白血病患儿及其父母心理特点调查分析  

Study on the psychological characteristics of children with leukemia and their parents

作　　者：王红美[1] 陈力军[1] 高飞[1] 任万华[1] 陈伟[1] 

机构地区：[1]山东大学附属省立医院儿科,济南250021

出　　处：《中国小儿血液与肿瘤杂志》2010年第4期152-156,166,共6页Journal of China Pediatric Blood and Cancer

摘　　要：目的探讨初诊及长期无病生存白血病患儿的情绪、自我意识特征及其父母的情绪特点。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和Piers-Harris儿童自我意识量表分别对40例初诊白血病、20例长期无病生存白血病和50例正常对照儿童进行评定,同时采用焦虑自评量表、抑郁自评量表对两组白血病儿童的父母进行心理测评。结果白血病患儿的焦虑和抑郁总分均显著高于正常对照组(P值分别为0.028和0.045);其中长期无病生存组患儿在躯体化/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值分别为0.002、0.019、0.001和0.000)。初诊组患儿在社交恐怖分量表得分亦显著高于正常对照组(P=0.004),在学校恐怖分量表得分显著低于正常对照组(P=0.020)。总体白血病患儿的自我意识总分低于正常对照组(P=0.003),其中长期无病生存组在焦虑、合群、幸福与满足分量表得分显著低于正常对照组(P值分别为0.041、0.037和0.037),但自我意识总分与正常对照组相比差异无显著性(P=0.581);而初诊白血病组患儿在自我意识总分及行为、智力与学校情况、躯体外貌与属性、焦虑分量表得分显著低于正常对照组(P值分别为0.007、0.001、0.005、0.031和0.001)。白血病组父母焦虑和抑郁得分均显著高于我国常模组(P<0.001),其中初诊白血病组父母的焦虑和抑郁症状检出率显著高于长期无病生存组(P值分别为0.015和0.032)。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均无显著相关性(P>0.05)。结论白血病患儿及其父母较正常对照组有更多的焦虑和抑郁情绪,白血病患儿的自我意识降低。因此,应重视对白血病患儿及其父母进行心理辅导及治疗。Objective To evaluate and compare the psychosocial characteristics of newly diagnosed leukemia children, the long- term survivors and their parents. Methods Forty newly diagnosed leukemia children （newly diagnosed group ）, twenty long -term survivors （long survival group） , and fifty age -matched healthy controls （control group）completed the questionnaires assessing 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 selfconcept scale（PHCSS）, respectively. At the same time, the anxiety and depression in the parents of children with leukemia were also measured by using Zung - self - rating anxiety scale（SAS） and self - rating depressionscale（SDS）. Results The total score of anxiety and depression in children with leukemia were higher than that of the control group （P value was 0. 028 and 0. 045, respectively）. Among which, long survival group scored significantly higher on subscales of somatization/panic, phobia than control group （ P value was 0. 002, 0. 019, 0. 001 and generalized anxiety and social 0. 000, respectively） ; newly diagnosed group scored significantly higher on subscales of social phobia than control group（ P = 0. 004 ）, whereas it scored significantly lower on subscales of school phobia than control group（P =0. 020）. The total score of self - concept of leukemic children was significantly lower than that of control group （ P = 0. 003）. Among which, long survival group scored significantly higher on subscales of anxiety, gregarization and happiness than control group （P value was 0. 041,0. 037 and 0. 037, respectively） ; and newly diagnosed group scored significantly higher on subscales of behavior, intelligence, physical appearance and attributes, anxiety and the total scale than control group （P value was 0. 001,0. 005,0. 031,0. 031 and 0.1307, respectively）. The anxiety and depression scores of t

关 键 词：心理学 白血病 双亲 焦虑 抑郁 

分 类 号：R395[哲学宗教—心理学]