Yeh Chao-Hsing, Wang Ya Fen
School of Nursing, Chang Gung University, Tao-Yuan, 259 Wen-Hwa 1st Road, Kwei-San, Tao-Yuan, Taiwan, Republic of China.
Cancer Nurs. 2004 Sep-Oct;27(5):413-22. doi: 10.1097/00002820-200409000-00012.
The objective of this study was to examine the factor structure of Achenbach's Child Behavior Checklist, using confirmatory factor analysis, in a group of pediatric oncology patients in Taiwan and to compare the competence and behavioral/emotional problems scores of these children with normative scores to assess competence and emotional/behavioral problems of Taiwanese children with cancer. Subjects included parents (124 mothers and 22 fathers) of 146 pediatric oncology patients who completed the measures. Factor loadings of the overall fit indices for the study subjects yielded or approached satisfactory results for all syndromes, except for aggressive behavior. The indices for both internalizing and externalizing syndromes also showed good model fit. Taiwanese children with cancer had significantly lower competence scores on the Child Behavior Checklist/4-18 than did Achenbach's sample, except Taiwanese girls with cancer, who had higher activity competence scores, but these scores were not statistically significant. Taiwanese boys with cancer had significantly higher scores on all of the emotional/behavioral problems, but had lower delinquent behavior, aggressive behavior, and externalizing syndrome scores. In contrast, girls with cancer had significantly higher scores on somatic complaints and internalizing syndrome, but significantly lower aggressive behavior and externalizing syndrome scores. Taiwanese adolescents with cancer had significantly lower competence scores compared with normative scores, with the exception being that the adolescents in the current study had significantly higher school competence scores. These adolescents also had significantly fewer attention problems but tended to have more somatic complaints. These findings clearly indicate that healthcare for children with cancer should include psychological services to prevent long-term emotional/behavioral problems.
本研究的目的是运用验证性因素分析，检验台湾一组儿科肿瘤患者中阿肯巴克儿童行为量表的因素结构，并将这些儿童的能力及行为/情绪问题得分与常模得分进行比较，以评估台湾癌症患儿的能力及情绪/行为问题。研究对象包括146名完成相关测评的儿科肿瘤患者的父母（124名母亲和22名父亲）。除攻击行为外，研究对象总体适配指数的因素负荷对所有综合征均产生或接近令人满意的结果。内化和外化综合征的指数也显示出良好的模型适配度。台湾癌症患儿在儿童行为量表/4 - 18上的能力得分显著低于阿肯巴克样本中的得分，但台湾患癌女童的活动能力得分较高，不过这些得分无统计学意义。台湾患癌男童在所有情绪/行为问题上的得分显著较高，但在违法行为、攻击行为和外化综合征得分上较低。相比之下，患癌女童在躯体主诉和内化综合征上的得分显著较高，但在攻击行为和外化综合征得分上显著较低。与常模得分相比，台湾患癌青少年的能力得分显著较低，不过本研究中的青少年在学校能力得分上显著较高。这些青少年的注意力问题也显著较少，但往往有更多的躯体主诉。这些发现清楚地表明，癌症患儿的医疗保健应包括心理服务，以预防长期的情绪/行为问题。
