差异无统计学意义（P〉0．05）。【结论】CM是一种与成人手淫相类似的行为，可达到拟似性高潮的程度，影响因素中以缺少父母的情感关怀为突出；在国内摄像用于诊断的依从性差，诊断CM无法主要依赖于摄像资料；6岁以上CM女性儿童的行为问题并不很突出。

[Objective] To investigate underlying factors,exacerbating factors,clinical manifestations,and videotaping feasibility in Chinese childhood masturbation （CM） children and study behavioral implications of CM in children over 6 years of age. [Methods] 89 CM cases were collected by phone calls and a specially designed form for parents;Achenhach Child Behavior Checklist（CBCL）was used to assess behavioral implications of CM in 21 female cases over 6 years of age. SPSS 17.0 software was applied to analyze the results. [Results] 1）70.79% of CM were seen in children lying on the bed before falling asleep,and there were varying degrees similar to adult orgasm,67.21% of children over 3 years of age described the experience as being pleasant. 2）The underlying factors/ exacerbating factors of CM were various, 65.71 % was lack of affective care from parents,such as less parents time with child,lack of body touch/warmly affective contact from parents. 46.07% of CM were induced by perineal irritation. 3） 73.03% of parents did not agree with videotaping CM events of their children. 4）the behavioral problems disclosed by CBCL in CM female cases over 6 years of age （24. 38±14.32） were not significant different from control （20.76±15.3）. [Conclusion] CM is similar to adult masturbation,and to some degree with adult orgasm. Lack of affective care from parents was probably the most outstanding among the underlying factors/exacerbating factors of CM. The implication of videotape for the diagnosis of CM is limited in China,as majority of parents do not accept. Behavioral problems in CM female children over 6 years of age are not prominent.