摘要
目的观察注意缺陷多动障碍(ADHD)患儿照顾者照顾负担、应对方式对负性情绪的影响因素。方法选取2021年6月至2022年12月常州市德安医院心理科确诊的68例ADHD儿童的照顾者为ADHD组,选择同期在医院门诊进行常规体检的83例正常儿童的照顾者作为正常对照组,比较两组抑郁-焦虑-压力自评量表(DASS-21)、照顾者负担量表(ZBI)、简易应对方式问卷(SCSQ)评估结果。结果ADHD组压力、焦虑、抑郁得分分别为10.0(6.0,16.0)、6.0(2.0,11.5)和5(2.0,11.5)分,照顾者的照顾负担为27.0(20.0,45.0)分,均高于正常对照组,差异均有统计学意义(P<0.05);ADHD组照顾者的压力与照顾负担和消极应对方式呈正相关(P<0.05);ADHD照顾者的焦虑与照顾负担呈正相关(P<0.05),与积极应对方式呈负相关(P<0.05);ADHD照顾者的抑郁与照顾负担和消极应对方式呈正相关(P<0.05),与积极应对方式呈负相关(P<0.05);照顾负担、消极应对方式是ADHD照顾者压力的影响因素(P<0.05),照顾负担、积极应对方式是ADHD照顾者焦虑的影响因素(P<0.05),照顾负担、积极应对方式、消极应对方式是ADHD照顾者焦虑的影响因素(P<0.05)。结论ADHD照顾者的负性情绪较多、照顾负担较重,照顾者的照顾负担和应对方式是影响其负性情绪的主要因素。
Objective To observe the influencing factors of caregivers’care burden and coping style on negative emotions in children with attention deficit hyperactivity disorder(ADHD).Methods From June 2021 to December 2022,caregivers of 68 ADHD children diagnosed in the Department of Psychology at De’an Hospital in Changzhou city were selected as the ADHD group,and caregivers of 83 normal children who underwent routine physical examinations at our outpatient department during the same period were selected as the normal control group.The evaluation results of the Depression Anxiety Stress Self Rating Scale(DASS-21),Caregiver Burden Scale(ZBI),and Simple Coping Style Questionnaire(SCSQ)were compared between the two groups.Results The score of stress,anxiety,and depression in the ADHD group was 10.0(6.0,16.0),6.0(2.0,11.5)and 5(2.0,11.5),respectively.The caregiver’s care burden was 27.0(20.0,45.0),all higher than those of the normal control group,and the differences were statistically significant(P<0.05).The pressure of ADHD caregivers was positively correlated with care burden and negative coping styles(P<0.05).The anxiety of ADHD caregivers was positively correlated with care burden(P<0.05),and negatively correlated with positive coping styles(P<0.05).The depression of ADHD caregivers was positively correlated with care burden and negative coping styles(both P<0.05),and negatively correlated with positive coping styles(P<0.05).The burden of care and negative coping style were the influencing factors of stress in ADHD caregivers(P<0.05),the burden of care and positive coping style were the influencing factors of anxiety in ADHD caregivers(P<0.05),and the burden of care,positive coping style,and negative coping style were the influencing factors of anxiety in ADHD caregivers(P<0.05).Conclusions The caregivers of ADHD have more negative emotions and heavy care burden.The care burden and coping style of caregivers are the main factors affecting their negative emotions.
作者
李光建
曹静
高婷叶
舒京平
王舟
唐小伟
LI Guangjian;CAO Jing;GAO Tingye;SHU Jingping;WANG Zhou;TANG Xiaowei(Department of Psychology,Changzhou De’an Hospital,Changzhou 213003,China;Department of Disease,Yucheng District People’s Hospital of Ya’an,Ya’an 625000,China;Department of Dsychology,Wutaishan Hospital Affiliated to Medical College of Yangzhou University,Yangzhou 225000,China)
出处
《安徽医学》
2023年第10期1255-1259,共5页
Anhui Medical Journal
基金
2020年度江苏省卫生健康委面上项目(编号:M2020031)
常州市科技局重点研发计划项目(编号:CE20205049)
常州市科技局重点研发计划项目(编号:CE20215056)。
关键词
注意缺陷多动障碍
照顾者
照顾负担
负性情绪
Attention deficit hyperactivity disorder
Caregiver
Care burden
Negative emotions
