河南苍台镇儿童注意和破坏性行为障碍调查

摘要

Objective: To explore the current occurrence state of rural children with attention and disruptive behavior disorder (ADBD) in Cangtai town, Henan province. Method:l 550 children were assessed using screening scales and the subjects over the cut-off point were reviewed in terms of attention deficit hyperactivity disorder (ADHD) ,oppositional defiant disorder (ODD) or conduct disorder (CD)criteria of DSM-4 diagnostic and statistical manual of meutal disorders . ADBD and matched healthy children were compared in demographic and related factors. Results:The prevalence rate of ADBD, ADHD, ODD and CD was 10.71％,6.68％ ,6.21％ and 2.64％ ,respectively. There were more boys than girls of the ADHD children ( x2 = 9.060,P =0. 003 ). ADHD children were inferior on academic performance to healthy children ( x2 = 10. 241 ,P = 0.006). Conclusion: Attention and disruptive behavior disorder remains significantly in rural areas, which should be paid attention to.%目的:探讨农村儿童注意和破坏性行为障碍(ADBD)的发生状况及特征.方法:用量表对1 550名儿童进行筛查,阳性者进行当面会谈,按美国精神障碍诊断与统计手册第4版诊断出注意缺陷/多动障碍(ADHD)、对立违抗性障碍(ODD)及品行障碍(CD)儿童;同时随机抽查相匹配的正常儿童作为对照,比较一般人口学资料表.结果:ADBD、ADHD、ODD、CD患病率分别为10.71%、6.68%、6.21%、2.64%.ADHD儿童男性多于女性(X2=9.060,P=0.003).ADHD儿童学习成绩差于正常儿童(X2=10.241,P=0.006).结论:农村儿童破坏性行为障碍明显存在,应给予关注.