摘要
目的探讨特发性矮小(ISS)儿童从青春期前到青春期自我意识水平和焦虑、抑郁状况的变化,为不同发育阶段儿童进行心理健康干预提供基础数据。方法按照Tanner分期把108例ISS儿童和128例正常儿童分别分成青春期前组和青春期组,采用Piers-Harris儿童自我意识量表(PHCSS)、儿童焦虑性情绪障碍筛查量表(SCARED)、流调中心儿童抑郁量表(CESDC)对其进行问卷调查分析。结果青春期前ISS儿童PHCSS的躯体外貌与属性评分显著低于对照组,差异有统计学意义(P<0.05);PHCSS总分及其余各因子、SCARED和CES-DC量表总分差异均无统计学意义(P>0.05)。青春期ISS儿童在PHCSS总分、躯体外貌与属性、焦虑、合群、幸福及满足均显著低于对照组,SCARED总分与CES-DC总分则显著高于对照组,差异有统计学意义(P<0.05)。在ISS儿童中,青春期组PHCSS量表的总分及分量表的躯体外貌与属性、焦虑、合群3个因子评分均显著低于青春期前组(P<0.05),其余各因子差异无统计学意义(P>0.05);青春期组SCARED总分与CES-DC总分显著高于青春期前组,差异有统计学意义(P<0.05)。结论青春期前ISS儿童已关注自身身高问题并感不满,但无整体自我意识受损或焦虑抑郁情绪,青春期ISS儿童出现自我意识普遍低下及更多的焦虑抑郁情绪。从青春期前至青春期,ISS儿童自我意识水平显著下降,焦虑抑郁水平显著升高。
Objective To explore the changes of self-concept, anxiety and depression in idiopatihic short stature （ISS） children from preadolescence to adolescence, provide the basic data for psychological health intervention in children at different developmental stages. Methods A total of 108 children with ISS and 128 normal children were divided into preadolescence group and adolescence group according to Tanner staging, then the children were surveyed by Piers-Harris Children＇s Self-concept Scale （PHCSS） , the Screen for Child Anxiety Related Emotional Disorders （SCARED） and Center for Epidemiological Studies Depression Scale for Children （CES-DC） . Resdts The scores of physical appearance and property of PHCSS in preadolescence ISS group were statistically significantly lower than those in control group （ P〈0. 05 ） ; there was no statistically significant difference in the total score of PHCSS, the scores of other factors of PHCSS, the total scores of SCARED and CES-DC between the two groups （ P〉0. 05 ） . The total score of PHCSS, the scores of physical appearance and prop- erty, anxiety, popularity, happiness, and satisfaction in adolescence ISS group were statistically significantly lower than those in control group （ P〈0. 05 ） ; the total scores of SCARED and CES-DC in adolescence ISS group were statistically significantly higher than those in con- trol group （ P〈0. 05 ） ; in ISS children, the total score of PHCSS, the scores of physical appearance and property, anxiety, popularity in ado- lescence group were statistically significantly lower than those in preadolescence group （ P〈0. 05 ）, but there was no statistically significant difference in the scores of other factors （P〉0. 05 ） ; the total scores of SCARED and CES-DC in adolescence group were statistically signifi- cantly higher than those in preadolescence group （ P〈0.05 ） . Conclusion Prepubertal ISS children are dissatisfied with their short Stature, but they have no low self-concept, anxiety and de
出处
《中国妇幼保健》
CAS
2017年第1期62-65,共4页
Maternal and Child Health Care of China
基金
佛山市医学类科技攻关项目(2014AB002383)
关键词
特发性矮小
自我意识
焦虑
抑郁
青春期
Idiopatihic short stature
Self-concept
Anxiety
Depression
Puberty
