Guo Ru, Mao Ding-An, Li Jie-Min, Luo Xue-Mei, Jiang Yan, Liu Ji-Hong
Department of Pediatrics, Central South University, Changsha, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2011 Nov;13(11):900-3.
To investigate the behavior problems of children aged 3 to 5 years in Changsha and to compare the differences of the results detected by the norm of Conners Parent Symptom Questionnaire (PSQ) in Chinese and American urban children.
A total of 854 children aged 3 to 5 years were randomly sampled from 5 districts in Changsha City and their parents completed the Conners PSQ.
The assessment by the norm of PSQ in American urban children demonstrated that the average prevalence of behavior problems was 20.4%, with 28.1% for boys and 12.4% for girls. There were significant differences between boys and girls (P<0.01). The factor score of anxiety in girls was markedly higher than that in boys (P<0.01). Learning and psychosomatic problems were the main problems in the children. The prevalences of conduct problems and impulse-restlessness, and abnormal restlessness index detected by the norm of PSQ in Chinese urban children were higher than those detected by the American norm. The prevalences of conduct problems and psychosomatic problems in boys by the norm of PSQ in Chinese urban children were significantly lower than those detected by the American norm, while the total prevalence of behavior problems was higher than that detected by American norm. There was a poor consistency in the assessment results of most factors of the PSQ and the total prevalence of behavior problems detected by the Chinese and American norms (KappP<0.4).
The prevalence of behavior problems especially learning problems and psychosomatic problems in children aged 3 to 5 years is higher in Changsha. The consistency of assessment results is poor between the norms of China and America. It is recommended to use the China norm of PSQ in Chinese children aged 3 to 5 years because the Chinese norm is in line with China's national conditions and cultural background.
调查长沙市3至5岁儿童的行为问题,并比较中文版和美国版康纳斯父母症状问卷(PSQ)常模检测结果的差异。
从长沙市5个区随机抽取854名3至5岁儿童,其父母完成康纳斯PSQ问卷。
美国城市儿童PSQ常模评估显示,行为问题平均患病率为20.4%,男孩为28.1%,女孩为12.4%。男孩与女孩之间存在显著差异(P<0.01)。女孩的焦虑因子得分显著高于男孩(P<0.01)。学习和身心问题是儿童的主要问题。中文版PSQ常模检测的中国城市儿童品行问题、冲动多动及多动指数异常的患病率高于美国常模。中文版PSQ常模检测的中国城市男孩品行问题和身心问题的患病率显著低于美国常模,而行为问题总患病率高于美国常模。PSQ大多数因子及行为问题总患病率的中美常模评估结果一致性较差(KappP<0.4)。
长沙市3至5岁儿童行为问题尤其是学习问题和身心问题的患病率较高。中美常模评估结果一致性较差。鉴于中文版PSQ常模符合中国国情和文化背景,建议对中国3至5岁儿童使用中文版PSQ常模。