摘要
目的探讨失独者心理健康的干预效果。方法于2018年1月―4月抽取杭州市某区203名失独者进行心理症状及社会支持程度问卷调查,并在该失独群体中筛选30名女性失独者,根据同质性分为实验组和对照组,每组各15名。对照组不实施任何心理干预,每周仅组织一次团体聚会,实验组给予团体心理辅导3个月。结果203名失独者中,女性在90项症状清单(SCL-90)量表躯体化、抑郁、焦虑及寝食状态因子的得分高于男性(p<0.05),且除躯体化因子外,领悟社会支持(PSSS)量表的社会支持状态得分越高其他因子得分越低(p<0.05)。30名女性失独者干预对照研究显示:干预后,实验组15名失独者SCL-90量表各因子得分较干预前均有所下降,领悟社会支持量表得分较干预前升高(p<0.05),且实验组(SCL-90)量表除焦虑因子外,其他因子得分均低于对照组,领悟社会支持量表得分高于对照组(p<0.05);对照组15名失独者在团体聚会后,躯体化和抑郁得分下降(p<0.01)。结论及时专业的心理干预能提高失独者心理健康状况。
Objective To explore the intervention effect of mental health for people who lost their only child.Methods From January to April 2018,203 people who lost their only child in a district of Hangzhou were selected for psychological symptom and social support questionnaire survey.In addition,30 females selected from them were divided into an experimental group and a control group according to homogeneity.There were 15 females in each group.The control group was treated with no psychological intervention,except for organizing a group gathering once a week.The experimental group was given group psychological counseling for 3 months.Results Among the 203 people who lost their only child,females scored higher than the males on somatization,depression,anxiety,and sleeping and eating status based on the Symptom Checklist 90(SCL-90)scale(p<0.05).The higher the social support status score of the Perceived Social Support(PSSS)scale,the lower the scores of other factors(p<0.05)except somatization factor.A control study of 30 females who lost their only child showed that after the intervention,the scores of all factors in the SCL-90 scale of the experimental group were lower than before the intervention.However,the score of the perceived social support scale was higher than it before the intervention(p<0.05).Also,the experimental group scored lower on all the factors except the anxiety factor in SCL-90 scale than the control group(p<0.05).After group gathering,the control group scored lower on somatization and depression(p<0.01).Conclusion Timely and professional psychological intervention can improve the mental health status of those who have lost their only child.
作者
吴怀能
王金花
荣超
WU Huai-neng;WANG Jin-hua;RONG Chao(Hangzhou Seventh People's Hospital;Yuhang District Bureau of Health of Hangzhou;Zhejiang Chinese Medicine University)
出处
《医院管理论坛》
2020年第6期117-120,62,共5页
Hospital Management Forum
基金
杭州市卫生计生科技计划重点项目,编号:2016Z07
国家社会科学基金项目,编号:16CSH071。
关键词
失独者
症状自评量表
心理症状
心理干预
People who lost their only child
Symptom checklist
Mental symptom
Psychological intervention
