《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

抽动障碍患儿自我意识及少儿主观生活质量的相关性分析①

解金娜，项紫霓，谭歆，匡桂芳   

  1. 青岛市妇女儿童医院心理卫生科，山东青岛市266034。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Correlation between Self-concept and Subjective Quality of Life among Children with Tic Disorders

XIE Jin-na, XIANG Zi-ni, TAN Xin, KUANG Gui-fang   

  1. Department of Psychology, QingdaoWomen and Children's Hospital, Qingdao, Shandong 266034, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的探讨抽动障碍患儿自我意识与主观生活质量的相关性。方法2015 年3~9 月，采用儿童自我意识量表(PHCSS)及少儿主观生活质量问卷(ISLQ)，对65 例抽动障碍患儿及71 例正常儿童进行评定，进行单因素分析、相关性分析和多因素回归分析。结果抽动障碍组PHCSS评分与正常组无显著性差异(t<1.624, P>0.05)。抽动障碍组ISLQ 的学校生活、自我认识、认知成分评分低于正常组(t>2.051, P<0.05)。抽动障碍组除PHCSS 行为与ISLQ 同伴交往、学校生活、生活环境、自我认识、认知成分，PHCSS智力与学校情况与ISLQ家庭生活、同伴交往、生活环境，PHCSS躯体外貌与属性与ISLQ家庭生活、生活环境，PHCSS焦虑与ISLQ 家庭生活、同伴交往、认知成分，PHCSS 合群与ISLQ 同伴交往，PHCSS 总分与ISLQ 家庭生活、生活环境不相关外，其余各项均有相关性(P<0.05)。回归分析显示，抽动障碍患儿PHCSS中合群评分是影响ISLQ总体满意度的主要危险因素(β=0.301,P<0.05)。结论抽动障碍患儿生活质量部分下降。自我意识一定程度影响生活质量，应及早干预。

关键词: 抽动障碍, 儿童, 自我意识, 生活质量

Abstract: Objective To explore the correlation between self-concept and subjective quality of life among children with tic disorders (TD). Methods The Piers-Harris Children's Self-concept Scale (PHCSS) and the Inventory of Subjective Life Quality (ISLQ) were completed by 65 children with TD and 71 normal children from March to September, 2015; and analyzed with single factor analysis, correlation analysis and multi factors regression analysis. Results There was no significant difference in PHCSS scores between the TD children with and normal ones (t<1.624, P>0.05). The ISLQ scores of school life, self-awareness and cognitive component were less in the TD children than in the normal ones (t>2.051, P<0.05). The PHCSS subscores correlated with ISLQ subscores (P<0.05), except the following: PHCSS scores of behavior did not correlate with ISLQ scores of peer relationship, school life, living environment, self-awareness and cognitive component; PHCSS scores of intelligence and school environment did not correlate with ISLQ scores of family life, peer interaction and the living environment; PHCSS scores of physical appearance and properties did not correlate with ISLQ scores of family life and living environment; PHCSS scores of anxiety did not correlate with ISLQ scores of family life, peer interaction and cognitive component; PHCSS scores of affiliation did not correlate with ISLQ scores of peer interaction; and PHCSS total score did not correlate with ISLQ scores of family life and living environment. PHCSS scores of affiliation were the factor related with the quality of life (β=0.301, P<0.05). Conclusion The quality of life may be impaired in the children with TD, which may associate with the self-concept and need further intervention.

Key words: tic disorders, children, self-concept, quality of life