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【目的】探讨肠易激综合征儿童的心理行为及家庭环境特点,为其心理干预提供依据。【方法】应用问卷调查与专科随访相结合的方式选定肠易激综合征儿童352例,采用病例对照研究的方法探讨肠易激综合征儿童的气质、行为和家庭环境特征。【结果】肠易激综合征儿童气质维度方面活动水平和反应强度得分高于对照组(P<0.01),规律性、趋避性、情绪本质及注意分散度得分低于对照组(P<0.01)。肠易激综合征儿童发生行为问题的风险大(OR=1.793);肠易激综合征是男童发生体诉、抑郁、不成熟、攻击、违纪和行为总分异常的危险因素(OR=3.93,2.84,4.99,30.86,3.03,4.22),是女童发生体诉、强迫性和行为总分异常的危险因素(OR=5.11,2.00,1.55)。家庭环境方面病例组亲密度、独立性、道德宗教观及控制性得分低于对照组(P<0.05),娱乐性与组织性得分低于对照组(P<0.01),矛盾性和成功性得分高于对照组(P<0.01)。【结论】肠易激综合征儿童有独特的气质特点,其家庭环境不良,发生行为问题的风险大。
【Objective】 To investigate the psychological behavior and family environment characteristics of children with irritable bowel syndrome and provide the basis for their psychological intervention. 【Methods】 A total of 352 children with irritable bowel syndrome (IBS) were selected by questionnaire and specialist follow-up. The case-control study was conducted to investigate the temperament, behavior and family environment characteristics of children with IBS. Results The scores of activity level and reaction intensity in children with irritable bowel syndrome were higher than those in the control group (P <0.01). The scores of regularity, avoidance, emotional essence and attentional dispersion were lower than those in the control group (P <0.01) . Irritable bowel syndrome is a risk factor for behavioral problems in children with irritable bowel syndrome (OR = 1.793); irritable bowel syndrome (IBS) is a risk factor for abnormalities in body weight, depression, immatureness, aggression, discipline and behavioral abnormalities , 2.84, 4.99, 30.86, 3.04, 4.22). It is a risk factor for the abnormalities of body weight, obsessive compulsive behavior and total score of behavior in girls (OR = 5.11,2.00,1.55). Family environment group’s intimacy, independence, morality and religious values and control scores were lower than the control group (P <0.05), entertainment and organizational scores were lower than the control group (P <0.01), the contradiction and the success score Higher than the control group (P <0.01). 【Conclusions】 Children with irritable bowel syndrome have unique temperament, poor family environment and high risk of behavioral problems.