摘要
目的了解焦虑和抑郁障碍患儿中焦虑与抑郁共病的发生率和行为特点。方法在门诊收集符合中国精神障碍分类与诊断标准第3版中焦虑障碍和抑郁障碍诊断标准的5～17岁儿童青少年,其中单纯焦虑障碍41例(焦虑组),单纯抑郁障碍31例(抑郁组),焦虑与抑郁共病31例(共病组)。由父母、儿童、医师分别采用自编一般资料表、Achenbach儿童行为量表(CBCL)、儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表和儿童大体评定量表,评定三组儿童。结果(1)焦虑障碍患儿有16%(8例)合并抑郁;抑郁障碍患儿有42%(23例)合并焦虑。(2)CBCL焦虑组的活动情况及社会能力总分[(15.74±3.65)分]优于共病组[(12.98±4.00)分]和抑郁组[(14.02±3.67)分],均P<0.01和<0.05;共病组行为问题总分[(61.74±28.96)分]高于焦虑组[(43.44±22.54)分]和抑郁组[(47.74±25.99)分;F=4.62,P<0.05]。(3)SCARED共病组的总分高于焦虑组和抑郁组(P<0.05)。(4)儿童抑郁障碍自评量表抑郁组和共病组总分高于焦虑组(P<0.01)。(5)儿童大体评定量表焦虑组[(67.71±9.54)分]优于抑郁组[(58.55±8.08)分]和共病组[(61.16±7.60)分;F=11.10,P<0.001]。结论儿童焦虑、抑郁共病现象常见,共病患儿比单纯焦虑或抑郁患儿的内化性问题、外化性问题更严重,社会功能损害更明显。
Objective To investigate the rates and clinical features of comorbidity of anxiety and depressive disorder in out-patient clinic. Methods One hundred and four children and adolescents with anxiety and depression meeting the CCMD-3 diagnostic criteria were evaluated with the clinician-, parentsand self-report rating scales and the Achenbach Child Behavior Check List （CBCL）. The subjects were divided into three groups, 41 children with anxiety disorder, 31 with depression, and 31 with comorbidity of anxiety and depression. Results The anxiety group had higher scores on the CBCL subscales of activities and total competence than the other two groups. The comorbidity group had higher scores on the subscales of withdrawal, anxiety/depression, and internalizing than the anxiety and depression group, and higher score on the attention, aggressive subscale than anxiety group. The comorbidity group also had higher total score on the Screen for Child Anxiety Related Emotional Disorders than the other groups. The anxiety group had higher total score on the clinician-rating children＇s global assessment scale than the depression and comorbidity groups. Conclusion The comorbidity of anxiety and depression is common in children with mood disorder, and more internalization problem, attention deficit, aggressive behavior and poor social competence can be seen in these children.
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2005年第4期214-217,共4页
Chinese Journal of Psychiatry
基金
国家自然科学基金资助项目(30370521)
关键词
儿童
焦虑症
抑郁障碍
同患多病
Child
Anxiety disorders
Depressive disorder
Comorbidity
