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目的:探讨1型糖尿病儿童及青少年中行为问题的检出率。方法:首次应用Achenbach儿童行为量表对205例北京地区1型糖尿病患儿和619例健康对照者的行为问题进行评定。并使用SPSS10.0统计软件对两组的调查结果进行分析。结果:①1型糖尿病组行为问题的检出率为20.0%,显著高于健康对照组为8.2%,差异有显著性意义(χ2=25.195,P=0.000)。②糖尿病组检出率居前5位的因子是社交退缩、抑郁、分离焦虑、分裂样和交往不良等,在交往不良和社交退缩的方面,糖尿病组和健康对照组间存在差异有非常显著性意义(χ2=8.320,12.357,P=0.004,0.000)。结论:①1型糖尿病患儿是行为问题发生的高危人群。②在1型糖尿病儿童、青少年患者中以社交退缩、抑郁、分离焦虑、交往不良和分裂样行为问题为主,尤以社交退缩和交往不良更为突出。
Objective: To explore the detection rate of behavioral problems in children and adolescents with type 1 diabetes. Methods: The behavior problems of 205 children with type 1 diabetes mellitus and 619 healthy controls in Beijing area were assessed for the first time using the Achenbach Child Behavior Checklist. And use SPSS10.0 statistical software to analyze the survey results of the two groups. Results: ①The detection rate of behavior problems in type 1 diabetic patients was 20.0%, which was significantly higher than that in healthy controls (8.2%) (χ2 = 25.195, P = 0.000). ② The top 5 factors in diabetic patients were social withdrawal, depression, anxiety, schizoid and poor communication. There was significant difference between diabetes group and healthy control group in terms of poor communication and social withdrawal Significance (χ2 = 8.320, 12.357, P = 0.004, 0.000). Conclusion: ①The children with type 1 diabetes are the high risk group of behavioral problems. ② In children and adolescents with type 1 diabetes, social withdrawal, depression, anxiety of separation, poor interaction and schizoid behavior were the main problems, especially social withdrawal and poor communication were more prominent.