肥胖儿童的行为特点及心理损害.pdfVIP

1·86 · Ch in J Pediatr, M ay 1996, V o l 34, N o. 3 肥胖儿童的行为特点及心理损害 蒋竞雄　惠京红　夏秀兰 　　摘要　为制订单纯肥胖症行为治疗方案提供依据, 采用自行设计的心理行为问题问卷表对 62 例 12～ 14 岁的单纯性肥胖儿童和同年龄、同性别的 62 名正常体重儿童进行问卷测验。测试结果采用单 因素卡方检验和多因素L ogistic 回归分析。筛出肥胖儿童饮食、运动方面的行为特点有: 进食速度快, 非饥饿状态下进食, 临睡前进食, 爱吃甜点心及甜饮料, 不喜欢上体育课, 课间、晚饭后很少去户外活 动, 看电视时间较长等; 这些行为特点与肥胖的发生发展密切相关。肥胖儿童还存在着不良的心理状 态, 如有自卑感和孤独感, 有事情喜欢藏在心里, 常因为身材被同伴取外号, 不愿在集体活动中表现自 己等。提示肥胖已经对儿童造成了较为严重的心理损害, 应引起重视。 关键词　肥胖症　　儿童行为障碍　　心理生理性障碍 The behav ioral character istics and psycholog ical damage of obese ch ildren 　J iang J ing x iong , H u i J ing hong , X ia X iu lan. Cap ital Institu te of P ed iatrics , B eij ing 100020 Abstract　In o rder to p rovide basis fo r m ak ing m edical p lan fo r behavio r of obese ch ildren, 62 12 14 62 obese ch ildren aged to years and age and sex m atched no rm al w eigh t ch ildren w ere tested . w ith the p sycho logical and behavio ral questionaires that w ere designed by ourselves T he data w ere . analysed by ch i square test and logistic regression analysis T he results show ed that obese ch ildren had m any characteristics in dietary, exercise behavio r and life style, such as eating rap idly and p re do rm itally, intake of excessive calo ries, lik ing desserts and sw eet beverages, dislik ing physical exer , . . cise and w atch ing TV too m uch T hese behavio rs w ere related to the developm ent of obseity T he ′ .