摘要
目的探索跨理论模型（TTM）在肥胖儿童社交焦虑问题中的干预效果。方法采用类实验性研究，在长沙一所寄宿制学校3～6年级中随机抽取73例肥胖儿童[平均（9．60±1．22）岁]进行干预，运用变化阶段量表和社交焦虑量表进行基线评估，根据评估结果进行基于TTM的体育锻炼及心理干预指导，分别在干预后1个月、6个月进行跟进评估，采用重复测量方差分析，分析干预前后儿童BMI和社交焦虑得分的变化。结果重复测量方差分析显示，干预前后肥胖儿童的社交焦虑两维度得分比较差异有统计学意义（P〈0．001），BMI的变化差异无统计学意义（P〉0．05）；数据多重比较结果显示干预后1个月与干预前比较，社交焦虑得分差异无统计学意义（P〉0．05），干预6个月与干预前及干预1个月比较差异均有统计学意义（P均〈0．05）。结论TTM干预策略可以使肥胖儿童的社交焦虑感降低；其对BMI值的干预效果有待进一步研究。
Objective To explore the transtheoretieal model（TTM） intervention effect on reducing communi- cative anxiety in obese children to improve their psychological status. Methods A quasi-experimental research was conducted in a randomly selected boarding school of Changsha. Seventy-three obese students with an average age of （ 9. 60 ± 1.22） among Grade 3 to Grade 6 were included. After being enrolled in the intervention, all participants re- ceived the first assessment, including the stage-change scale and the communicative anxiety scale for children （including 2 parts：denial scary, social withdraw and annoyance）. According to the baseline data, different intervention measures based on TI＇M were applied to different students. Follow-up assessments were collected respectively after 1-month and 6- month intervention, respectively. Repeated measurement data analysis of variance and follow-up Bonferroni test was con- ducted to assess intervention effect. Results Repeated measurement data ANOVA showed that after intervention, both scores of denial scary and social withdraw and annoyance significantly reduced（P 〈 0. 001 ）, while body mass index had no significant difference（P 〉0.05 ）. Follow-up Bonfen＇oni test showed after 1 month intervention, social anxiety scores had no significant difference（ P 〉 0.05 ） ,while 6-month after the scores were significant different compared with pre-in- tervention and l-month intervention （ all P 〈 0.05 ）. Conclusions TTM intervention may effectively decrease communi- cative anxiety of obese children. Whether it can make BMI reduced significantly needs more research.
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2013年第5期377-379,共3页
Chinese Journal of Applied Clinical Pediatrics
基金
美国中华医学基金会基金（10-020-201102）
关键词
跨理论模型
肥胖
社交焦虑
儿童
Transtheoretical model
Obesity
Communicative anxiety
Child
