有行为问题儿童的视知觉发育评估

发布时间：2018-10-22 07:47

【摘要】：目的:通过对有行为问题儿童视觉效率和视觉信息处理能力的评估与分析,了解其视知觉发育情况,为实施有针对性的早期干预、提升学习能力提供依据。方法:通过Achenbach儿童行为量表(CBCL),以1个或1个以上因子分超过该因子第98百分位数为判断标准筛选出有行为问题的6~11岁儿童71例,按1∶2配对设计筛选同性别且年龄相差不超过3个月的无行为问题儿童142例。采用发育性眼动测试和快速命名测试分别评估儿童视觉效率和视觉信息处理能力。结果:行为问题组儿童发育性眼动测试的异常检出率高于正常对照组(纵向测试29.6%vs.5.6%;横向测试26.8%vs.7.0%,P0.01),行为问题组儿童快速命名测试中的异常检出率高于正常对照组(物体命名19.7%vs.10.6%;颜色命名15.5%vs.5.6%;数字命名28.2%vs.4.9%;汉字命名19.7%vs.9.2%;数字汉字命名21.1%vs.7.0%;数字汉字颜色命名33.8%vs.11.3%;均P0.05)。结论:行为问题儿童可能存在视知觉发育的缺陷,对行为问题儿童进行视知觉发育的评估有助于早期识别和早期干预。
[Abstract]:Objective: to evaluate and analyze the visual efficiency and visual information processing ability of children with behavioral problems, to understand the development of visual perception, and to provide evidence for early intervention and improvement of learning ability. Methods: according to the Achenbach Children's behavior scale (CBCL), 71 children aged 611 years with behavioral problems were selected according to the criterion of one or more factor score exceeding the 98th percentile of the factor. Two hundred and forty two children with no behavioral problems were screened by 1:2 pairing design with the same sex and no more than 3 months of age difference. Developmental eye movement test and rapid naming test were used to evaluate visual efficiency and visual information processing ability of children respectively. Results: the abnormal detection rate of developmental eye movement test in behavioral problem group was higher than that in normal control group (longitudinal test 29.6vs.5.6; transverse test 26.8vs.7.0 P0.01). The abnormal rate of children in behavioral problem group in rapid naming test was higher than that in normal control group (P < 0.05). Body name 19.7vs.10.6; color name 15.5vs.5.6; numerical name 28.2vs.4.9; Chinese character 19.7vs.9.2i; numeral Chinese character 21.1vs.7.00; digital Chinese character color 33.8vs.11.3i; all P0.05). Conclusion: children with behavioral problems may have defects in the development of visual perception. The evaluation of visual perception development in children with behavioral problems is helpful to early recognition and early intervention.
【作者单位】：南京医科大学附属南京市妇幼保健院儿保科;南京医科大学儿科医学研究所;
【基金】：南京市医学科技发展项目(行为问题儿童的视知觉发育和干预研究,YKK13140)
【分类号】：R179

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