儿童孤独症的心理行为特征及其影响因素分析

Analysis of psychological and behavioral characteristics and influencing factors of childhood autism

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

河南省开封市人民医院 ;

摘要
【摘要】 观察儿童孤独症的心理行为特征,分析孤独症的影响因素,为未来儿童孤独症心理行为的早期筛查及干预计划制定提供依据。方法 回顾性分析,收集2018年1月-2019年12月本院儿科门诊接诊的63例孤独症患儿临床资料,将其设为孤独症组;另收集同期本院儿科门诊接诊的80例经检查为健康儿童临床资料,将其设为对照组。设计一般情况调查问卷,分析孤独症患儿心理行为特征并分析儿童孤独症发生的影响因素。结果 共纳入的63例孤独症患儿中,有25例出现不同程度语言发展迟缓及异常,23例患儿出现社会交往障碍,30例患儿出现兴趣及行为异常,18例患儿出现认知缺陷;将可能的影响因素纳入,经单因素与多项Logistic回归分析检验结果显示,母亲职业为专业技术人员、家庭经济较差、母亲孕期患病史、新生儿黄疸、孤独症遗传史均可能是诱发儿童孤独症发生的影响因素(OR>1,P<0.05)。结论 儿童孤独症普遍存在不良心理行为特征,疾病的发生受多种因素共同影响,临床应注重早筛查、早干预。
Abstract
Department of Pediatrics, Kaifeng People’s Hospital of Henan Province, Kaifeng 475000【Abstract】 Objective To observe the psychological and behavioral characteristics of children with autism, analyze the influencing factors of autism, and provide the basis for early screening and intervention planning of future childrens autism psychological behaviors. Methods Retrospectively analyzed the clinical data of 63 children with autism who were received in the pediatric outpatient clinic of our hospital from January 2018 to December 2019, and set it as the autism group; In addition, the clinical data of 80 healthy children who were examined in our pediatric outpatient clinic during the same period were collected and set as the control group. Read and analyzed all children’s relevant information carefully, designed a questionnaire based on general condition, analyzed the psychological and behavioral characteristics of children and found out the occurrence of childhood autism. Results Among the 63 children with autism included, 25 had various degrees of language development retardation and abnormality, 23 children had social communication disorders, 30 children had abnormal interests and behaviors, and 18 children had cognitive problems defect; Incorporating possible influencing factors, the results of single factor and multiple logistic regression analysis showed that the mother’s occupation as a professional and technical personnel, poor family economics, mother’s history of pregnancy, neonatal jaundice, and genetic history of autism may all be influencing factors for the occurrence of childhood autism (OR>1, P<0.05). Conclusion Childhood autism generally has adverse psychological and behavioral characteristics, and the occurrence of the disease is affected by a variety of factors. Early screening and early intervention was necessary to reduce the incidence of autism.
基金项目
页码 726-729
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侯伟鹏*. 儿童孤独症的心理行为特征及其影响因素分析 [J]. 国际精神病学杂志. 2020; 47; (4). 726 - 729.

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