偏头痛患儿的心理行为特征研究.pdfVIP

中国儿童保健杂志 2007 年 08 月第 15 卷第 4 期 CJCHC Aug. 2007. Vol 15 ，对0.4 357 文章编号: 1008-6579(2007)04-0357-03 Z科研诠著】 偏头痛患儿的心理行为特征研究 张海菊，王玉王书，孙若离鸟\王贵菊 (山东大学齐鲁医院儿科，山东济南 250012) 中图分类号:R749.94 文献标识码:A 摘 要: (目的E 用国内通用的儿童心理量表检测镜头痛是否有其特殊的心理易患基础，有针对性地进行干预租 疏导，提高患儿的生活质量。(方法] 50 樨无先兆偏头痛患者于发作部歇郑和 50 名正常健康查体儿童气质类型测定， 儿童行为量表，艾森克个性拇卷CEysenck Personality Questionnaire , EPQ)和症状自评量表检测。(结果E 偏头痛患JL 气质维度因子中活动水平较低，适应性与心境均较高，行为量表显示行为问题发生率较高，行为西子社交退缩、抑郁、躯体 诉述分值均较正常对照组高，EPQ 的神经质分CN)高于正常对照组，症状自评量表中躯体化、人际关系、焦虑、抑郁、敌对、 精神病质因子分值均高于正常对照组。(结论E 偏头痛具有特殊心理基础，主要表现为焦虑、抑郁等负性情绪及社交 退缩，人际关系紧张可能为发病基础或诱因，应重视偏头痛防治中的心理因素。 关键语: 偏头痛:儿童:气质; JL童行为量表:支森克个性i可卷;症状8 评量表 Study on tbe psychofogical characteristic of m袍raine in chíldren. ZHANG Hai-ju , WANG Yu-wei , SUN Ruo-peng , WANG Gui-ju. (Department 01 Pediatrics , Qilu Hospital , Slwndong University , Jinan , Slwndong 250012 , China) Abstract: [ Objectíve) To explore the psychological characteristic of migraine in children 吕sing the psychological as sessments. ( Meth侃Is] 50 migraineurs and 50 age and sex matched norrnal controls were examined by the psychological asse ssments , including Parent Ternperarnent Questionnaire( PTQ). Chíld Behavior Checklist( CBCL) , Eysenck Personality Questionnaire (EPQ) and Symptom Checklist 90( SCL-90). (Results] There were highly significant differenc臼 in their activity level , adaptability intensity of reactìon , mood in PTQ.τhe migraineurs had signifìcantly higher scores on social inter co泣rse retraction factor. depression factor and somatization factor in CBCL. Neuroticism factor was higher in EPQ in migrai neur children. Also there were signifìcant difference in sornatization , depression , sensitivity , anxiety. hostìlity and psychoti cism factors in migraineurs. (Conciusions] Specific psycholog