特发性中枢性性早熟女童生活质量与自我意识的相关性研究  

A relevant research on quality of life and self-awareness in girls with idiopathic central precocious puberty

作　　者：刘月影[1] 马亚萍[1] 金祉延[1] 程灶火[2] 倪宏[3] 徐庄剑[1] 

机构地区：[1]江南大学附属医院儿科(无锡市第四人民医院儿科),无锡214062 [2]南京医科大学附属无锡市精神卫生中心临床心理科 [3]苏州大学附属儿童医院

出　　处：《中华行为医学与脑科学杂志》2015年第2期139-141,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：江苏省医学重点人才基金项目（RC2011113）

摘　　要：目的 探讨特发性中枢性性早熟（ICPP）女童的主观生活质量、自我意识的特征及两者的相关性.方法 采用儿少主观生活质量问卷和儿童自我意识量表,对24例特发性中枢性性早熟女童（ICPP组）和24例正常发育女童（对照组）进行评定,对其结果进行比较并进行相关性分析.结果 ICPP组女童生活质量的总体满意度、情感成分满意度得分低于对照组[ICPP组分别为：（70.85±14.11）分、（62.61±12.91）分;对照组分别为（80.21±6.07）分、（73.74±5.02）分,均P＜0.05],其维度满意度的学校生活、抑郁体验、焦虑体验及躯体情感低于对照组[ICPP组分别为：（5.80±1.44）分、（6.55± 1.14）分、（5.93±1.35）分、（6.33±1.17）分;对照组分别为（6.69±0.65）分、（7.29±0.45）分、（6.96±0.82）分、（7.12±0.83）分,均P＜0.05],其认知成分及其他维度满意度得分与对照组相比,差异无统计学意义（P＞0.05）;ICPP组自我意识总分及躯体外貌属性和焦虑得分与对照组相比差异有统计学意义（P＜0.05）;ICPP组女童的主观生活质量与儿童的自我意识水平呈正相关（P＜0.01）.结论 ICPP女童生活质量和自我评价低于正常儿童.因此,我们在进行药物治疗同时应关注女童的心理特征,帮助患儿建立积极的自我评价,提高其整体生活质量.Objective To investigate the characteristics of quality of life （QoL） and self-awareness in girls with idiopathic central precocious puberty （ICPP） and the correlation between QoL and the self-awareness.Methods The inventory of subjective life quality （ISLQ） and Children＇s self-concept scale （PHCSS） were employed to evaluate the level of QoL and self-awareness in 24 ICPP girls with ICPP （ICPP group） and 24 normal control girls （control group）,and the correlation analysis between QoL and the self-awareness in the ICPP group was made.Results The score of overall （70.85±14.11 vs 80.21±6.07） and emotion component satisfaction （62.61± 12.91 vs 73.74±5.02）,dimensions satisfaction on school life （5.80± 1.44 vs 6.69±0.65）,depression experience （6.55± 1.14 vs 7.29±0.45）,anxiety experience （5.93± 1.35 vs 6.96±0.82） and physical emotion （6.33±1.17 vs 7.12±0.83） in ICPP group was respectively lower than control group （P〈0.05）.There was no difference in cognitive component between control group and ICPP group,as well as for other dimension satisfaction.Moreover,the score in total self-awareness,physical appearance and anxiety in ICPP group was respectively lower than those in control group （P〈0.05）.In addition,a positive correlation was found between the subjective QoL and the children self-concept in ICPP group （P〈0.01）.Conclusion The girls with ICPP show a lower subjective QoL and self assessment than normal girls.It is important to take care of the psychological feature of the girls with ICPP to improve the self-assessment and overall QoL during the medication.

关 键 词：特发性中枢性性早熟 女童 生活质量 自我意识 

分 类 号：R725.8[医药卫生—儿科]