行为问题儿童精神运动功能配对研究

Psychomotor Ability of Children with Behavior Problems

目的 :探讨行为问题儿童精神运动功能。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、同年龄进行 1 :2配对 ;用津医精神运动成套测验(JPB)评价儿童精神运动功能。结果 :1选择反应时、数字符号、连接数字成绩是儿童行为问题的保护因素 ,选择反应时的标准差和 JPB影响是儿童行为问题的危险因素。连接数字是内向问题的保护因素。选择反应时的标准差是外向问题的危险因素 ,连接数字是外向问题的保护因素。选择反应时、划消数字、数字符号、JPB总 T分是混合问题的保护因素 ,JPB影响是混合问题的危险因素。混合问题儿童的 JPB影响的检出率高于单一问题儿童。2 CBCL总分与 JPB总 T分、数字符号、连接数字的 T分有显著负相关。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 wit h behavior problems Method: 133 children with behavior problems were screened out from a sample of 1225 pupils by tests with CBCL and CRT-C2 T he control group was selected from the other pupils matched by age and sex, the rate of case/control was 1:2 Jinyi Psychomotor test Battery (JPB) was applied to both groups Result: There were 93 valid pairs in all The study group was more impaired in selecting reaction time, digit symbol, trail ma king and JPB total score They had also larger standard deviation of selecting reaction time and higher rate of JPB abnormality than control Trail making was a protective factor for internalizing and externalizing problems Standard dev iation of selecting reaction time was a risk factor of externalizing problems Selecting reaction time, cancellation digit, digit symbol and JPB total score we re protective factors of mixed problems and JPB abnormality was the risk factor The rate of JPB abnormality of mixed problem group was significantly higher t han that of single problem groups There was significant negative correlation b etween CBCL total score and,digit symbol trail making T score and JPB total T sc ore Conclusion: Children with behavior problems perform poor i n psychomotor test, which suggests they have brain dysfunction, especially those with mixed problems