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目的探讨父母乙型肝炎表面抗原(HBsAg)携带状态对HBsAg阳性儿童心理行为的影响,为制定干预措施提供依据。方法采用中国3～7岁儿童气质量表(Chinese preschool children temperament scale,CPTS)、中国8～12岁儿童气质量表(Chinese school children temperament scale,CSTS)和Achenbach儿童行为量表(Child Behavior Checklist,CBCL)以及自制的儿童基本情况调查表,对123例父母一方或双方为HBsAg阳性,75例父母HBsAg均为阴性的HBsAg阳性儿童进行测试和比较,并收集患儿个人及父母的健康状况等信息。结果1在低年龄组中实验组与对照组儿童在趣避性和心境2个气质维度上得分差异存在显著性(P<0.01),高年龄组两组儿童在节律性、趋避性和心境3个气质维度上得分差异存在显著性(P<0.05或P<0.01);2实验组儿童在退缩、焦虑/抑郁、社交问题以及行为问题总分等因子上得分明显高于对照组,差异具显著性(P<0.01或P<0.05)。结论父母为HBsAg携带者对HBsAg阳性儿童的心理行为产生不良影响,在治疗躯体疾病的同时,对HBsAg阳性儿童及家庭进行社会心理干预非常必要。
Objective To investigate the influence of parents carrying status of HBsAg on the psychological behavior of children with HBsAg positive and to provide basis for making interventions. Methods Chinese preschool children’s temperament scale (CPTS), Chinese children’s temperament scale (CSTS), and Children’s Behavior Checklist CBCL) and self-made questionnaire of children’s basic conditions, 123 cases of HBsAg positive one or both parents and 75 cases of HBsAg-positive children whose parents were negative for HBsAg were tested and compared, and the collection of individual children and their parents’ health status and other information . Results 1 In the low age group, there was significant difference between the two groups in experimental and control groups (P <0.01), the rhythm, avoidance and mood 3 (P <0.05 or P <0.01). The scores of schizophrenia, anxiety / depression, social problems and total score of behavioral problems in the experimental group were significantly higher than those in the control group, the difference was significant (P <0.01 or P <0.05). Conclusion Parents as carriers of HBsAg have an adverse effect on the psychological behavior of children with HBsAg positive. It is necessary for psychosocial intervention on HBsAg positive children and their families while treating somatic diseases.