目的 了解兰州市2～3岁幼儿期儿童行为问题的现状及影响因素,促进儿童心理健康。方法 采用Achenbach 2~3岁儿童行为量表(CBCL)中国标准化版本(家长用)和自编相关因素调查表对兰州市181名儿童进行调查。结果 兰州市2～3岁儿童行为问题检出率为15.5%,其中男童检出率14.3%,女童检出率17.1%;男女童在行为问题各因子上的差异无统计学意义(P＞0.05);在社交退缩、抑郁、睡眠问题、躯体诉述、破坏行为、内向性和总行为问题因子上的得分显著高于常模(P＜0.01);在攻击行为、外向性因子上的得分显著低于常模(P＜0.001);父母文化程度是儿童行为问题的一个重要影响因素。结论 兰州市2～3岁儿童行为问题较为突出,尤其是社交退缩、内向性问题,有必要加强早期综合发展指导,开展综合性干预。

Objective To know about the status behavior problems and its influencing factors of children aged 2~3 years old in Lanzhou,and promote the progress of children's psychological health. Method A total of 181 children in Lanzhou were investigated with Achenbach Child Behavior Checklist (CBCL,2~3) Chinese Version and self-made questionaire of influencing factors. Results The detecting rate of children aged 2~3 years old identified as behavior problems was 15.5%,while the rate of the abnormal for boys was 14.3% and 17.1% for girls.There was no significant difference in the factors of behavior problem between boys and girls(P＞0.05).The scores of sociality withdrawal,depression,sleeping,body discomfort,disruptive behavior,introversion and total problems were significantly higher than normal(P＜0.01),but the scores of aggressive behavior and extroversion were significantly lower than those of normal(P＜0.001).Parents' cultural level was one of the important influencing factors of the children's behavior problems. Conclusions The behavioral problems among children aged 2~3 years old in Lanzhou city are outstanding,especially sociality withdrawal and introversion.It is necessary to strengthen early comprehensive development guidance and comprehensive intervention.