上海20例I型糖尿病患儿行为问题与母亲应对方式和心理卫生的调查

中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (7): 625-628.

上海20例I型糖尿病患儿行为问题与母亲应对方式和心理卫生的调查

孙达亮¹,朱大倩²,蔡亦蕴¹,施慎逊¹,巫善勤³

1 复旦大学附属华山医院精神医学科,上海 200040;
2 复旦大学附属儿科医院心理科,上海 201102;
3 上海交通大学医学院附属上海市精神卫生中心心理测量室,上海 200030

收稿日期:2012-02-21 发布日期:2012-07-06 出版日期:2012-07-06
通讯作者: 施慎逊,E-mail:shishenxun@163.com
作者简介:孙达亮(1983-),男,河北人,在读博士研究生,研究方向为焦虑障碍的影像学研究

Survey for the behavior problems of 20 children with type I diabetes and maternal coping style and mental health in Shanghai

SUN Da-liang¹,ZHU Da-qian²,CAI Yi-yun¹,SHI Shen-xun¹,WU Shan-qin³.

1 Department of Psychiatry,Huashan Hospital,Fudan University,Shanghai 200040,China;
2 Department of Medical Psychology, Children Hospital of Fudan University,Shanghai 201102,China;
3 Department of Mental Measurement,Shanghai Mental Health Center,School of Medicine,Shanghai Jiaotong University,Shanghai 200030,China

Received:2012-02-21 Online:2012-07-06 Published:2012-07-06

摘要/Abstract

摘要： 【目的】了解I型糖尿病患儿行为问题与母亲应对方式和心理卫生的状况,为行为干预及心理治疗提供科学依据。【方法】采用自制一般情况调查表和Achenbach儿童行为量表(the Child Behavior Checklist,CBCL)对20例I型糖尿病患儿进行调查和评估,采用简易应对方式问卷(the Simplified Coping Style Questionnaire,SCSQ)和症状自评量表(the Symptom-Checklist,SCL-90)对患儿母亲进行调查和评估。【结果】被调查患儿对治疗依从性好,但病情控制不容乐观,且存在不同程度的行为问题(主要检出因子为抑郁)。患儿母亲积极应对方式与患儿治疗依从性(β=1.44,P=0.04)和病程(β=0.23,P=0.00)存在回归关系,而消极应对方式与其担心患儿低血糖再次发作存在回归关系(β=1.03,P=0.03)。Ι型糖尿病患儿母亲症状自评量表各因子评分显著高于国内常模(P均＜0.05),评分最高的前三位因子是抑郁、躯体化和强迫。患儿母亲积极应对方式评分与焦虑(P=0.049 4)和敌对(P=0.029 4)因子分呈正相关,而消极应对方式评分与各因子分之间不存在关联。【结论】 Ι型糖尿病患儿存在不同程度的行为问题,病情控制不容乐观,患儿母亲在采取多种方式应对问题同时其身心健康也受到影响,患儿病情监管及母亲心理卫生健康需要来自多方面的支持和帮助。

关键词: Ι型糖尿病患儿, 行为问题, 应对方式, 心理卫生

Abstract: 【Objective】 To evaluate the behavior problems of children with type I diabetes and maternal coping style and mental health in shanghai. 【Method】 20 children with type I diabetes were investigated with self-command generalized information questionnaire and the Child Behavior Checklist,and mothers of the subjects were assessed with the Simplified Coping Style Questionnaire (SCSQ)and the Symptom-Checklist(SCL-90) respectively. 【Results】 It should not be optimistic about the illness control of children,although they showed good treatment compliance,and various degrees of behavioral problems were observed among them(depression as the main factor).Multiple linear regression was adopted to find maternal positive coping style showed a relationship with treatment compliance(β=1.44,P=0.04)and duration of illness in children(β=0.23,P=0.00),so did maternal negative coping style with fear of hypoglycaemia in children(β=1.03,P=0.03).Compared with domestic norm,the scores of any factor in SCL-90 were higher significantly(P＜0.05),and the first three factors were depression,somatization,obsessive-compulsive.The results suggested that a positive correlation existed between the scores of maternal positive coping style and the scores of anxiety and hostility,while no correlation was found in negative coping style. 【Conclusions】 Various degrees of behavioral problems are observed among the children with type I diabetes and the illness control of them is not optimistic,which influenced seriously the mental health of mothers facing the problems with various methods,so much different support and help are needed in the illness control of children and the mental health of mothers.

Key words: children with type 1 diabetes, behavioral problem, coping style, mental health

中图分类号:

R749.94

孙达亮,朱大倩,蔡亦蕴,施慎逊,巫善勤. 上海20例I型糖尿病患儿行为问题与母亲应对方式和心理卫生的调查[J]. 中国儿童保健杂志, 2012, 20(7): 625-628.

SUN Da-liang,ZHU Da-qian,CAI Yi-yun,SHI Shen-xun,WU Shan-qin. Survey for the behavior problems of 20 children with type I diabetes and maternal coping style and mental health in Shanghai[J]. journal1, 2012, 20(7): 625-628.

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