目的 了解儿童情感交叉擦腿综合征(childhood masturbation,CM)发生的相关因素、临床表现及家长可接受的就医模式;借助Achenbach儿童行为量表,评估6岁及6岁以上CM患儿同时伴发的行为问题。方法 选取CM的儿童89例,通过电话交谈及完成一个CM相关因素的自编调查问卷;采用Achenbach儿童行为量表(CBCL家长用)对21例6~11岁女性患儿的行为问题进行评估;对资料进行统计分析。结果 1)70.79%患儿在睡前躺着发生CM,并且有不同程度类似性高潮的表现,67.21%的3岁以上的患儿表示有舒服的快感。2)CM发生的相关影响因素众多,其中65.17%存在父母少陪,缺少亲密的身体接触和语言呵护等情感关怀缺失情况;46.07%的患儿开始此行为是对泌尿生殖系统疾病本能的反应,而后发展成习惯性动作。3)73.03%的家长则表示不同意将儿童此行为摄像备诊断所用。4)Achenhach儿童行为量表测试结果6岁以上CM组的行为问题得分(24.38±14.32)高于对照组(20.76±15.3),但差异无统计学意义(P>0.05)。 结论 CM是一种与成人手淫相类似的行为,可达到拟似性高潮的程度,影响因素中以缺少父母的情感关怀为突出;在国内摄像用于诊断的依从性差,诊断CM无法主要依赖于摄像资料;6岁以上CM女性儿童的行为问题并不很突出。

Objective To investigate underlying factors,exacerbating factors,clinical manifestations,and videotaping feasibility in Chinese childhood masturbation (CM) children and study behavioral implications of CM in children over 6 years of age. Methods 89 CM cases were collected by phone calls and a specially designed form for parents;Achenhach Child Behavior Checklist(CBCL)was used to assess behavioral implications of CM in 21 female cases over 6 years of age.SPSS 17.0 software was applied to analyze the results.Results 1)70.79% of CM were seen in children lying on the bed before falling asleep,and there were varying degrees similar to adult orgasm,67.21% of children over 3 years of age described the experience as being pleasant.2)The underlying factors/ exacerbating factors of CM were various,65.71% was lack of affective care from parents,such as less parents' time with child,lack of body touch/warmly affective contact from parents.46.07% of CM were induced by perineal irritation.3) 73.03% of parents did not agree with videotaping CM events of their children.4)the behavioral problems disclosed by CBCL in CM female cases over 6 years of age (24.38±14.32) were not significant different from control (20.76±15.3). Conclusion CM is similar to adult masturbation,and to some degree with adult orgasm.Lack of affective care from parents was probably the most outstanding among the underlying factors/exacerbating factors of CM.The implication of videotape for the diagnosis of CM is limited in China,as majority of parents do not accept.Behavioral problems in CM female children over 6 years of age are not prominent.