脑瘫患儿及成人的行为和情绪问题。

Behavioral and emotional problems in children and adults with cerebral palsy.

作者信息

Weber Peter, Bolli Philipp, Heimgartner Nadine, Merlo Pierina, Zehnder Tonia, Kätterer Christian

机构信息

University of Basel, University Children's Hospital Basel, Division of Neuropediatrics and Developmental Medicine, Basel, Switzerland.

出版信息

Eur J Paediatr Neurol. 2016 Mar;20(2):270-274. doi: 10.1016/j.ejpn.2015.12.003. Epub 2015 Dec 21.

DOI:10.1016/j.ejpn.2015.12.003

PMID:26748599

Abstract

OBJECTIVE

In patients with cerebral palsy (CP), psychological problems influence their participation in society. Little is known about the persistence of behavioral and social problems into adulthood.

MATERIALS AND METHODS

In a two-center cross-sectional study, caregivers of 121 adults and 88 children were ask to assess behavior of the patients through the parent/caregiver forms of the Child Behavior Checklist (CBCL), the Strengths and Difficulties Questionnaire (SDQ), and the Vineland Adaptive Behavior Scale II (VABS). Questionnaires were returned from 43 adults and 39 children.

RESULTS

In both groups we found the same frequency of abnormalities in attention problems (32.4 vs. 36.1%, p = 0.826) and social interaction problems (32.3 vs. 33.3%; p = 0.926) in the CBCL, and peer problems (38.9 vs. 75.7%; p = 0.115) in the SDQ. Children show a lower percentage of abnormal prosocial behavior (41.7 vs. 16.2%, p = 0.016) and lower abnormal rates of communication (88.2 vs. 61.5; p = 0.01) and daily living skills (90.0 vs. 71.8; p = 0.041), whereas the level of abnormalities in both groups in these dimensions of VABS notably high.

CONCLUSION

The persistence of psychological and social problems from childhood into adulthood underlines the importance of focusing on early intervention.

摘要

目的

在脑瘫（CP）患者中，心理问题会影响他们融入社会。对于行为和社会问题持续至成年期的情况，我们知之甚少。

材料与方法

在一项两中心横断面研究中，我们要求121名成年患者和88名儿童患者的照料者通过儿童行为量表（CBCL）的家长/照料者版、长处与困难问卷（SDQ）以及文兰适应行为量表第二版（VABS）对患者的行为进行评估。共收到43名成年患者和39名儿童患者的问卷回复。

结果

在两组中，我们发现CBCL中注意力问题（32.4%对36.1%，p = 0.826）和社交互动问题（32.3%对33.3%；p = 0.926）的异常频率相同，SDQ中同伴问题（38.9%对75.7%；p = 0.115）的异常频率相同。儿童亲社会行为异常的比例较低（41.7%对16.2%，p = 0.016），沟通异常率（88.2对61.5；p = 0.01）和日常生活技能异常率（90.0对71.8；p = 0.041）也较低，而在VABS这些维度上两组的异常水平都显著较高。