广泛性发育障碍儿童异常行为对照料者心理健康的影响☆

发布时间：2018-03-15 04:30

本文选题：广泛性发育障碍　切入点：异常行为　出处：《中国神经精神疾病杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的调查广泛性发育障碍(pervasive developmental disorders,PDDs)患儿多动、刻板、自伤、易激惹行为对照料者情绪及育儿压力的影响。方法对138例PDDs患儿使用异常行为量表(aberrant behavior checklist,ABC)、Conners多动指数问卷(Conner index of hyperactivity,CIH)评估患儿近一个月异常行为情况,使用医院焦虑抑郁量表(hospital anxiety and depression scale,HAD)、照料者压力问卷(caregiver strain questionnaire,CGSQ)分别评估患儿照料者的情绪及育儿压力。结果 PDDs患儿的照料者中6.2%存焦虑情绪,17.8%存抑郁情绪,29.5%同时存在焦虑抑郁情绪。偏相关分析示,PDDs患儿照料者CGSQ得分与患儿CIH分(r=0.201,P=0.023)、刻板动作(r=0.189,P=0.033)呈正相关,与刻板言语呈负相关(r=-0.219,P=0.013),照料者焦虑情绪与刻板动作呈正相关(r=0.206,P=0.021)。结论焦虑抑郁情绪在PDDs照料者中较普遍。除刻板言语外,PDDs患儿的异常行为越严重,照料者育儿压力越大,焦虑情绪越明显。
[Abstract]:Objective to investigate hyperactivity, stereotype and self-injury in children with generalized developmental disorders (PDDs). Methods the abnormal behavior of 138 children with PDDs was evaluated by using the abnormal behavior check list and the Conner index of hyperactivity index questionnaire. Anxiety and depression scale and caregiver strain questionnaire were used to assess the mood of child care and parental stress. Results 6.2% of the caregivers with PDDs had 17. 8% of anxiety and 29. 5% had depression at the same time. The partial correlation analysis showed that the CGSQ score was positively correlated with the CIH score of 0.201 P0. 023, and the stereotypical movement was 0. 189% P0. 033), and there was no significant correlation between the score of CGSQ and the CIH score of 0. 201%, 0. 189%, 0. 189% (P < 0. 033). There was a negative correlation between anxiety and stereotype, and there was a positive correlation between anxiety and stereotype. Conclusion anxiety and depression are more common in PDDs carers. Anxiety became more pronounced.
【作者单位】：昆明医科大学第一附属医院精神科;
【基金】：国家自然科学基金(编号:81460218) 云南省高层次卫生技术人才培养专项经费(编号:D-201238) 2012云南省卫生科技计划项目(编号:2012ws0008)
【分类号】：R749.94

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