广泛性发育障碍儿童异常行为对照料者心理健康的影响☆  

Influence of aberrant behaviors on the mental health of caregivers for patients with pervasive developmental disorders

作　　者：都萌萌 康传媛[1] 李雪蓉[1] 万帅[1] 曹阳[1] 丁凯景[1] 张艳[1] 杨润许 

机构地区：[1]昆明医科大学第一附属医院精神科,昆明650032

出　　处：《中国神经精神疾病杂志》2015年第4期199-202,共4页Chinese Journal of Nervous and Mental Diseases

基　　金：国家自然科学基金(编号:81460218);云南省高层次卫生技术人才培养专项经费(编号:D-201238);2012云南省卫生科技计划项目(编号:2012ws0008)

摘　　要：目的调查广泛性发育障碍(pervasive developmental disorders,PDDs)患儿多动、刻板、自伤、易激惹行为对照料者情绪及育儿压力的影响。方法对138例PDDs患儿使用异常行为量表(aberrant behavior checklist,ABC)、Conners多动指数问卷(Conner index of hyperactivity,CIH)评估患儿近一个月异常行为情况,使用医院焦虑抑郁量表(hospital anxiety and depression scale,HAD)、照料者压力问卷(caregiver strain questionnaire,CGSQ)分别评估患儿照料者的情绪及育儿压力。结果 PDDs患儿的照料者中6.2%存焦虑情绪,17.8%存抑郁情绪,29.5%同时存在焦虑抑郁情绪。偏相关分析示,PDDs患儿照料者CGSQ得分与患儿CIH分(r=0.201,P=0.023)、刻板动作(r=0.189,P=0.033)呈正相关,与刻板言语呈负相关(r=-0.219,P=0.013),照料者焦虑情绪与刻板动作呈正相关(r=0.206,P=0.021)。结论焦虑抑郁情绪在PDDs照料者中较普遍。除刻板言语外,PDDs患儿的异常行为越严重,照料者育儿压力越大,焦虑情绪越明显。ObjectiveTo investigate the influence of hyperactivity, Stereotyped behaviors, self-injury and irritability on parenting stress and emotions of the caregivers for patients with pervasive developmental disorders（PDDs）.Methods Abnormal behaviors during last month were assessed in 138 PDDs patients by using Aberrant Behavior Checklist（ABC）and Conners Index of Hyperactivity（CIH）. The parenting stress and the emotional state of the patients’ parents were evaluated by the Caregiver Strain Questionnaire（CGSQ） and Hospital Anxiety and Depression Scale（HAD）, respectively.ResultsAnxiety, depression and combination of anxiety and depression were present in 6.2%, 17.8% and 29.5% of PDDs caregivers, respectively. The partial correlation analysis showed that CGSQ score of patients’ parents positively correlated with CIH score（r=0.201, P=0.023） and stereotyped act（r=0.189, P=0.033） of the patients, and negatively correlated with stereotyped speech（r=-0.219, P=0.013）. The anxious mood of parents positively correlated with stereotyped act（r=0.206,P=0.021）.ConclusionsAnxiety and depression are common in caregivers of PDDs. Except for stereotyped speech, aberrant behaviors of the PDDs increase parenting stress and worsen anxious mood of caregivers.

关 键 词：广泛性发育障碍 异常行为 育儿压力 焦虑抑郁情绪 

分 类 号：R749.94[医药卫生—神经病学与精神病学]