学龄前期孤独症谱系障碍儿童情绪行为问题及其与母亲情绪问题的相关性

doi:10.11852/zgetbjzz2018-1592

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (5): 473-476.DOI: 10.11852/zgetbjzz2018-1592

学龄前期孤独症谱系障碍儿童情绪行为问题及其与母亲情绪问题的相关性

高紫琳^1,2, 刘靖², 黄新芳¹, 邱莉¹, 苏静¹, 曾坤山¹

1 泉州市儿童医院·妇幼保健院,福建泉州 362000;
2 北京大学精神卫生研究所,北京大学第六医院,卫生部精神卫生学重点实验室(北京大学), 国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100191

收稿日期:2018-11-07 发布日期:2019-05-10 出版日期:2019-05-10
通讯作者: 刘靖,E-mail:ljyuch@163.com
作者简介:高紫琳(1984-),女,主治医师,擅长脑性瘫痪、孤独症、多动症、抽动症等疾病的诊治及康复治疗。
基金资助:
科技部重大研发计划(2017YFC1309900);北京市科委首都市民健康培育项目(Z161100000116098);首都十大疾病科技成果推广(Z141100004914002)

Analysis of the correlation between emotional and behavior problems in preschool children with autism and maternal emotional problems

GAO Zi-lin^1,2, LIU Jing², HUANG Xin-fang¹, QIU Li¹, SU Jing¹, ZENG Kun-shan¹

1 Quanzhou Children's and Women's Hospital,Quanzhou,Fujian 362000,China;
2 Peking University Institute of Mental Health,Peking University Sixth Hospital,Key Laboratory of Mental Health,Ministry of Health (Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital) , Beijing 100191,China

Received:2018-11-07 Online:2019-05-10 Published:2019-05-10
Contact: LIU Jing,E-mail:ljyuch@163.com

摘要/Abstract

摘要： 目的分析学龄前期孤独症谱系障碍(ASD)儿童情绪行为问题及其与母亲焦虑、抑郁情绪的相关性,以期全面干预ASD儿童及其家庭。方法选取2018年1—8月于泉州市儿童医院就诊的5~6岁孤独症儿童71名,并同期入组性别、年龄、母亲受教育程度相匹配的正常学龄前期儿童71名;对所有被试进行Achenbach儿童行为量表(CBCL)(4~16岁版)评定,同时由其母亲完成焦虑自评量表(SAS)和抑郁自评量表(SDS)的评定。结果 1)孤独症男童组的CBCL总分、交往不良、多动、违纪、社交退缩和攻击性因子分高于正常对照组(Z值分别为-6.880、-9.417、-5.745、-5.109、-8.869、-3.510,P＜0.001),体诉因子分低于正常对照组(Z=-2.767,P=0.006)。ASD女童组的CBCL总分、多动、残忍、社交退缩、分裂强迫和攻击性因子分均高于正常对照组(Z值分别为-3.726、-3.356、-2.292、-4.339、-2.226、-2.476,P＜0.05)。2)两组ASD儿童母亲的SAS、SDS总分均高于正常对照组(Z值分别为-6.848、-3.126、-6.385、-2.183,P＜0.05)。3)ASD男童母亲的SAS、SDS总分与ASD男童的CBCL总分、多动、违纪、攻击性、体诉、抑郁、强迫因子分均存在正相关关系(P＜0.05);ASD女童母亲的SAS、SDS总分与ASD女童的攻击性因子分存在正相关关系(P＜0.05)。结论学龄前期ASD儿童存在较多的情绪行为问题,其母亲存在较多的焦虑、抑郁情绪;两者间存在一定相关关系;应对学龄前期ASD儿童的情绪行为问题及其母亲的焦虑抑郁情绪予以关注和干预。

关键词: 学龄前期, 孤独症谱系障碍, 情绪行为, 母亲, 焦虑抑郁

Abstract: Objective To analyze the status of emotional and behavior problems and their relationship with maternal emotional problems in preschool children with autism spectrum disorder(ASD),in order to comprehensively intervene autistic children and their families. Methods A total of 71 ASD children aged 5 to 6 years in Quanzhou Children's and Women's Hospital were enrolled in this study from January to August 2018,and 71 normal preschool children matched with sex,age and maternal education were selected as controls.All participants were assessed by the Achenbach Child Behavior Checklist(CBCL) for children aged 4 to 16 years old.And all mothers completed the Self Rating Anxiety Scale(SAS) and Self Rating Depression Scale(SDS). Results 1) The total score of CBCL and scores of factors including social problems,hyperactivity,violation of discipline,with drawal and aggression in boys with ASD were significantly higher than those in normal controls(Z=-6.880,-9.417,-5.745,-5.109,-8.869,-3.510,P＜0.001),while the score of physical complaint was lower than that of normal control group (Z=-2.767,P=0.006).The total score of CBCL and scores of factors of hyperactivity,cruelty,social with drawal,splitting compulsion and aggression in girls with ASD were significantly higher than those in normal control group(Z=-3.726,-3.356,-2.292,-4.339,-2.226,-2.476,P＜0.05).2) The total scores of SAS and SDS in mothers of ASD group were significantly higher than those in mothers of normal control group(t=-6.848,-3.126,-6.385,-2.183,P<0.05).3) There were positive correlations among total scores of SAS and SDS in mothers of ASD boys,total score of CBCL of ASD boys,scores of hyperactivity,discipline violation,aggression,physical complaints,depression and obsessive compulsion factors(P＜0.05).There were positive correlations between SAS and SDS scores in mothers of ASD girls and score of aggression factor in ASD girls(P＜0.05). Conclusions Preschool children with ASD have more emotional and behavioral problems,and their mothers suffer from more depression and anxiety.What's more,there is correlation between emotional and behavioral problems of preschool children with ASD and their mother's emotional problems.So it is supposed to give more concern and intervention to preschool ASD children and their mothers.

Key words: preschool children, autism spectrum disorder, emotional and behavior problem, mother, anxiety and depression

中图分类号:

R749.93

高紫琳, 刘靖, 黄新芳, 邱莉, 苏静, 曾坤山. 学龄前期孤独症谱系障碍儿童情绪行为问题及其与母亲情绪问题的相关性[J]. 中国儿童保健杂志, 2019, 27(5): 473-476.

GAO Zi-lin, LIU Jing, HUANG Xin-fang, QIU Li, SU Jing, ZENG Kun-shan. Analysis of the correlation between emotional and behavior problems in preschool children with autism and maternal emotional problems[J]. journal1, 2019, 27(5): 473-476.

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学龄前期孤独症谱系障碍儿童情绪行为问题及其与母亲情绪问题的相关性

Analysis of the correlation between emotional and behavior problems in preschool children with autism and maternal emotional problems

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