3~5岁儿童行为问题调查及中美Conners常模的比较

郭茹,毛定安,李介民,罗雪梅,蒋彦,刘继红

中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (11) : 900-903.

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中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (11) : 900-903.
论著·临床研究

3~5岁儿童行为问题调查及中美Conners常模的比较

  • 郭茹,毛定安,李介民,罗雪梅,蒋彦,刘继红
作者信息 +

Investigation on the behavior problems of children aged 3 to 5 years in Changsha and comparison of the norm of Conners Parent Symptom Questionnaire in Chinese and American urban children

  • GUO Ru, MAO Ding-An, LI Jie-Min, LUO Xue-Mei, JIANG Yan, LIU Ji-Hong
Author information +
文章历史 +

摘要

目的:了解长沙市3~5岁儿童行为问题状况,并对Conners父母症状问卷的中国城市常模和美国常模作比较,以探讨何种常模更适合我国儿童。方法:在长沙市5个行政辖区随机抽取854例3~5岁儿童,由家长完成受试儿童的Conners父母症状问卷调查。结果:应用PSQ美国常模评估发现,长沙市3~5岁儿童行为问题总检出率为20.4%,其中男童28.1%,女童12.4%,两者比较差异具有统计学意义(P<0.01);女童焦虑因子得分明显高于男童(P<0.01);学习问题和心身问题是长沙市儿童的主要问题。应用中国城市常模时检出的品行问题、冲动-多动、多动指数异常率高于应用美国常模检出的结果,男童学习问题、心身问题异常检出率显著低于应用美国常模检出的结果,行为问题总发生率以应用美国常模检出率高,两者比较差异具有统计学意义(P<0.05);两者对PSQ大多数因子以及总异常率评定结果的一致性较差(Kappa<0.4)。结论:长沙市3~5岁儿童行为问题特别是学习问题和心身问题检出率较高,值得重视;Conners父母症状问卷中、美常模评估结果的一致性较差,由于中国城市常模符合我国国情和文化背景,建议在实际工作中以选用中国城市常模为宜。

Abstract

OBJECTIVE: To investigate the behavior problems of children aged 3 to 5 years in Changsha and to compare the differences of the results detected by the norm of Conners Parent Symptom Questionnaire (PSQ) in Chinese and American urban children. METHODS: A total of 854 children aged 3 to 5 years were randomly sampled from 5 districts in Changsha City and their parents completed the Conners PSQ. RESULTS: The assessment by the norm of PSQ in American urban children demonstrated that the average prevalence of behavior problems was 20.4%, with 28.1% for boys and 12.4% for girls. There were significant differences between boys and girls (P<0.01). The factor score of anxiety in girls was markedly higher than that in boys (P<0.01). Learning and psychosomatic problems were the main problems in the children. The prevalences of conduct problems and impulse-restlessness, and abnormal restlessness index detected by the norm of PSQ in Chinese urban children were higher than those detected by the American norm. The prevalences of conduct problems and psychosomatic problems in boys by the norm of PSQ in Chinese urban children were significantly lower than those detected by the American norm, while the total prevalence of behavior problems was higher than that detected by American norm. There was a poor consistency in the assessment results of most factors of the PSQ and the total prevalence of behavior problems detected by the Chinese and American norms (Kappa<0.4). CONCLUSIONS: The prevalence of behavior problems especially learning problems and psychosomatic problems in children aged 3 to 5 years is higher in Changsha. The consistency of assessment results is poor between the norms of China and America. It is recommended to use the China norm of PSQ in Chinese children aged 3 to 5 years because the Chinese norm is in line with China′s national conditions and cultural background.

关键词

Conners父母症状问卷 / 常模 / 行为问题 / 儿童

Key words

Conners Parent Symptom Questionnaire / Norm / Behavior problem / Child

引用本文

导出引用
郭茹,毛定安,李介民,罗雪梅,蒋彦,刘继红. 3~5岁儿童行为问题调查及中美Conners常模的比较[J]. 中国当代儿科杂志. 2011, 13(11): 900-903
GUO Ru, MAO Ding-An, LI Jie-Min, LUO Xue-Mei, JIANG Yan, LIU Ji-Hong. Investigation on the behavior problems of children aged 3 to 5 years in Changsha and comparison of the norm of Conners Parent Symptom Questionnaire in Chinese and American urban children[J]. Chinese Journal of Contemporary Pediatrics. 2011, 13(11): 900-903
中图分类号: R729   

参考文献

[1]Dereboy C, Senol S, Sener S, Dereboy F. Validation of the Turkish versions of the short-form Conners′ teacher and parent rating scales[J]. Turk Psikiyatri Derg, 2007, 18(1): 48-58.

[2]苏林雁,李雪荣,黄春香,罗学荣,张纪水.Conners父母症状问卷的中国城市常模[J].中国临床心理学杂志,2001,9(4):241-243.

[3]范娟,杜亚松,王立伟.Conners父母用症状问卷的中国城市常模和信度研究[J].上海精神医学,2005,17(6):321-323.

[4]Barkley RA. Hyperactive children: A handbook for Diagnosis and Treatment[M].2nd ed.New York:The Guiford Press, 1982: 132-134.

[5]龚建华,彭中华,李文婕.深圳市罗湖区4~5岁儿童行为问题早期干预研究[J].中国儿童保健杂志,2010,18(10):807-809.

[6]黄忠秀.1131名学龄前儿童心理行为问题调查[J].医学与社会,2007,20(2):58-59.

[7]蔡汝丽,黄坚明,李淑明,莫华,焦鹏涛.湛江市900名学龄前儿童心理行为问题调查研究[J].临床医学工程,2010,17(8):144-145.

[8]李秀丽.Conners父母问卷在学龄前儿童心理问题筛查中的应用[J].中国健康教育,2007,23(1):72-73.

[9]程光文.儿童行为问题及其影响因素的Logistic回归分析[J].中国实用医药,2010,5(6):61-62.

[10]刘芳,马立吉,衣明纪.母乳喂养与4~5岁儿童气质及行为发育关系研究[J].中国当代儿科杂志,2006,8(4):334-337.

[11]姚梅玲,陈静静.郑州市3~5岁学龄前儿童行为问题研究[J].中国妇幼保健,2010,25(35):5244-5246.

[12]刘维婵,李彩燕,王玉娥.学龄儿童行为问题的调查研究[J].实用儿科临床杂志,2004,19(4):306-307.

[13]杨海英,王从杰.Conners 父母问卷对少年儿童行为问题的研究[J].临床精神医学杂志,2007,17(1):51-52.

[14]李春梅,林利,李淼晶.儿童行为问题的影响因素与干预对策[J].中国社会医学杂志,2010,27(4):212-214.

[15]张朝.中美学龄儿童心理行为问题的比较研究[J].现代预防医学,2006,33(10):1911-1912.

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