摘要
目的探讨学龄期矮小儿童焦虑、抑郁状况及其与心理弹性的关系,为进一步进行心理干预提供依据。方法选用儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表和(或)心理弹性量表(RS)个性问卷,对2008年8月-2011年8月扬州大学临床医学院儿科矮小门诊确诊为矮小症的82例9～14岁身材矮小儿童和78名正常对照儿童进行问卷调查。结果矮小儿童有焦虑障碍的比例(43.90%)与对照组(16.70%)差异有统计学意义(χ2=13.96,P<0.01);有抑郁障碍的比例(18.30%)高于对照组(12.80%),差异无统计学意义(χ2=0.91,P>0.05);两组儿童焦虑总分以及躯体化/惊恐、广泛性焦虑、社交恐怖、学校恐怖分量表评分差异有统计学意义(P值均<0.05);矮小儿童抑郁评分与正常对照组差异无统计学意义(P>0.05)。矮小儿童心理弹性评分焦虑组与非焦虑组、抑郁组与非抑郁组差异均有统计学意义(P值均<0.05)。矮小儿童焦虑各因子及总分、抑郁评分与心理弹性总分及各因子评分均呈显著负相关(r=-0.10～-0.33,P值均<0.05)。结论学龄期矮小儿童较正常儿童有更多的焦虑等情绪,心理弹性好的学生焦虑抑郁症状较轻。应注重儿童心理弹性的培养。
Objective To study the emotion of anxious and depression and the characteristic of personality for school-aged children with short stature and compare them with those of age-matched healthy control. Methods Eighty-two of the school-aged children with short stature （ studied group ） and seventy-eight age-matched healthy controls （ control group ） were asked to complete the questionnaires allowing assessment of symptoms as- sociated with anxiety, depression and personality by using the screen for child anxiety related emotional disorders （SCARED）, depression self-rating scale for children （ DSRSC ） and Resilience Scale （ RS ） , respectively. Results There were significant differences for the positive rates of anxious be- tween dwarfish children（43.90% ） anti health children（ 16.70% ） （X2 = 13.96,P〈0.01 ）. The percentage of depression positive cases（ 18.30% ） was higher than that of the health group（ 12.80% ） ,but had no significant difference（x2 =0.91, P〉0.05 ） ; Studied group scores were significantly higher on subseales of somatizatioon/panic, generalized anxiety, social phobia, school phobia and the total scale than those of control group （P〈O. 05 ）, the depression score was higher than that of the control group, but had no significant difference （ P〉0.05 ）. The anxiety group and non-anxiety group were significantly different（ P〈0.01 ） and the depression group and non-depression group were also significantly different（ P〈O. 05 ） in psychological resilience. Negative correlations were found among children＂ s anxiety, depression and psychological resilience （ r = -0.10-0.33, P〈0.05 ）. Conclu- sion School-aged children with short stature have more anxiety and depression problems, and dwarfish children with better psychological resilience have fewer such problems. Psychological resilience should be improved to deal with emotional problems for school-aged children with short stature.
出处
《中国学校卫生》
CAS
北大核心
2012年第4期421-422,426,共3页
Chinese Journal of School Health
关键词
焦虑
抑郁
精神卫生
身高
儿童
Anxiety Depression
Mental health Body height
Child
