白血病患儿情绪 自我意识及其父母情绪特点的对照研究  

A controlled study on the psychological characteristics of children with leukemia and their parents

作　　者：王红美[1] 陈力军[1] 陈伟[1] 任万华[1] 

机构地区：[1]山东大学附属省立医院儿科,济南250021

出　　处：《中国实用儿科杂志》2009年第10期791-794,共4页Chinese Journal of Practical Pediatrics

摘　　要：目的探讨白血病患儿情绪、自我意识特征及其父母的情绪特点。方法39例白血病患儿为山东大学附属省立医院2005年7月至2008年7月收治的病例。选用儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表和Piers-Harris儿童自我意识量表分别对20例初发白血病、19例长期无病生存白血病和40名正常对照儿童进行评定,同时采用焦虑自评量表、抑郁自评量表对2组白血病患儿的父母进行心理测评。结果长期无病生存组患儿在焦虑总分以及躯体化/惊恐、广泛性焦虑和社交恐怖分量表评分明显高于正常对照组(P<0.05),其抑郁评分高于正常对照组,但差异无统计学意义(P>0.05);初发白血病组患儿在焦虑总分及各分量表评分以及抑郁评分方面和正常对照比较差异无统计学意义(P>0.05);长期无病生存组患儿与初发组患儿相比,前者广泛性焦虑分量表评分显著高于后者(P=0.018)。两组白血病患儿自我意识总分均低于正常对照组(P<0.05),其中长期无病生存组在焦虑和合群分量表得分明显低于正常对照组(P<0.05),而初发白血病组患儿在行为、智力与学校情况、焦虑分量表得分显著低于正常对照组(P<0.05);长期无病生存组患儿与初发组患儿相比,在行为、智力与学校情况分量表得分方面前者显著高于后者(P值分别为0.033和0.046)。白血病组父母焦虑和抑郁得分均高于我国常模组,其差异有统计学意义(P<0.001),其中初发白血病组父母的焦虑和抑郁症状检出率高于长期无病生存组,P值分别为0.034和0.060。患儿父母的焦虑和抑郁得分有明显的相关性(r=0.95,P<0.001),但与患儿的焦虑、抑郁及自我意识得分相关性均无统计学意义(P>0.05)。结论长期无病生存白血病患儿较初发白血病患儿及正常儿童有更多的焦虑和抑郁情绪。白血病患儿的自我意识降低。白血病患儿父母较非白血病患儿父母有更多的焦虑和�Objective To evaluate and compare psychosocial characteristics of long-term survivors of childhood leuke- mia, children newly diagnosed with leukemia and their parents. Methods Totally 39 childhood leukemia inpatients treated in Provincial Hospital Affiliated to Shandong University from July 2005 to July 2008 were divided into two groups, including nineteen long-term survivors of childhood leukemia（long survival group）and twenty children newly diagnosed with acute leukemia （newly diagnosed group）. Long survivor group, newly diagnosed group and forty age-matched healthy controls （control group） completed the questionnaires allowing assessment of symptoms associated with anxiety, depression and self-concept by using the screen for child anxiety related emotional disorders（SCARED）, depression self rating scale for children （ DSRSC ） and Piers-Harris children＇ s self-concept scale （PHCSS）, respectively. At the same time, the anxiety and depression of their parents were also measured using Zung-self-rating anxiety scale （SAS）and self-rating depression scale（SDS）. Results Long survivor group scored significantly higher on subscales of somatization/panic, generalized anxiety, social phobia and the total scale than control group （P 〈 0.05 ）, the depression score was higher than that o f the control group, but had no significant difference （P 〉 0.05）. Long survivor group scored significantly higher on subscales of generalized anxiety than newly diagnosed group （P = 0.018）. The total score of self-concept of both long survivor group and newly diagnosed group was significantly lower than that of the control group （P 〈 0.05）, in which long survivor group scored sig- nificantly higher on subscales of anxiety and gregarization than control group （P 〈 0.05）, and newly diagnosed group scored significantly higher on subscales of behavior, intelligence and anxiety than control group（P 〈 0.05）. Long survi- vor group scored significantly higher on subscales of behav

关 键 词：儿童心理 白血病患儿父母 焦虑 抑郁 自我意识 

分 类 号：R72[医药卫生—儿科]