原发性癫痫患儿行为问题及其相关家庭因素的研究

doi:10.11852/zgetbjzz2015-23-03-10

中国儿童保健杂志 ›› 2015, Vol. 23 ›› Issue (3): 254-256.DOI: 10.11852/zgetbjzz2015-23-03-10

原发性癫痫患儿行为问题及其相关家庭因素的研究

刘月影¹,程灶火²,倪宏³,金祉延¹

1 江南大学附属医院儿科,江苏无锡 214062; 2 南京医科大学附属无锡精神卫生中心,江苏无锡 214151;
3 苏州大学附属儿童医院儿研所,江苏苏州 215006

收稿日期:2014-10-20 发布日期:2015-03-10 出版日期:2015-03-10
作者简介:刘月影(1975-),女,黑龙江人,副主任医师,硕士学位,主要研究方向为小儿神经、心理疾病。
基金资助:
国家社会科学基金项目(13BSHO62)

Study on the relationship between family factors and psychological behavior in children with idiopathic epilepsy

LIU Yue-ying¹,CHENG Zao-huo²,NI Hong³,JIN Zhi-yan¹

1 Department of Pediatrics,Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu 214062,China;
2 The Affiliated Wuxi Mental Health Center of Nanjing Medical University,Wuxi,Jiangsu 214151,China;
3 Institute of Pediatric Research,Children's Hospital of Soochow University,Suzhou,Jiangsu 215006,China

Received:2014-10-20 Online:2015-03-10 Published:2015-03-10

摘要/Abstract

摘要： 目的调查原发性癫痫患儿心理行为问题及其相关家庭因素,为癫痫患儿的心理干预提供依据。方法以35例原发性癫痫患儿和35例正常儿童为研究对象,应用Achenbach儿童行为量表(Child Behavior Checklist,CBCL)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)、家庭环境量表中文版(Family Environment Scale-Chinese Version,FES-CV)和父母教养方式评价量表(Egma Minnen av Bardndosnauppforstran,EMBU)进行对照研究,并就家庭因素与癫痫患儿行为问题进行相关性分析。结果原发性癫痫患儿的行为异常检出率显著高于正常儿童(P<0.01);癫痫儿童父母的焦虑、抑郁情绪较正常儿童父母显著增高(P<0.05);家庭环境的亲密度、情感表达、娱乐性相比正常儿童家庭明显降低(P<0.05),而矛盾性和控制性则明显升高(P<0.05);父母教养方式结果显示癫痫组儿童的父母情感温暖得分显著低于正常儿童家庭组(P<0.05),而父母拒绝否认、母过份干涉与保护因子得分均显著升高 (P<0.05);相关性分析显示父母抑郁情绪得分与癫痫患儿行为问题总分呈正相关(r=0.36,P<0.05)。结论原发性癫痫患儿存在一定的行为问题,相关家庭因素可能是导致其行为异常的诱因之一。

关键词: 原发性癫痫, 儿童, 心理行为问题, 家庭因素, 相关性分析

Abstract: Objective To investigate the psychological behavior and related family factors in children with idiopathic epilepsy,and to explore the association between psychological behavior and related family factors. Methods A total of 35 epilepsy children and 35 health control children were included and evaluated with the Achenbach Child Behavior Checklist (CBCL),Self-Rating Anxiety Scale (SAS),Self-rating depression scale(SDS),Family Environment Scale-Chinese Version (FES-CV) and Egma Minnen av Bardndosnauppforstran(EMBU).Moreover,the associations between psychological behavior and family factors were analyzed. Results A significant higher ratio of abnormal behavior was found in children with epilepsy than health control (P<0.01).A significant increasing of parental anxiety and depression (P<0.05),decreased degree of intimacy,expressed emotion and entertainment,and increased family conflict and control were found in children with epilepsy.Moreover,parental rearing pattern showed that emotional warmth score was significantly lower in epilepsy children than health children (P<0.05).The correlation analysis showed that a positive association was found between parental depression score and total psychological behavior scores in children with epilepsy (r=0.36,P<0.05). Conclusion A significant higher risk of abnormal psychological behavior could be found in children with epilepsy,and the family factor could be one of the incentives.

Key words: idiopathic epilepsy, children, psychological behavior, family factor, correlation analysis

中图分类号:

R749.94

刘月影,程灶火,倪宏,金祉延. 原发性癫痫患儿行为问题及其相关家庭因素的研究[J]. 中国儿童保健杂志, 2015, 23(3): 254-256.

LIU Yue-ying,CHENG Zao-huo,NI Hong,JIN Zhi-yan. Study on the relationship between family factors and psychological behavior in children with idiopathic epilepsy[J]. journal1, 2015, 23(3): 254-256.

参考文献

[1] 张小芳,姚宝珍,马洁慧,等.癫痫患儿心理行为学改变及其相关影响因素的研究[J].医学研究杂志,2012,41(3):144-147.
[2] Filho GM,Rosa VP,Lin K,et al.Psychiatric comorbidity in epilepsy:A study comparing patients with mesial temporal sclerosis and juvenile myoclonic epilepsy[J].Epilepsy Behav,2008,13(1):196-201.
[3] Dabbs K,Jones JE,Jackson DC,et al.Patterns of cortical thickness and the child behavior checklist in childhood epilepsy[J].Epilepsy Behav,2013,29(1):198-204.
[4] Kanemura H,Sano F,Sugita K,et al.Effects of levetiracetam on seizure frequency and neuropsychological impairments in children with refractory epilepsy with secondary bilateral synchrony[J].Seizure,2013,22(1):43-47.
[5] Law EF,Fisher E,Fales J,et al.Systematic review and meta-analysis of parent and family-based interventions for children an d adolescents with chronic medical conditions[J].J Pediatr Psychol,2014 39(8):866-86.
[6] 戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2010.
[7] 张赛,路孝琴,杜蕾,等.家庭功能评价工具家庭亲密度和适应性量表的发展及其应用研究[J].中国全科医学,2010,13(7):725-728.
[8] 杨春,侯东辉.子女特质焦虑与父母教养方式关系[J].心理科学,2009,32(5):1274-1275.
[9] Baum KT,Byars AW,deGrauw TJ,et al.The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures[J].Epilepsy Behav,2010,17(4):467-473.
[10] Raha S,Shah U,Udani V.Neurocognitive and neurobehavioral disabilities in epilepsy with electrical status epilepticus in slow sleep (eses) and related syndromes[J].Epilepsy Behav,2012,25(3):381-385.
[11] Engel-Yeger B,Zlotnik S,Ravid S,et al.Childhood-onset primary generalized epilepsy-impacts on children's preferences for participation in out-of-school activities[J].Epilepsy Behav,2014,34:1-5.

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原发性癫痫患儿行为问题及其相关家庭因素的研究

Study on the relationship between family factors and psychological behavior in children with idiopathic epilepsy

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