唇腭裂幼儿行为问题的研究

目的:评价唇腭裂幼儿行为问题,为临床开展心理评估及干预提供参考依据。方法:随机选取2010年1月～2011年12月于中南大学湘雅医院口腔颌面外科住院治疗的唇腭裂患儿95例(年龄2～3岁),采用Achenbach的"儿童行为量表(Child Behavior Checklist,CBCL)"评估并与正常同龄幼儿对照分析。结果:幼儿唇腭裂行为问题无性别差异;但唇腭裂组患儿在攻击行为因子得分较对照组得分低,在社会退缩、抑郁、睡眠问题、躯体诉述、破坏行为5个行为因子方面得分则高于对照组。结论:唇腭裂幼儿行为与正常婴幼儿相比有明显的异常,根据患儿自身行为异常进行及时的行为心理干预治疗是十分必要的。

A study of social behavior problems in toddler with congenital cleft lip and palate

Objective：To evaluate the social behavior problems of toddlers with congenital cleft lip and/or palate,and to provide evidences for clinical psychological assessment and intervention.Method：95 toddlers（aged 2～3）with congenital cleft lip and palate were chosen randomly and assessed by Child Behavior Checklist（CBCL,developed by Achenbach）in Xiangya hospital.Result：No gender difference was observed among the investigated toddlers with congenital cleft lip and palate,however,the investigated group got lower scores in element of aggressiveness and higher scores in elements of social withdrawal,depression,sleep,body made,damage behavior（P 0.05）.Conclusion：Toddlers with congenital cleft lip and/or palate have more social behavior problems than normal ones.Effective psychological interventions,considering individual differences,should be applied to them.