远视性弱视眼儿童的心理行为分析
nalysis of psychogenic behavior in children with hyperopic amblyopia
目的:通过比较远视性弱视儿童与正常同龄儿童的心理行为探讨弱视对儿童心理行为的影响,关注弱视儿童行为心理发育健康。 方法:将门诊受试儿童分为2组:1.弱视组(78例)2.正常对照组(80例)。采用Achenbach儿童行为量表家长用表和Conners父母症状问卷对同龄的远视性弱视和对照组儿童进行评定并进行比较分析。结果:Achenbach儿童行为量表显示:弱视组的男孩中, 社交问题、违纪行为、攻击性行为、活动情况、学校情况、社会能力总分的评分显著高于对照组(P<0.05 ) ; 女孩中, 学校情况、社会能力总分的评分显著高于对照组(P<0.05 ) Conners父母症状问卷显示:弱视组的男孩中, 心身问题的评分显著高于对照组(P<0.05 ); 女孩中, 冲动-多动的评分显著高于对照组(P<0.05 )。远视性弱视患儿多动指数异常检出率为8%。结论:远视性弱视对儿童正常心理行为发育有一定影响,并且弱视男童较女童存在更多的心理行为问题,但是这种改变都没有达到心理疾病标准。在儿童视觉及心理发育敏感阶段,治疗儿童弱视的同时也要关注他们的心理健康。
Objective: To investigate psychogenic problems in children with hyperopic amblyopia, we compare the showing of psychological behavior in hyperopic amblyopia with emmetropia's of children. Methods: 78 children definitely diagnosed as hyperopic amblyopia and 80 control normal children with uncorrected refraction error were collected. Their parents complete two psychological evaluated with the Achenbach Child Behavior Checklist (CBCL ) and the Conners Rating Scales(Parent Symptom Questionnaire, PSQ). Two groups had divided into four groups as gender. T-test was used to compare children with amblyopia and those without. Results: This had adverse consequences for hyperopic amblyopia children's psychosocial well-being. Both girls and boys had the problems of school scales and social competence. While the girls had the problems of Impulsivity-hyperactivity, the boys had the problems of delinquent behavior、aggressive behavior 、activities and psychosomatic disorder. Conclusions: Given that amblyopia can affect children's psychosocial well-being, and the boys had more problems than the girls. Although abnormal psychogenic behavior exist in children of hyperopic amblyopia, the values of change have not reach the standard of mental illness. Health outcomes need to integrate both vision and psychosocial implications of treatment.
江灵莉、魏欣、肖满意、李筠萍
眼科学儿科学神经病学、精神病学
远视性弱视眼心理行为儿童心理
amblyopiapsychogenic behaviorchild psychology
江灵莉,魏欣,肖满意,李筠萍.远视性弱视眼儿童的心理行为分析[EB/OL].(2010-12-31)[2025-08-16].http://www.paper.edu.cn/releasepaper/content/201012-1491.点此复制
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