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目的 :探讨拒绝上学住院儿童的临床特点 ,诊断及个性特征。方法 :对 4 4名因拒绝上学而入院的儿童进行临床分析 ,采用韦氏智测及艾森克个性问卷对研究组及正常对照组分别进行测试。结果 :因拒绝上学而入院的儿童中有 50 %被诊断为精神分裂症 ,36 4 %被诊断为情绪障碍 ,4 5%被诊断为情感性精神障碍 ,9 1 %被诊断为品行障碍。 2 5%有家族精神病史 ,59 9%的儿童在其拒绝上学前有一定诱因。拒绝上学儿童拒绝上学时常伴有躯体症状 ( 54% ) ,情绪反应 ( 77 3% ) ,拒绝上学可发生于各智商段边缘智力及以下者显著多于对照组儿童。拒绝上学儿童与正常对照组艾森克个性问卷有显著差异 (P <0 0 5)。结论 :熟悉拒绝上学儿童的临床特点及个性特征 ,有助于家长、教师及临床工作者对拒绝上学儿童进行早期预防 ,早期发现及综合治疗
Objective: To investigate the clinical features, diagnosis and personality characteristics of children refused to go to school. Methods: A total of 44 children admitted to hospital for refusing to go to school were enrolled in the study. The Wechsler and Eysenck personality questionnaires were used to test the study group and the normal control group respectively. Results: Fifty percent of children hospitalized for refusing to go to school were diagnosed with schizophrenia, 36.4% were diagnosed with mood disorders, 45% were diagnosed with affective disorders, and 91% were diagnosed with dyslexia. 25% had a family history of illness, and 59.9% of children had some incentive before they refused to go to school. Rejection of school children refused to go to school often accompanied by somatic symptoms (54%), emotional reactions (77 3%), refused to go to school can occur in intelligence segments on the edge of intelligence and the following were significantly more than the control group children. There was a significant difference in the Eysenck personality questionnaire between school children and normal controls (P <0.05). Conclusion: Being familiar with the clinical features and personality characteristics of children who refuse to go to school will help parents, teachers and clinicians to prevent early detection, early detection and comprehensive treatment of children who refuse to go to school