拒绝上学住院儿童的临床分析及个性特征初探

目的 :探讨拒绝上学住院儿童的临床特点 ,诊断及个性特征。方法 :对 4 4名因拒绝上学而入院的儿童进行临床分析 ,采用韦氏智测及艾森克个性问卷对研究组及正常对照组分别进行测试。结果 :因拒绝上学而入院的儿童中有 50 %被诊断为精神分裂症 ,36 4 %被诊断为情绪障碍 ,4 5%被诊断为情感性精神障碍 ,9 1 %被诊断为品行障碍。 2 5%有家族精神病史 ,59 9%的儿童在其拒绝上学前有一定诱因。拒绝上学儿童拒绝上学时常伴有躯体症状 ( 54% ) ,情绪反应 ( 77 3% ) ,拒绝上学可发生于各智商段边缘智力及以下者显著多于对照组儿童。拒绝上学儿童与正常对照组艾森克个性问卷有显著差异 (P <0 0 5)。结论 :熟悉拒绝上学儿童的临床特点及个性特征 ,有助于家长、教师及临床工作者对拒绝上学儿童进行早期预防 ,早期发现及综合治疗

Clinical Diagnosis and Personality of Children Admitted for School Refusal

Objective:To find out the clinical diagnosis and personality of children admitted for school refusal Method:44 admitted children with school refusal and 44 normal children (control) were collected as our sample Their personalities were assessed with EPQ, intelligence were evaluated with WISC Results:22 of them were diagnosed as schizophrenia, 16 as neurotic disorder, and 4 as conductive disorder, the other two as affective disorder 11 of them had family history of mental disorders, 26 of them had some evoking events before school refusal Somatic symptom (54%) and mood disturbance (77%) were commonly seen Borderline IQ was more frequently seen than in normal control Their personality had also some difference than normal control Conclusion:Children admitted for school refusal had major mental disorders and lower IQ than normal control