摘要
目的探讨脑瘤患儿及其父母的心理特征。方法选取我科2009年10月至2013年8月收治的78对脑瘤患儿及其父亲或母亲。患儿包括40例脑瘤初发、38例脑瘤术后康复期。另选取80对年龄、性别相匹配的正常儿童作为正常对照。采用儿童抑郁障碍自评量表(DSRSC)和儿童焦虑性情绪障碍筛查表(SCARED)对以上被试进行心理测评,同时采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对2组脑瘤患儿的父亲或母亲进行心理状态调查。结果 DSRSC三组被试评分,组间差异无统计学意义(P>0.05)。SCARED结果显示,初诊脑瘤组患儿在总分及各因子得分与正常对照组相比无统计学意义(P>0.05);术后康复组患儿在总分及躯体化惊恐、广泛性焦虑、社交恐怖的因子得分显著高于正常对照组,且在广泛性焦虑的因子得分显著高于初诊组患儿,差异均有统计学意义(P<0.05)。SAS和SDS结果显示:78名脑瘤患儿父母中有42例(53.85%)存在焦虑,32例(41.03%)存在抑郁,脑瘤患儿父母的SAS和SDS总分均高于我国常模分,差异均有显著统计学意义(P<0.001)。其中初发脑瘤组父母的焦虑得分明显高于术后康复组,差异有统计学意义(P<0.05)。脑瘤患儿父母的焦虑与抑郁有正相关性(r=0.953,P<0.001),但与脑瘤患儿的焦虑、抑郁得分无相关性(P>0.05)。结论术后康复期脑瘤患儿的焦虑抑郁情况较初诊脑瘤患儿及正常儿童严重。脑瘤患儿父母合并有不同程度的焦虑、抑郁心理。
Objective To investigate the psychological state of the children with intracranial tumors and their parents. Methods 78 pairs of consecutive patients with intracranial tumors and their parents were recruited from October 2009 to August 2013 in our hospital,as well as 80 pairs of healthy controls and their parents,78 pairs of patients and their parents were randomly divided into two different subgroups ：Newly diagnosed brain tumor group（n=40）;Postoperative rehabilitation group（n=38）. All the patients and normal children were investigated with the Depression Self-Rating Scale for Children（DSRSC）and the Screen for Child Anxiety Related Emotional Disorders（SCARED）. At the same time,78 parents of patients＇ and 80 parents of normal controls were investigated with the Self Rating Anxiety Scale（SAS）and the Self-Rating Depression Scale（SDS）. Results There were no statistically significant differences in the total scores and the factor scores of the DSRSC among the three groups of children（P0.05）.There were no statistically significant differences in the total scores and the factor scores of the SCARED between the newly diagnosed intracranial tumors group and the healthy controls group（P0.05）. The total scores and three factor scores（somatization panic,generalized anxiety,social phobia）of the SCARED in the postoperative rehabilitation group were significantly higher than those of healthy controls groups,the generalized anxiety factor scores of the SCARED in the postoperative rehabilitation group were significantly higher than those of the newly diagnosed intracranial tumors group,the differences were statistically significant（P0.05）. 42 parents of children with intracranial tumors（53.85%）had anxiety symptoms,32 cases（ 41.03%）had depression. The total scores of SAS and SDS in the parents of children with intracranial tumors were higher than those of the norm of our country,the differences were there was statistically significant（ P0.001）. The total scores of the SAS in the group of parents in newly diagnosed intracranial tumors group were significantly higher than those of the postoperative rehabilitation group,the difference was statistically significant（P0.05）. The total scores of the SAS in parents of intracranial tumors patients group were significantly positive associated with the total scores of the SDS（ r=0.953,P0.001）,but there is no correlation between the total scores of the SAS and the SDS in parents of intracranial tumors patients group（P0.05）Conclusion The anxiety and depression symptoms in postoperative rehabilitation group were severer than those of newly diagnosed intracranial tumors group and normal healthy controls group.
出处
《国际精神病学杂志》
2016年第4期665-667,671,共4页
Journal Of International Psychiatry
关键词
脑肿瘤
心理状态
焦虑
抑郁
Intracranial tumor
Psychological state
Anxiety
Depression
