儿童功能性便秘与心理行为因素的相关性研究

【目的】 探讨儿童功能性便秘患儿心理行为及气质、家庭环境特征,为儿童功能性便秘的预防和心理干预提供依据。 【方法】 确诊为功能性便秘的106例患儿和212例健康对照组儿童,由其家长填写Achenbach儿童行为量表(CBCL)、儿童气质量表、家庭环境量表-中文版(FES-CV)、儿童多动行为调查表。 【结果】 1)功能性便秘组儿童行为问题发生率(22.64%)高于健康对照组(12.26%)(P<0.05),4~5岁功能性便秘男童体诉、不成熟、攻击三个因子得分和女童社交退缩、抑郁、肥胖、分裂样四个因子高于对照组相应因子得分(P<0.05);6~11岁功能性便秘男童抑郁、强迫性、多动、攻击性四个因子得分和女童分裂样强迫性、体诉、违纪三个因子得分高于对照组相应因子得分(P<0.05)。2)功能性便秘组儿童在规律性、适应度、坚持度和注意分散度四个气质维度得分低于对照组(P<0.05)。3)家庭环境方面功能性便秘患儿的亲密度、知识性、独立性、控制性四个方面得分低于正常对照组,矛盾性方面的得分高于对照组。(P<0.05)。 【结论】 功能性便秘儿童行为问题发生率高,有独特的气质特点,家庭环境不良,应给予心理干预。

Correlational study on functional constipation and psychological behavioral factors in children

【Objective】 To explore the psychological and behavioral characteristics,temperament traits and family environment of children with functional constipation and provide basis for precaution and psychological intervention.【Methods】 Achenbach Children Behavior Checklist(CBCL),Children Temperament Scale,Family Environment Scale-chinese version(FEV-CV) and hyperactivity behavior checklist for 106 children with functional constipation and 212 normal children were selected to investigate children’s parents.【Results】 1) Incidence rate of behavior problems in the case group(22.64%) was higher than in the control group(12.26%)(P<0.05).Somatic complaint,immaturity,aggressiveness of boys and social withdrawal,depression,obese,schizoid state of girls with functional constipation were higher than those of normal ones from 4 to 5(P<0.05).Depression,offensive behavior,restless behavior,aggressiveness of boys and offensive behavior,somatic complaint,disobedience of girls with functional constipation were higher than those of normal ones from 6 to 11(P<0.05).2)The scores in their temperament test of rhythmicity,adaptability,persistence,distractibility of children with functional constipation were lower than those of normal children(P<0.05).3)In scores of family environment,cohesion,intellectual-cultural orientation,independence and control were lower than those in control group and conflict was higher than it(P<0.05).【Conclusion】 Incidence rate of behavior problems in children with functional constipation was much higher,they have particular temperamental characteristics and living in relatively unhealthy family environment should thus be administered.