抽动障碍不同亚型312例患儿气质特征的研究

目的:探讨TD患儿的气质特征,以及气质作用下心理行为问题出现的可能性,为临床诊疗思路的完善提供可靠依据。方法:采用中国学龄前儿童气质量表(CPTS)及中国学龄儿童气质量表(CSTS)对312名TD患儿进行测查,并与中国常模进行比较。结果:患病组与常模组的气质类型分布有高度显著性差异(P0.01),患儿以中间近麻烦型和中间近容易型最多,TS组以麻烦型为主要气质特点,CTD组以中间型为主要气质特点,TTD组以中间型为主要气质特点。患病组的活动水平,反应强度,心境,持久性,注意转移气质维度的得分与常模组比较有显著性差异。结论:抽动障碍患儿的气质有其独特性,应根据其气质特征来制定相应的干预方案。建议尽早了解儿童的气质特点,给予积极的行为影响因素,会使TD儿童行为问题得到遏制。

The Study for Temperament Characteristics of 312 Children with tic Disorders in Different Subtypes

Objective： The temperament characteristics of the Tic disorders （TD）children were explore d in order to find out the relationship between the TD and the temperament. Methods： 312 cases TD patients were tested by CPTS（Chinese preschool temperament scale ） and CSTS （Chinese school children temperament scale ）.This paper analysed the data from the test and the made a comparison between the TD group and the norm group. Results： There were highly significant differences in the distribution of temperament type between the TD group and the norm group （P〈0.01）.There were obvious increase in the percentage of the intermediate-easy type and intermediate-difficult type among the TD group. Among of the different subtypes of Tic Disorders,the difficult type is the major type in the TS group. The scores of the TD group and the norm group in their temperament test showed a great difference in their activity level, intense,mood,persistence and distraction. Conclusion： The temperament of the TD children had distinct charateristics and we should offer proper clinical intervention measures according to temperament characteristic.