摘要
目的了解孤独症(ASD)患儿母亲焦虑、抑郁情绪问题的现状,探讨情绪问题与应对方式的关联,为该人群心理健康干预工作提供理论支持。方法本研究为一项横断面调査,于2018年3~11月期间对湖南省长沙市三个孤独症康复机构的135名孤独症患儿母亲进行调查。采用一般情况问卷、患者健康问卷(patient health questionnaire・9,PHQ-9)、广泛性焦虑量表(generalized anxietydisorder scale-7,GAD-7)、简易应对方式问卷(simple coping style questionnaire,SCSQ)和孤独症儿童行为评定量表(autism behaviour checklist,ABC)开展问卷调查。统计方法采用Spearman进行相关分析,Ordinal Logistic回归探索应对方式对情绪问题的影响。结果孤独症患儿母亲焦虑和抑郁症状得分分别为[9.0(5.0,13.0)分]和[7.0(3.0,11.0)分]。焦虑症状发生率为44.5%,抑郁症状发生率为28.1%。患儿母亲积极应对得分为(1.75土0.90)分,消极应对得分为(1.05±1.03)分,72例患儿母亲采取积极应对方式,占53.3%;63例患儿母亲采取消极应对方式,占46.7%o消极应对方式与焦虑症状呈正相关(r=0.182,P<0.05),积极应对方式与抑郁症状呈负相关(r=-0.184,P<0.05)o OrdinalLogistic回归分析显示,积极的应对方式是缓解患儿母亲焦虑症状的保护因素(OR=0.444,95%C/二0.205-0.965)0结论孤独症患儿母亲存在明显情绪问题,应采取适当的心理干预以鼓励他们采取积极应对方式。
Objective To investigate the status of depression and anxiety symptoms in mothers with autistic child,and explore the association between coping styles and emotional problems.To provide theoretical evidence of mental health intervention for mothers with autistic children.Methods A cross-section study was conducted in three autism rehabilitation centres of Changsha city.A total of 135 mothers of autistic child were recruited from March to November 2018.The self-designed questionnaires,patient health questionnaire・9(PHQ-9),generalized anxiety disorder scale-7(GAD-7),simple coping style questionnaire(SCSQ)and autism behaviour checklist(ABC)were used in the study.Spearman analysis was used to explore the correlation between emotional problems and copying styles.The ordinal logistic regression was conducted to explore the impact of the coping styles for emotional problems.Results The scores of anxiety and depression symptoms were 9.0(5.0,13.0)and 7.0(3.0,11.0),respectively.The occurrence rate of anxiety and depression symptoms was 44.5%and 28.1%,respectively.The scores of positive and negative coping were(1.75±0.90)and(1.05±l.03),respectively.There were 72(53.3%)and 63(46.7%)of participants adopted positive and negative coping styles,respectively.There was a positive correlation between negative coping and anxiety symptoms(r=0.182,P<0.05).There was a negative correlation between positive coping and depression symptoms(r=-0.184,P<0.05).The ordinal logistic regression showed positive coping was a protective factor for anxiety symptoms(0R=0.444,95%C/:0.205-0.965).Conclusion The anxiety and depression symptoms are common problems in mothers of children with ASD.It is necessary to take suitable psychological interventions to encourage them to adopt positive copying styles.
作者
周文愫
徐慧兰
刘丹
熊喜悦
Zhou Wensu;Xu Huilan;Liu Dan;Xiong Xiyue(Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078,China;NHC Key Laboratory of Birth Defect for Research and Prevention,Hunan Provincial Maternal and Child Health Care Hospital,Changsha 410008,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第11期1015-1019,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家自然科学基金项目(81701356)
长沙市科技计划项目(kql801084)。
关键词
孤独症
焦虑
抑郁
应对方式
Autism spectrum disorder
Anxiety
Depression
Coping styles
