目的:根据远视性弱视儿童疗效不同分组比较两组患儿行为心理差异,观察儿童心理行为对弱视疗效的影响。方法:将门诊接受弱视治疗6mo的远视性弱视儿童分为2组:(1)疗效差组:共计29例,其中男16例,女13例。(2)疗效正常对照组:共计116例,其中男64例,女52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:疗效差组的男孩中,思维问题、注意问题和攻击性行为的评分显著高于疗效正常对照组(P<0.05);女孩中,退缩、注意问题、社交情况、社会能力总分的评分显著高于疗效正常对照组(P<0·05)。Conners父母症状问卷显示:疗效差组的男孩中,学习问题、心身问题、冲动-多动和多动指数的评分显著高于疗效正常对照组(P<0.05);女孩中,学习问题和冲动-多动的评分显著高于疗效正常对照组(P<0.05)。结论:儿童行为心理对远视性弱视治疗有明显影响,远视性弱视疗效差的患儿主要表现为多动与注意力不集中,自制能力不足,容易激发冲动造成成绩不良和学习障碍。

AIM:To study the effect of psychogenic problems on therapeutic efficacy of hyperopic amblyopia and compare the manifestations of psychological behavior in various therapeutic efficacy of hyperopic amblyopia .METHODS: Totally 29 children who had failed to respond to amblyopia treatment and 116 control children with satisfactory therapeutic efficacy of amblyopia were collected. Their parents completed two psychological evaluation with the Achenbach Child Behavior Checklist (CBCL ) and the Conners Rating Scales(Parent Symptom Questionnaire, PSQ). Each groups had been divided into two groups by gender. t-test was used to compare children with various therapeutic efficacy.RESULTS: The group failed to respond to amblyopia treatment had more psychogenic problems than the control group. Both girls and boys had the problems of attention concentrating,learning and impulsivity-hyperactivity. While the girls had the problems of withdrawn,social scales and social competence, the boys had the problems of aggressive behavior,thought and psychosomatic disorder.CONCLUSION: This study shows that children’s psychosocial behavior can affect therapeutic efficacy of hyperopic amblyopia.

R777.44

中国高等学校博士学科点专项科研基金新教师基金资助项目(No.20070533069);中国湖南省自然基金资助项目(No.08jj6013)~~