《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (5): 468-469.

• 论文 • 上一篇    下一篇

注意缺陷多动障碍患儿家庭环境特征及自我意识的相关分析

解金娜，冀永娟，衡中玉，陈娟，夏颖，匡桂芳   

  1. 青岛市妇女儿童医院心理卫生科，山东青岛市 266000。
  • 收稿日期:2011-12-08 修回日期:1900-01-01 出版日期:2012-05-25 发布日期:2012-05-25

Correlation between Self-concepts and Family Environment in Children with Attention Deficit Hyperactivity Disorder

XIE Jin-na,JI Yong-juan, HENG Zhong-yu, et al.   

  1. Department of Mental Health, Qingdao Women and Children's Hospital, Qingdao 266000, Shandong,China
  • Received:2011-12-08 Revised:1900-01-01 Published:2012-05-25 Online:2012-05-25

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摘要： 目的探讨注意缺陷多动障碍(ADHD)患儿家庭环境特征及其与自我意识之间的相关性。方法采用家庭环境量表中文版(FES-CV)、Piers-Harris 儿童自我意识量表(PHCSS)对79 例ADHD儿童、71 名正常儿童分别进行评估。结果PHCSS 中，ADHD儿童行为、智力与学习情况、躯体外貌与属性、合群、幸福与满足及总分低于正常儿童(P<0.05)；ADHD儿童在FES-CV中亲密度、独立性、知识性、娱乐性、道德宗教观、组织性得分低于正常儿童(P<0.05)，矛盾性得分明显高于正常儿童(P<0.01)。回归分析显示，ADHD儿童FES-CV中的道德宗教观是影响PHCSS 总分的主要危险因素(P<0.05)。结论ADHD患儿的家庭存在家庭功能缺陷，并与患儿自我意识水平较低有关。

关键词: 注意缺陷多动障碍, 儿童, 自我意识, 家庭环境

Abstract: Objective To explore the correlation between family environment and self-concept of children with attention deficit hyperactivitydisorder (ADHD). Methods Family Environment Scales Chinese Version (FES-CV) and Piers-Harris Children's Self-concept Scale(PHCSS) were used to evaluate 79 children with ADHD and 71 normal children. Results The scores of behavior, intelligence and school,physical appearance, sociability, happiness and satisfaction, and total scores of PHCSS were lower in ADHD group than in normal group (P<0.05). Compared with the normal group, the ADHD group presented lower scores in cohesion, independence, intellectual-cultural orientation,moral religious emphasis, organization (P<0.05) and obviously higher score in conflicts (P<0.01) in FES-CV. The stepwise regressionanalysis showed that moral religion emphasis of FES-CV was a major risk factor to total scores of PHCSS in ADHD children (P<0.05). ConclusionChildren with ADHD show more family dysfunction, which may correlated with their poor self-concept.

Key words: attention deficit hyperactivity disorder, children, self-concept, family environment