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对立违抗性障碍儿童行为和沙盘特征研究 被引量：1

Behavior and initial sandtray characters of children with oppositional defiant disorders
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摘要 目的探讨对立违抗性障碍（oppositionaldefiantdisorders，ODD）儿童行为和初始沙盘特点。方法ODD儿童24例，正常儿童24名，采用CONNERS父母问卷（PSQ）和沙盘工具，对ODD儿童和正常儿童的行为和初始沙盘特征进行比较分析。结果1．ODD儿童与正常儿童PSQ各因子得分比较，品行问题[（1．31±0．53）分、（0．36±0．31）分]、学习问题[（2．01±0．66）分、（0．57±0．51）分]、冲动-多动[（1．60±0．77）分、（0．35±0．41）分]、焦虑[（0．60±0．50）分、（0．27±0．25）分]及多动指数[（1．12±0．31）分、（0．78±0．28）分]评分均高于正常对照组，差异有统计学意义（P〈0．05）。2．ODD儿童与正常儿童在使用各类沙具的数量上比较，ODD儿童使用交通工具和武器明显多于正常儿童，植物及石头明显少于正常儿童，差异有统计学意义（P〈0．05）。3．ODD儿童与正常儿童沙盘主题特征比较，ODD组较多出现混乱、忽视、受伤及威胁4个创伤主题，而较少出现整合和能量2个治愈主题，差异有统计学意义（P〈0．05）。结论ODD儿童比正常儿童有更多焦虑体验。ODD儿童在初始沙盘上多呈现攻击性类沙具和创伤主题。 Objective To explore the behavior and initial sandtray characters of the children with oppositional defiant disorders （ODD） in order to provide psychological and behavioral intervention as early as possible. Methods The differences of the Conners parent symptom questionnaire （PSQ） and initial sandtrays between 24 children with ODD and 24 normal children were compared. Results PSQ indicated that children with ODD had higher scores of conduct proble （ （ 1.31 ± 0.53 ）, （ 0.36 ± 0.31 ） ）, learning problem （ （ 2.01± 0.66 ）, （ 0.57 ± 0.5 ） ）, hyperactivity-impulsion （ （ 1.60 ± 0.77 ）, （0.35 ± 0.41 ） ）, anxiety （ （ 0.60 ± 0.50 ）, （ 0.27 ± 0.25 ） ） and hyperactivity index（ （ 1.12 ± 0.31 ）, （ 0.78 ± 0.28 ） ） than normal children. On the use of toys, the experimental group was significantly higher in armament and transports and lower in plants and stones（P〈 0.05 ）. On the theme of sandtrays, the ODD group was significantly higher in disorder, neglect, injury, threat and lower in integration and energy（P 〈 0.05）. Conclusion The results show that the children with ODD have more anxiety experience than normal children and this may be associated with oppositional conduct. Children with ODD use more aggressive toys and wounded themes, revealing their attack and conflict. Psychological intervention can be provided according to the characters of behavior scale and initial sandtray.
作者 蔡婧 任艳玲 马岭 王苏弘 高鹏 王单单 杨硕 董选
机构地区 苏州大学附属第三医院脑科学研究中心 常州市儿童医院
出处 《中华行为医学与脑科学杂志》 CAS CSCD 北大核心 2013年第1期15-17,共3页 Chinese Journal of Behavioral Medicine and Brain Science
基金 基金项目：国家自然科学基金资助项目（30870868,81101018）
关键词 对立违抗性障碍 行为 沙盘 Oppositional defiant disorders Behavior Sandtray
分类号 R749.94 [医药卫生—神经病学与精神病学]
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参考文献13

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二级参考文献28

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共引文献12

同被引文献32

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中华行为医学与脑科学杂志
2013年 第1期

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