伴与不伴ADHD的抽动障碍患儿个性与生活质量特征研究

【目的】 探讨伴与不伴注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的抽动障碍(tic disorder,TD)患儿的个性和生活质量特征。 【方法】 采用艾森克个性问卷(少年版)(EPQ)及儿少主观生活质量问卷(ISLQ),对伴有ADHD的TD(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)组60例,不伴ADHD的TD组60例,正常对照组71例儿童分别进行评估。 【结果】 EPQ中CAT组和TD组精神质、神经质因子得分均明显高于N组,CAT组明显高于其他两组(P<0.01);CAT组掩饰性得分明显低于TD组和N组(P<0.01)。ISLQ中CAT组和TD组总体满意度得分均明显低于N组,CAT组明显低于其他两组(P<0.01),其中CAT组家庭生活、同伴交往、学校生活、自我认识、认知成分、抑郁体验得分均低于TD组(P<0.05),TD组家庭生活、同伴交往、学校生活、自我认识、认知成分得分均低于N组(P<0.05)。 【结论】 CAT和TD患儿个性及生活质量都明显比正常儿童差,而CAT患儿比TD患儿存在更为明显的个性缺陷和生活质量低下。

Comparison of the characteristics of personality, self concepts and quality of life in children between tic disorder and comorbid attention deficit hyperactivity disorder and tic disorder

【 Objective 】 To compare the characteristics of personality,self-concepts and quality of life in children between tic disorder(TD) and comorbid attention deficit hyperactivity disorder and tic disorder(CAT).【 Methods 】 60children with CAT,60children with TD and 71normal children were collected.All cases were evaluated with Eysenck Personality Questionnaire(Junior Edition)(EPQ),and the Inventory of Subjective Life quality(ISLQ).【 Results 】 Compared with the N group,those children with CAT and TD had personality characterized by higher neuroticism and psychoticism.The scores of neuroticism and psychoticism were higher significantly than those in TD and N group(P<0.01).Compared with the TD and N group,the CAT group had lower score of lie in EPQ(P<0.01).In ISLQ,the scores of children with CAT and TD were remarkably lower than those of N group in overall satisfaction;Compared with the TD and N group,the CAT group had lower score of satisfaction(P<0.01).The scores of family life,peer relations,school life,self awareness,intelligence,depression experience were lower significantly than those in TD group.Compared with the N group,those children with TD characterized by lower family life,peer relations,school life,self awareness,intelligence(P<0.05).【 Conclusion 】 Compared with the normal children,subjects with CAT and TD show inferior self personality and quality of life,and children with CAT show more serious trend than TD children.