摘要
目的：探讨脑瘫患儿父母的心理状况与应付方式的相关性。方法：采用症状自评量表（SCL-90）和应付方式问卷（WCSQ ），对60例脑瘫患儿父母和60名与脑瘫患儿同年龄、同性别正常儿童父母（对照组）心理状况和应付方式进行评估。结果：脑瘫患儿父母组SCL-90总分152±13．5及各因子分均高于对照组122±13．1，P均＜0．01；脑瘫患儿父母组WCSQ中的求助、合理化、解决问题因子分为0．7±0．1、0．6±0．1、0．8±0．2均高于对照组0．5±0．2、0．4±0.1、0．7±0．1，P均＜0．01；而WCSQ 的退避、幻想、自责因子分为0．2±0．1、0．1±0．1、0．3±0．2均低于对照组0．3±0．1、0．3±0．2、0．4±0．1，P均＜0．01；脑瘫患儿父母组WCSQ的退避、幻想、自责、求助、合理化因子与SCL-90各项因子呈正相关（r＝0．55～0．91，P均＜0．01）；WCSQ的解决问题与躯体化、强迫症状、抑郁、焦虑、恐怖呈负相关（ r＝-0．27、-0．26、-0．26、-0．24、-0．25，P均＜0．05）。结论：脑瘫患儿父母有较明显的心理健康问题，但其多能采用积极的应付方式，这可能有助于减轻心理问题的影响。
Objective ：To explore the relevance between mental symptoms and coping styles of cerebral palsy children’s parents .Methods ：Totally 60 cerebral palsy children’s parents and 60 normal children’s parents were recruited in this study .The symptoms were assessed with the symptom checklist 90（SCL-90） ,and coping styles with the ways of coping styles questionnaire（WCSQ） .Results ：In cerebral palsy children’s parents ,the total scores and factor scores of SCL-90 , and WCSQ factor scores of seeking help ,rationlization ,problem-solving were higher （P〈 0 .01） ,while WCSQ factor scores of avoidance ,fancy ,self-blame were lower than that in normal children’s parents（P〈0 .01） .In cerebral palsy children’s parents ,there were positive correlations between the WCSQ factor scores of avoidance ,fancy ,self-blame , seeking help ,rationalization and all the factor scores of SCL-90（r=0 .55~0 .91 ,P〈0 .01） ,and negative correlations between the SCL-90 factor scores of somatization ,obsessive-compulsive ,depression ,anxiety ,phobia anxiety and the WCSQ factor scores of problem-solving（r= -0 .27 ,-0 .26 ,-0 .26 ,-0 .24 ,-0 .25 ,P〈0 .05） .Conclusion：Parents of cerebral palsy children are possibly have some mental symptoms such as obvious depression and anxiety .The positive coping styles existed in the parents of cerebral palsy children ,which could help to decrease the influence of mental symptoms .
出处
《医学理论与实践》
2013年第22期2965-2966,2980,共3页
The Journal of Medical Theory and Practice
关键词
脑性瘫痪
父母
精神症状
应付方式
Cerebral palsy, Parent, Mental symptoms, Coping styles
