我国部分农村地区受艾滋病影响儿童心理弹性的保护性因素研究

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (1): 10-12.

我国部分农村地区受艾滋病影响儿童心理弹性的保护性因素研究

史从戎¹,张曼华¹,王宇¹,来源¹,高保兴²,乔晓春³

1 首都医科大学卫生管理与教育学院心理学教研室,北京 100069;
2 山西省夏县疾病预防控制中心,山西运城 044400;
3 山西省疾病预防控制中心,山西太原 030012

收稿日期:2010-09-30 发布日期:2011-01-06 出版日期:2011-01-06
通讯作者: 张曼华,E-mail:zhangmanhuapp@163.com
作者简介:史从戎(1986-),男,安徽人,应用心理学硕士,主要研究方向为心身疾病与艾滋病心理关怀
基金资助:
教育部人文社科项目资助(2009YJAXLX019)

Qualitative study on the protective factors of resilience among children in rural areas in acquired immune deficiency syndrome(HIV/AIDS)-Affected families

SHI Cong-rong¹, ZHANG Man-hua¹, WANG Yu¹, LAI Yuan¹, GAO Bao-xing², QIAO Xiao-chun³

1 Capital Medical University, Beijing 100069, China;
2 Xia Country Center for Disease Control and Prevention, Yuncheng, Shanxi 044400, China;
3 Shanxi Center for Disease Control and Prevention,Taiyuan, Shanxi 030012, China

Received:2010-09-30 Online:2011-01-06 Published:2011-01-06

摘要/Abstract

摘要： 【目的】调查山西省某艾滋病比较集中的地区,探讨该区受艾滋病影响儿童心理弹性的保护性因素。【方法】采用儿童焦虑性情绪障碍筛查表和儿童抑郁障碍自评量表,将受艾滋病影响儿童筛分为心理弹性组与非弹性组;再采用半结构访谈的方法,对弹性组的儿童进行调查。【结果】受艾滋病影响儿童心理弹性的保护性因素可划分为四个因素。家庭因素包括父母的关心和支持、民主的教育方式、父母的榜样力量;学校包括老师的关心、同伴的支持;认知包括对父母的评价、相信自己、对未来的期望;行为包括倾诉、寻求帮助、感恩与回报。【结论】在对受艾滋病影响儿童进行心理干预时,应综合考虑家庭、学校、认知、行为等因素,促进其心理弹性的发展,增进其心理健康。

关键词: 艾滋病, 儿童, 心理弹性, 保护因素, 质性访谈

Abstract: 【Objective】 To explore the protective factors of resilience among children in acquired immune deficiency syndrome(HIV/AIDS)-Affected families in Shanxi. 【Methods】 Children in HIV/AIDS families were allocated into resilience group and non-resilience group by The Screen for Child Anxiety Related Emotional Disorders and Depression Self-rating Scale for Children. Then semi-structured interviews were conducted among the resilience group. 【Results】 The protective factors of resilience among children include four factors. The factor of family consists of care of parents, democratic family education and a good example of parents. Care of teachers and support of peers were included in the factor of school. Estimate of parents, belief in themselves and expectation for the future were organized into the factors of cognition. Pouring out, searching for help and thanksgiving were packed in the factors of behaviors. 【Conclusion】 Family, school, cognition and behavior should be considered comprehensively in the psychological intervention for the children in HIV/AIDS family to make them more resilient and more healthy.

Key words: acquired immune deficiency syndrome, children, resilience, protective factors, review

中图分类号:

R749.94

史从戎,张曼华,王宇,来源,高保兴,乔晓春. 我国部分农村地区受艾滋病影响儿童心理弹性的保护性因素研究[J]. 中国儿童保健杂志, 2011, 19(1): 10-12.

SHI Cong-rong, ZHANG Man-hua, WANG Yu, LAI Yuan, GAO Bao-xing, QIAO Xiao-chun. Qualitative study on the protective factors of resilience among children in rural areas in acquired immune deficiency syndrome(HIV/AIDS)-Affected families[J]. journal1, 2011, 19(1): 10-12.

参考文献

[1] Rotheram-Borus MJ, Stein JA. Problem behavior of adolescents whose parents are living with AIDS[J]. Am J Orthopsychiatry,1999,69(2):228-239.
[2] Rotheram-Borus MJ, Lightfoot M, Shen H. Levels of emotional distress among parents living with AIDS and their adolescent children[J]. AIDS and Behavior,1999,3(4):367-372.
[3] 马伟娜,桑标,洪灵敏.心理弹性及其作用机制的研究述评[J].华东师范大学学报:教育科学版,2008,26(1):89-96.
[4] Anderson C, Ryan C, Taylor-Brown S. Children and HIV/AIDS[J]. Transaction Publishers,1999,444-450.
[5] UNICEF. Guide to Monitoring And Evaluation of the National Response for Children Orphaned and Made Vulnerable By HIV/AIDS[R]. New York,2005,Feb.
[6] Kyrie M, Prior M. Temperament stress and family factors in behavioral adjustment of 3~5 years old children[J]. Inter J Behavioral Dev,1990,13:67-70.
[7] Dutra R, Forehand R, Armistead L, et al. Child resiliency in inner-city families affected by HIV: the role of family variables[J]. Behavior Research and Therapy,2000,38(5):47I-486.
[8] Lee MB, Lester P, Rotheram-Borus MJ. The relationship between adjustment of mothers with HIV and their adolescent daughters[J]. Clinical Child Psychology and Psychiatry,2002,7:71-84.
[9] Cohen S, Wills TA. Stress, social support, and the buffering hypothesis[J]. Psychological Bulletin,1985,98(2):310-357.
[10] Psychological distress during unemployment and beyond: social support and material deprivation among youth in six northern European countries[J]. Social Science & Medicine,2003,56(5):973-985.
[11] 刘岩.学生自我效能、心理控制源与应激的关系[J].中国心理卫生杂志,2003,17(1):36-38.
[12] Ireland JL, Boustead R, Ireland CA. Coping style and psychological health among adolescent prisoners: a study of young and juvenile offenders[J]. Journal of Adolescence,2005,28(3):411-423.
[13] Compas BE, Connor-Smith JK, Saltzman H, et al. Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research[J]. Psychological Bulletin,2001,127(1):87-127.

[1]	向伟. 儿童青少年脂质异常血症早期预防与成人期心血管健康[J]. 中国儿童保健杂志, 2023, 31(7): 697-702.
[2]	吴婷, 李斐. 生命早期不利因素与慢性疾病的发生与预防[J]. 中国儿童保健杂志, 2023, 31(7): 703-706.
[3]	刘浩东, 李成, 赵敏, 席波. 儿童期腹型肥胖及其腹型肥胖前期与高尿酸血症的关联研究[J]. 中国儿童保健杂志, 2023, 31(7): 707-712.
[4]	刘敏, 张倩, 杨亭, 陈洁, 陈立, 代英, 贾飞勇, 武丽杰, 郝燕, 李玲, 张婕, 柯晓燕, 衣明纪, 洪琦, 陈津津, 方拴锋, 王益超, 王琦, 金春华, 李廷玉. 全国多中心学龄前儿童血清叶酸现况调查[J]. 中国儿童保健杂志, 2023, 31(7): 713-717.
[5]	霍言言, 刘钟泠, 马玲, 吴丹, 汪秀莲, 仇晓艳, 窦家莹, 任玉倩, 李亦诚, 洪霞, 陈津津. 真实世界2岁以下儿童不同体型匀称度现况及风险因素[J]. 中国儿童保健杂志, 2023, 31(7): 718-723.
[6]	刘慧娟, 宋志霄, 高南南, 张莉, 孙瑾, 乔秀芸, 柯佳媚, 李燕. 2～6岁儿童词汇和语法发展现状及相关因素分析[J]. 中国儿童保健杂志, 2023, 31(7): 724-730.
[7]	李荣, 李年, 吴丹丹, 黄荣, 陈银花. 盐酸哌甲酯缓释片对注意缺陷多动障碍儿童生长的影响[J]. 中国儿童保健杂志, 2023, 31(7): 731-735.
[8]	张超. 早期介入丹佛模式在不同病情程度孤独症谱系障碍儿童康复中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 736-740.
[9]	杨钰儒, 王红, 许树红, 曹艳梅, 孟仙, 葛冬梅. 0～14岁儿童骨骼发育与维生素K的关联研究[J]. 中国儿童保健杂志, 2023, 31(7): 746-750.
[10]	叶芝旭, 余福勋. 肠道微生物与儿童呼吸道病毒感染的研究进展[J]. 中国儿童保健杂志, 2023, 31(7): 766-769.
[11]	曹慧, 严双琴, 关宏岩. 亲子互动对儿童早期发展结局的影响[J]. 中国儿童保健杂志, 2023, 31(7): 770-774.
[12]	张容, 吴襄仪, 朱一民, 朱文丽, 《儿童肥胖预防与控制指南》修订委员会. 就餐地点与儿童肥胖的定性循证研究[J]. 中国儿童保健杂志, 2023, 31(7): 775-780.
[13]	李玮玮, 张丹丹, 刘晓鸣, 陈娇, 夏露. 探讨基于互联网技术的长程管理模式在难治性癫痫患儿中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 781-784.
[14]	朱丽君, 李彪章, 周嘉雯, 吴柏欣, 李卫东. 1990—2019年中国5岁以下儿童低体重疾病负担分析[J]. 中国儿童保健杂志, 2023, 31(7): 790-793.
[15]	曹亚船, 豆吉娟, 马亚萍, 任金冬, 陈新颜. 肥胖儿童脂质代谢与左心室肥厚及左心室重构的相关性[J]. 中国儿童保健杂志, 2023, 31(7): 809-812.