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【目的】探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)与抽动障碍(tic disorder,TD)共病(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)患儿的行为特征。【方法】采用Achenbach儿童行为量表(Child Behavior Checklist,CBCL)对注意缺陷多动障碍与抽动障碍共病(CAT)组60例,ADHD组79例,TD组60例,正常对照组71名儿童分别进行评估。【结果】CAT组行为问题发生率与ADHD组比较差异无统计学意义(2χ=0.419,P>0.05);CAT组行为问题发生率显著高于TD组(χ2=7.745,P<0.01);CAT组与正常对照组比较差异有高度统计学意义(χ2=27.326,P<0.001)。男童CAT组强迫性与攻击性因子显著高于ADHD组(P<0.01),交往不良因子略高于ADHD组(P<0.05)。CAT组除分裂性因子外其余因子均显著高于TD组(P<0.01)。CAT组所有九个因子均显著高于对照组,差异有高度统计学意义(P<0.01)。女童CAT组各因子与ADHD组比较均无差异;CAT组的攻击因子高于TD组,差异具有统计学意义(P<0.05);CAT组社交退缩、攻击因子高于对照组,差异具有统计学意义(P<0.05)。【结论】CAT儿童存在更多及更为严重的行为问题,ADHD的存在是CAT儿童行为问题的主要来源,CAT男童患者行为问题更加严重。
【Objective】 To investigate the behavioral characteristics of children with attention deficit hyperactivity disorder (ADHD) and tic disorder (tic disorder, TD). 【Methods】 60 children with attention deficit hyperactivity disorder (ADHD) and tic disorder (CAT) with Achenbach Child Behavior Checklist (CBCL), 79 children with ADHD, 60 children with TD, 60 children with normal control Evaluate separately. 【Results】 The incidence of behavioral problems in CAT group was not significantly different from that in ADHD group (2χ = 0.419, P> 0.05). The incidence of behavioral problems in CAT group was significantly higher than that in TD group (χ2 = 7.745, P <0.01) The difference between the two groups was statistically significant (χ2 = 27.326, P <0.001). The compulsive and aggressive factors in male CAT group were significantly higher than those in ADHD group (P <0.01), and the adverse factors in male CAT group were slightly higher than those in ADHD group (P <0.05). The other factors except CAT were significantly higher than those in TD group (P <0.01). All nine factors in CAT group were significantly higher than those in control group, the difference was highly statistically significant (P <0.01). There was no significant difference between the CAT group and the ADHD group. The attack factor of the CAT group was higher than that of the TD group (P <0.05), while the CAT group had social withdrawal and the attack factor was higher than that of the control group Significance (P <0.05). 【Conclusion】 CAT children have more and more serious behavioral problems. The presence of ADHD is the main source of behavioral problems in CAT children and the behavioral problems of CAT boys are more serious.