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脑瘫儿童相关问题及其对父母心理健康的影响研究 被引量:23

Effect of cerebral palsy children's disability on mental health status of parents
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摘要 【目的】对脑瘫儿童粗大运动功能障碍程度、病程、花费和初诊年龄等相关问题与其父母心理健康状况的关系进行探讨,旨在了解脑瘫儿童父母心理健康状况及其相关影响因素。【方法】使用心理症状自评量表对128名脑瘫儿童父母和128名健康儿童父母进行检查;使用粗大运动功能分级系统(GMFCS)对128名脑瘫儿童进行测查。根据资料性质分别进行统计学描述、t检验和多因素回归分析(逐步回归法)。【结果】脑瘫儿童父母SCL-90总分、阳性项目数高于正常对照组(P<0.05);各因子分中躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、偏执七项因子分值高于健康儿童父母(P<0.01)。多因素回归分析表明,花费和初诊年龄分别仅对焦虑和抑郁因子分有影响,病程对脑瘫儿童父母SCL-90总分及各个因子都有影响。【结论】1)脑瘫儿童父母心理健康状况落后于正常儿童父母;2)脑瘫儿童粗大运动功能障碍程度、初诊年龄、病程长短及花费多少不同程度影响其父母的心理健康。 [Objective] To study the effects of children's disability on their parents" mental health status. [Methods] 128 children with cerebral palsy were selected and tested with gross motor function classification system (GMFCS),men- tal health conditions of their parents and 128 normal children's parents were tested with the Symptom Check-List 90(SCL- 90). Data were analyzed by t-test and multiple regression analysis. [Results] Compared with the parents of normal chil- dren,the parents of cerebral palsy children had much higher SCL-90 total score and seven positive factors scores such as so- matization, interpersonal relations, obsession, depression, anxiety, hostilityand paranoid (P% 0.01 ). Expense and newly diag- nosed age of cerebral palsy children had relationship with their parents" anxiety and depression scores respectively,course of disease had an effect on total score and each factors. [Conclusion] Mental health status of cerebral palsy children' parents lags behind that of normal children" parents. Severity of children's disability, newly diagnosed age, course of disease and ex- pense could affect their parents" mental health.
出处 《中国儿童保健杂志》 CAS 北大核心 2013年第4期391-394,共4页 Chinese Journal of Child Health Care
关键词 脑瘫 儿童 父母 心理健康 cerebral palsy child parents mental health
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