ADHD儿童绘人测验特征与CBCL偏相关分析

摘要

Objectives To study the psychological characteristics of children with attention deifcit hyperactivity disorder (ADHD). Methods Human ifgure drawings (HFD) as a projective technique was performed in 107 children with ADHD aged (8.69 ±1.48) years old (6.5~11.5 years), and 107 matched healthy children. Characteristic features of the HFDs in children with ADHD, and correlations between emotional indicators of the HFDs and factors of child behavior checklist (CBCL) were assessed and com-pared with the control group. Results Signiifcant differences in emotional index were found between ADHD and healthy chil-dren, including bad body composition, short arms, long arms, big ifgure, omission of hands and omission of feet (P<0.05). Nega-tive correlation was found between the HFDs emotional index and the factors of activity and social ability in the CBCL (P<0.05), but a positive correlation was found between the HFDs emotional index and behavioral problem (P<0.05). Conclusion Human ifgure drawings can relfect some emotional characteristics of children with ADHD, and when combined with CBCL, it can pro-vide evidence for diagnosis and intervention for ADHD.%目的：解读注意缺陷多动障碍（ADHD）儿童的心理特征。方法107例ADHD儿童，男87例、女20例，平均年龄（8.69±1.48）岁（6.5~11.5岁）和与之匹配的107名正常对照儿童，运用绘人测验的投射分析法分析ADHD儿童在绘人测验中的表现特征，并分析绘人测验各项情绪指标与Achenbach儿童行为量表（CBCL）各因子间的相关性。结果 ADHD儿童在绘人测验中部分情绪指标包括躯体组合不良、双臂太短和太长、图像太大、缺手和缺双足等，与对照组的差异均有统计学意义（P<0.05）。男、女童绘人测验中部分情绪指标与CBCL量表的活动能力、社交能力成显著负相关，与行为问题成显著正相关（P均<0.05）。结论绘人测验可以反映ADHD儿童的情绪特征，结合CBCL可为ADHD的诊断和干预提供参考依据。