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儿童诵读困难的人格、行为特征及生活质量影响。

Personality, Behavior Characteristics, and Life Quality Impact of Children with Dyslexia.

机构信息

Mental Health Center, Shantou University Medical College, North Taishan Road, Shantou 515065, China.

Department of Preventive Medicine, Shantou University Medical College, Shantou 515041, China.

出版信息

Int J Environ Res Public Health. 2020 Feb 22;17(4):1415. doi: 10.3390/ijerph17041415.

Abstract

Dyslexia is one of the most common neurobehavioral disorders. Children with dyslexia usually suffer from negative, behavior personality problems, and impacted life quality. We aimed to identify family environment factors for dyslexia, and to evaluate the personality, behavior characteristics and life quality of children with dyslexia. A total of 60 children diagnosed with dyslexia and 180 normal children that were aged 7-12 who speak Chinese were recruited from four primary schools in Shantou City, China. Self-designed questionnaire, children's edition of the Eysenck Personality Questionnaire (EPQ), Conners' Parent Rating Scale (CPRS), and Quality of Life scale for children and adolescents (QLSCA) were employed for investigation. Multiple logistic regressions show that antenatal training ( = 0.36), higher household income, higher parents' educational levels, and parents engaging in white-collar jobs were negatively associated with dyslexia; while, family members also suffering from dyslexia ( = 12.17), lower frequency of communication between parents and children, and worse parent-child relationship were positively associated with dyslexia. Children with dyslexia scored higher in psychoticism and neuroticism ( = 0.040, 0.008), but lower in extroversion and dissimulation than normal children ( = 0.025, 0.007) in the EPQ test. They tended to be more introversion (68.3% vs. 43.0%), psychoticism (25.0% vs. 13.3%), and neuroticism (46.7% vs. 18.8%) than the controls. In addition, children with dyslexia had higher scores in conduct problem, learning problem, hyperactivity, and Conners' index of hyperactivity (CIH) in CPRS test; and, lower scores of psychosocial function, physical and mental health, and satisfaction of living quality in QLSCA test (all < 0.05). Several family environment and parenting factors were associated with children's dyslexia significantly. Children with dyslexia had the personality of psychoticism, neuroticism, introversion, and more behavioral problems. Dyslexia significantly impacted the children's quality of life. Our findings provide multiple perspectives for early intervention of dyslexia in children, particularly in family factors and the parenting environment.

摘要

阅读障碍是最常见的神经行为障碍之一。患有阅读障碍的儿童通常会出现负面的行为人格问题,并影响生活质量。我们旨在确定阅读障碍的家庭环境因素,并评估阅读障碍儿童的人格、行为特征和生活质量。本研究共纳入中国汕头市 4 所小学的 60 名确诊阅读障碍儿童和 180 名年龄在 7-12 岁、讲中文的正常儿童。采用自设问卷、儿童版艾森克人格问卷(EPQ)、Conners 父母评定量表(CPRS)和儿童青少年生活质量量表(QLSCA)进行调查。多因素逻辑回归显示,产前培训( = 0.36)、家庭收入较高、父母文化程度较高、父母从事白领工作与阅读障碍呈负相关;而家庭成员也患有阅读障碍( = 12.17)、父母与子女之间沟通频率较低、亲子关系较差与阅读障碍呈正相关。EPQ 测试中,阅读障碍儿童的精神质和神经质得分较高( = 0.040,0.008),而外向性和掩饰性得分较低( = 0.025,0.007)。与对照组相比,他们更倾向于内向(68.3%比 43.0%)、精神质(25.0%比 13.3%)和神经质(46.7%比 18.8%)。此外,CPRS 测试中,阅读障碍儿童的品行问题、学习问题、多动、Conners 多动指数(CIH)得分较高;QLSCA 测试中,心理社会功能、身心健康、生活质量满意度得分较低(均 < 0.05)。一些家庭环境和育儿因素与儿童阅读障碍显著相关。阅读障碍儿童具有精神质、神经质、内向和更多行为问题的人格。阅读障碍显著影响儿童的生活质量。我们的研究结果为儿童阅读障碍的早期干预提供了多方面的视角,特别是在家庭因素和育儿环境方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c04/7068303/62323f94eb87/ijerph-17-01415-g001.jpg

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