行为问题儿童精神运动功能及影响因素研究

A comparative study on psychomotor ability of children with behavioral problems and its influencing factors

目的 探讨行为问题儿童精神运动功能及其影响因素。方法 用Achenbach儿童行为问卷 (CBCL)和中国联合型瑞文测验 (CRT C2 )筛选行为问题儿童 ,并按同性别、同年龄设立对照组 ;用津医精神运动功能测验 (JPB)测量儿童精神运动能。结果 ①问题组和对照组在选择反应时、数字符号、连接数字 3项分测验和JPB总分上 ,在数字符号异常率和JPB影响率上差异显著 ;混合问题组与单一问题组在JPB异常率上有显著差异。②CBCL总分与JPB总分、选择反应时、数字符号、连接数字的T分有显著负相关。③多元Logistic回归结果显示 ,母孕期不良因素和儿童学前期疾病是JPB的影响因素。结论 行为问题儿童精神运动功能较差 ,有轻微脑损伤的可能 ;

Objective To explore psychomotor ability of children with behavioral problems and its influencing factors. Methods CBCL and Combined Raven's Test in China Revision(CRT-C2) were administrated to screen school-aged children with behavioral problems, and control group were matched according to gender and age; Jinyi Psychomotor test Battery (JPB) was used to assess children's psychomotor ability. Result ①Children with behavioral problems were more impaired in Selecting reaction, Digit symbol, Trail making and JPB than matching group, and had higher rate of JPB abnormality. Comorbid group had higher rate of JPB abnormality than pure internalizing and externalizing problems group. ②There were significant negative correlation between CBCL total score and T scores of Selecting reaction, Digit symbol, Trail making and JPB. ③Logistic stepwise regression showed that the risk factors related to JPB abnormality included children illness before school and their mothers' adverse pregnancy factors. Conclusion Children with behavioral problems performed badly in psychomotor ability and maybe have subtle brain dysfunction, especially in comorbid condition. Children's illness before school and their mothers' adverse pregnancy factors are the main risk factors of psychomotor ability.