刘喜梅++王建忠

[摘要] 目的 探讨儿童行为量表在学习不良儿童中的应用效果。 方法 随机抽取常熟市区四所小学作为研究对象，以上学期期中及期末考试的语文、数学、英语成绩作为主要依据，结合班主任的评价分成学习不良儿童组和优秀儿童组，采用Achenbach儿童行为量表对入组儿童进行行为测评。 结果 学习不良儿童组有52.94%（171/323）检出行为问题，优秀儿童组有7.81%（21/269）检出行为问题。学习不良儿童组的多动、交往不良、强迫行为等发生率高于优秀儿童组（P<0.05）。 结论 学习不良儿童容易产生行为问题，学习不良与行为问题相互影响。

[关键词] 学习不良；儿童行为量表；行为问题

[中图分类号] R844.1 [文献标识码] A [文章编号] 1674-4721（2014）08（a）-0141-03

Application effect of child behavior checklist in children with learning disability

LIU Xi-mei1 WANG Jian-zhong2

1.Department of Gynaecology and Obstetrics，the First People′s Hospital of Changshu City in Jiangsu Province，Changshu 215500，China；2.Maternal and Child Health Center of Changshu City in Jiangsu Province，Changshu 215500，China

[Abstract] Objective To explore the application effect of child behavior checklist in children with learning disability. Methods Four elementary schools in Changshu were randomly selected as research objects.On the main basis of performances in Chinese，mathematics and English in the mid-term and final examinations last semester，together with evaluations from head teachers，these selected children were divided into children with learning disability group and children with excellent learning group.They were evaluated by Achenbach CBCL. Results In the children with learning disability group，there were 171 children with behavior problem accounting for 52.94%，while in the excellent learning group，only 21 children were detected with behavior problem at a percentage of 7.81%.The occurrence of hyperactivity，bad contact and compulsive behavior in the children with learning disability group was higher than that in the children with excellent learning group（P<0.05）. Conclusion Children with learning disability are prone to have behavior problem.Learning disability and behavior problem influence each other.

[Key words] Learning disability；Child behavior checklist；Behavior problem

学习不良是发育行为儿科学中的一种常见疾病，对学习不良儿童来说，无论在家里，还是在学校，都会体验到不断增长的压力，导致其出现心理行为问题，且学业失败更加剧学习不良儿童的心理行为问题[1-2]，为此对城区四所小学中学习不良儿童及优秀儿童的Achenbach行为量表进行分析和研究，以期在临床工作中给家长提供指导性意见。

1 资料与方法

1.1 一般资料

随机抽取2012年3月～2013年6月常熟市区四所小学1～6年级的学生作为研究对象，以上学期期中和期末考试的语文、数学、英语成绩作为主要依据，结合班主任的评价进行分组，所有入组儿童均无明显的躯体、神经性疾病。学习不良儿童组：语文、数学、英语平均分在班里处于最后十名，共323例，其中男236例，女87例；优秀儿童组：语文、数学、英语平均分在班里处于前五名，共269例，其中男92例，女177例。

1.2 研究方法……