初诊及长期无病生存白血病儿童情绪、自我意识及个性特征的调查分析  

A controlled study on the psychological characteristics of long-term survivors of childhood leukemia and newly diagnosed leukemia patients

作　　者：王红美[1] 任万华[1] 张玉梅[1] 陈力军[1] 

机构地区：[1]山东大学附属省立医院小儿血液科,山东济南250021

出　　处：《临床儿科杂志》2010年第5期433-437,共5页Journal of Clinical Pediatrics

摘　　要：目的了解初诊及长期无病生存5年以上白血病儿童的情绪、自我意识特征及个性特征。方法选用儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表、Piers-Harris儿童自我意识量表和儿童版艾森克个性问卷分别对30例初诊白血病、20例长期无病生存5年以上白血病和50例正常对照儿童进行心理评估。结果三组儿童的焦虑总分以及躯体化/惊恐、广泛性焦虑、社交恐怖分量表评分差异有统计学意义(P均<0.05),其中长期无病生存组患儿的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均显著高于正常对照组(P均<0.05);而初诊组患儿的社交恐怖分量表得分显著高于正常对照组(P<0.05),学校恐怖分量表得分显著低于正常对照组(P<0.05)。在抑郁评分方面,白血病患儿和正常对照组比较以及组间比较均无统计学意义(P均>0.05)。三组儿童的自我意识总分以及行为、智力与学校情况和焦虑分量表评分差异有统计学意义,其中长期无病生存组患儿的自我意识总分及各分量表得分与正常对照组比较差异无统计学意义(P均>0.05),而初诊组患儿的自我意识总分以及行为、智力与学校情况、焦虑分量表得分均显著低于正常对照组(P均<0.05);总体白血病患儿与正常对照组比较,自我意识总分以及行为、焦虑分量表得分显著低于正常对照组(P均<0.05)。长期无病生存组与初诊组患儿及正常对照组比较,性格普遍偏于内向(P<0.01)。结论白血病儿童较正常儿童有更多的焦虑情绪,其自我意识降低,具有内向性格特征。在治疗儿童躯体疾病的同时,对白血病儿童进行社会心理干预非常必要。Objective To evaluate psychosocial characteristics of long-term survivors of childhood leukemia,newly diagnosed leukemia children and compare them with those of age-matched healthy controls.Methods Twenty（20） long-term survivors of childhood leukemia（long survival group）,thirty（30） newly diagnosed leukemia children（newly diagnosed group） and fifty（50） age-matched healthy controls（control group） completed the questionnaires allowing assessment of symptoms associated with anxiety,depression,self-concept and personality by using the screen for child anxiety related emotional disorders（SCARED）,depression self rating scale for children（DSRSC）,Piers-Harris children＇s self-concept scale（PHCSS） and Eysenck personality questionnaire（EPQ）,respectively.Results There are significant differences in the subscales of somatization/panic,generalized anxiety,social phobia and the total scale among three groups（P valve was 0.022,0.000,0.000 and 0.001,respectively）.Leukemia children（both long survival group and newly diagnosed group） scored significantly higher on subscales of somatization/panic,social phobia and the total scale than that of control group（P valve was 0.025,0.001 and 0.015,respectively）,but it scored significantly lower on subscales of school phobia than control group（P = 0.017）.Among which,long survival group scored significantly higher on subscales of somatization/panic,generalized anxiety,social phobia and the total scale than control group（P valve was 0.016,0.011,0.003 and 0.007,respectively）;newly diagnosed group scored significantly higher on subscales of social phobia than control group（P = 0.016）,whereas it scored significantly lower on subscales of school phobia than control group （ P = 0.049） . The depression score in leukemia children was higher than that of control group, but have no significant difference （P = 0.054）. There are significant difference in subscale of behavior, anxiety and the total scale among the three groups （ P

关 键 词：心理健康 白血病 焦虑 抑郁 自我意识 个性 

分 类 号：R733.71[医药卫生—肿瘤]