抽动障碍儿童生活质量及影响因素的研究

发布时间：2018-07-11 16:22

本文选题：抽动障碍 + 生活质量　；参考：《大连医科大学》2012年硕士论文

【摘要】：目的：评估抽动障碍（TD）儿童的生活质量；分析不同临床状况下TD儿童的生活质量状况；探讨影响抽动障碍儿童生活质量的因素。方法：TD组72例（包括单纯TD组48例，TD+ADHD组24例），对照组47例。所有被试者完成一般情况调查表、儿少主观生活质量问卷(ISLQ)、Achenbach儿童行为量表（CBCL，家长用）。采用卡方检验、t检验、单因素方差分析(ANOVA)、Kruskal-Wallis H检验、Pearson/Spearman相关性分析、多重线性回归分析等方法，应用SPSS18.0软件完成数据统计。结果：①TD组的学校生活、焦虑体验、躯体情感、认知成份、情绪成份及总体满意度的得分明显低于对照组，差异有统计学意义（P㩳0.05）。②TD组男童学校生活、认知成份得分低于TD组女童，差异有统计学意义（P㩳0.05），，TD组女童的焦虑体验低于TD组男童，差异有统计学意义（P0.05）。③单纯TD组、TD+ADHD组、正常组儿童的生活质量总体比较在焦虑体验、认知成份、情绪成份及总体满意度方面有差异（P＜0.05），两两比较显示，TD+ADHD组的总体满意度低于单纯TD组，差异有统计学意义（P㩳0.05）。④不同临床类型、不同严重程度的TD儿童生活质量的各维度、成份及总体满意度得分比较，差异无统计学意义（P＞0.05）。⑤年龄与躯体情感负相关；病程与学校生活负相关；内向性行为问题与家庭生活、学校生活、生活环境、抑郁体验、认知成份、情绪成份、总体满意度负相关；外向性行为问题与生活环境、情绪成份及总体满意度负相关；行为问题总分与学校生活、生活环境、抑郁体验、焦虑体验、情绪成份及总体满意度负相关。⑥多重线性回归显示：影响TD儿童生活质量的主要因素是内向性行为问题和是否共患ADHD，TD儿童生活质量与内向性行为问题及是否共患ADHD呈负相关。结论：①TD儿童生活质量的部分维度、认知和情绪成份及总体满意度较正常儿童降低，不同性别、是否共患ADHD其生活质量各不相同，不同临床类型、不同严重程度的生活质量未见差异。②抽动障碍儿童的行为问题与生活质量的诸多维度、认知、情绪及总体满意度有关联。③内向性行为问题、共患ADHD是影响抽动障碍儿童生活质量的主要因素。
[Abstract]:Objective: to evaluate the quality of life (QOL) of children with tic disorder (TD), to analyze the quality of life (QOL) of children with tic disorder (TD) under different clinical conditions, and to explore the factors affecting the QOL of children with THD. Methods A total of 72 cases (including 48 cases of TD group and 24 cases of TD ADHD group) and 47 cases of control group were divided into two groups. All subjects completed the General situation questionnaire and the Children's subjective quality of Life questionnaire (ISLQ) and the Achenbach Children's behavior scale (CBCLs). By means of chi-square test / t test, single factor variance analysis (ANOVA) / Kruskal-Wallis H test Pearson / Spearman correlation analysis and multiple linear regression analysis, SPSS 18.0 software was used to complete the data statistics. Results the scores of school life, anxiety experience, somatic emotion, cognitive component, emotional composition and overall satisfaction in the group of 1: 1TD were significantly lower than those in the control group (P0. 05) .2TD group, the scores of school life of boys were significantly lower than those of the control group (P0. 05). The scores of cognitive components in TD group were lower than those in TD group (P 0.05). The anxiety experience of TD group was lower than that of TD group (P0.05). The difference was statistically significant (P0.05). 3. The quality of life of children in normal group was compared with that of TD ADHD group (P0.05). There were significant differences in cognitive, emotional and total satisfaction (P < 0.05). The total satisfaction of TD ADHD group was lower than that of TD group (P < 0.05), and the difference was statistically significant (P < 0.05). The scores of quality of life, composition and overall satisfaction of children with different severity of TD were not significantly different (P > 0.05). 5 age was negatively correlated with somatic emotion, course of disease was negatively correlated with school life. Introverted behavior problems were negatively correlated with family life, school life, living environment, depression experience, cognitive component, emotional component, total satisfaction, extroverted behavior problems were negatively correlated with living environment, emotional composition and overall satisfaction. The total score of behavioral problems and school life, living environment, depression experience, anxiety experience, There was a negative correlation between emotional components and overall satisfaction. 6 multiple linear regression showed that introverted behavior problems and coexisting ADHD TD children had negative correlation with introverted behavior problems and coexisting ADHD. 6 multiple linear regression showed that introverted behavior problems and coexisting ADHD were the main factors affecting children's quality of life (QOL) in TD children. Conclusion part of dimension of quality of life, cognitive and emotional components and overall satisfaction of children with 1: 1TD were lower than those of normal children. There was no difference in the quality of life of children with different severity. 2 there was no difference between behavioral problems in children with tic disorder and many dimensions of quality of life, cognition, emotion and overall satisfaction. 3. Introverted behavior problems were found in children with tic disorders. Coexisting ADHD is a major factor affecting the quality of life of children with tic disorder.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.94

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