摘要
【目的】对脑瘫儿童粗大运动功能障碍程度、病程、花费和初诊年龄等相关问题与其父母心理健康状况的关系进行探讨,旨在了解脑瘫儿童父母心理健康状况及其相关影响因素。【方法】使用心理症状自评量表对128名脑瘫儿童父母和128名健康儿童父母进行检查;使用粗大运动功能分级系统(GMFCS)对128名脑瘫儿童进行测查。根据资料性质分别进行统计学描述、t检验和多因素回归分析(逐步回归法)。【结果】脑瘫儿童父母SCL-90总分、阳性项目数高于正常对照组(P<0.05);各因子分中躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、偏执七项因子分值高于健康儿童父母(P<0.01)。多因素回归分析表明,花费和初诊年龄分别仅对焦虑和抑郁因子分有影响,病程对脑瘫儿童父母SCL-90总分及各个因子都有影响。【结论】1)脑瘫儿童父母心理健康状况落后于正常儿童父母;2)脑瘫儿童粗大运动功能障碍程度、初诊年龄、病程长短及花费多少不同程度影响其父母的心理健康。
[Objective] To study the effects of children＇s disability on their parents＂ mental health status. [Methods] 128 children with cerebral palsy were selected and tested with gross motor function classification system （GMFCS）,men- tal health conditions of their parents and 128 normal children＇s parents were tested with the Symptom Check-List 90（SCL- 90）. Data were analyzed by t-test and multiple regression analysis. [Results] Compared with the parents of normal chil- dren,the parents of cerebral palsy children had much higher SCL-90 total score and seven positive factors scores such as so- matization, interpersonal relations, obsession, depression, anxiety, hostilityand paranoid （P% 0.01 ）. Expense and newly diag- nosed age of cerebral palsy children had relationship with their parents＂ anxiety and depression scores respectively,course of disease had an effect on total score and each factors. [Conclusion] Mental health status of cerebral palsy children＇ parents lags behind that of normal children＂ parents. Severity of children＇s disability, newly diagnosed age, course of disease and ex- pense could affect their parents＂ mental health.
出处
《中国儿童保健杂志》
CAS
北大核心
2013年第4期391-394,共4页
Chinese Journal of Child Health Care
关键词
脑瘫
儿童
父母
心理健康
cerebral palsy
child
parents
mental health
