孤独症儿童临床问题与父母心理健康状况的相关性研究  

Correlativity between autism symptoms and mental health of the autisms parents

作　　者：冀永娟[1] 贺莉娜[1] 吴媛[1] 傅平[1] 匡桂芳[1] 周长虹[1] 

机构地区：[1]青岛市妇女儿童医疗保健中心心理卫生科,山东青岛266011

出　　处：《中国儿童保健杂志》2011年第12期1133-1136,共4页Chinese Journal of Child Health Care

摘　　要：【目的】探讨孤独症儿童的相关临床问题对父母心理健康状况的影响,为其康复治疗营造更有利的家庭环境。【方法】对34例孤独症儿童和32例正常儿童分别进行Gesell发育商测试、孤独症行为检核表(autism behaviorchecklist,ABC)及社会生活能力(S-M)评估。使用症状自评量表(SCL-90)对上述儿童的父母进行心理健康状况的评定。【结果】孤独症儿童的ABC分值高于对照组,Gesell及S-M得分低于对照组(P<0.01)。孤独症父母的SCL-90总分及多项因子得分高于正常对照组(P<0.05)。孤独症儿童发育商与父母的SCL-90抑郁因子呈负相关,ABC得分与父母的SCL-90总分及多项因子得分等呈正相关。【结论】孤独症儿童异常行为及发育落后对父母心理健康状况有一定影响。应加强父母心理干预,为其提供更多的支持和帮助。[Objective] To study the correlativity between autism symptoms and mental health of the autisms＇ parents. [Methods] 34 autism children and 32 normal children were tested with Gesell Development Schedules（Gesell）,Autism Behavior Checklist（ABC） and Social adaptive capability-measuring list from infant to junior school s tudent（S-M）,and their parents were tested with Symptom Check-List 90. Data were analyzed by t-test and multiple regression analysis with SPSS. [Results] Contrasted with control group,the autisms children had much higher ABC score,lower developmental quotient（DQ） and S M score;The autisms＇ parents got more scores on SCL-90. The Gesell score was negative correlative with depression scale of SCL-90, ABC scores were positively correlated with the total score of SCL-90 and subscales on somatization, raletionship,depression, anxiety and paranoid. [Conclusions] The lower DQ and higher abnormal behavior of autisms children have a great influence on the mental health of the autisms＇ parents. So much intervention should be done for them.

关 键 词：孤独症 父母 心理健康 

分 类 号：R749.94[医药卫生—神经病学与精神病学]