孤独症儿童母亲心理健康状况与应对方式研究  

Mental health and coping styles of mothers of children with autism

作　　者：李雪宁[1] 赵亚茹[2] 

机构地区：[1]中国医科大学附属第四医院,辽宁沈阳110004 [2]中国医科大学附属盛京医院,辽宁沈阳110004

出　　处：《中国妇幼健康研究》2016年第12期1431-1433,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨孤独症儿童母亲的心理健康状况、应对方式以及两者的相关性。方法 2014年8至12月随机选择沈阳市某孤独症训练中心31例孤独症儿童母亲及同期就诊于中国医科大学附属盛京医院发育儿科的31例正常发育儿童的母亲采用症状自评量表及应对方式问卷进行评定,并对结果进行分析。结果孤独症儿童母亲症状自评量表的10项各因子分均显著高于对照组（t=2.20~4.55,均P〈0.05）;应对方式问卷中解决问题及求助因子分显著低于对照组（t值分别为-3.09、-2.04,P〈0.05）,自责、幻想因子分显著高于对照组（t值分别为2.97、2.70,均P〈0.05）;研究组应对方式问卷中解决问题因子分与症状自评量表中强迫、焦虑、敌对因子分别呈负相关（r值分别为-0.303、-0.332、-0.380,均P〈0.05）,自责与症状自评量表中除恐怖外的躯体化、强迫、人际敏感、抑郁、焦虑、敌对、偏执、精神病性及其它因子分均存在明显的正相关（r值分别为0.271、0.488、0.559、0.492、0.304、0.556、0.352、0.292、0.467,均P〈0.05）,幻想与强迫、人际敏感、抑郁、焦虑、敌对、偏执及其他因子分存在正相关（r值分别为0.313、0.369、0.280、0.256、0.295、0.355、0.275,均P〈0.05）。结论孤独症患儿母亲存在明显的心理健康问题且多采取消极的应对方式。Objective To explore the mental health and coping styles of mothers of children with autism and investigate the relationship between them. Methods Totally 31 mothers of children with autism（ study group） were selected randomly from an autism training center in Shenyang during August to December in 2014. And 31 mothers of normal children（ control group） who were treated in Shengjing Hospital of China Medical University during the same period were selected randomly. They were evaluated by symptom check list 90（ SCL-90） and coping style questionnaires（ CSQ）. The results were analyzed. Results The 10 factor scores of SCL-90 in the study group were significantly higher than those in the control group（ t value ranged 2. 20 to 4. 55,all P〈 0. 05）. The scores of problem-solving and recourse factors of CSQ in the study group were significantly lower than those in the control group（ t value was- 3. 09 and- 2. 04,respectively,both P 〈0. 05）. The scores of self-reproach and fancy factors in the study group were significantly higher than those in the control group（ t value was 2. 97 and 2. 70,respectively,both P〈 0. 05）. In CSQ of the study group,the problem-solving score was negatively correlated with scores of compulsion,anxiety and hostility in SCL-90（ r value was- 0. 303,- 0. 332 and- 0. 380,respectively,all P〈 0. 05）. The self-reproach scores was significantly positively correlated with those of the factors of SCL-90 except for terror,such as somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,paranoid and other factors（ r value was 0. 271,0. 488,0. 559,0. 492,0. 304,0. 556,0. 352,0. 292 and 0. 467,respectively,all P〈 0. 05）. The fancy score was positively correlated with that of compulsion,interpersonal sensitivity,depression,anxiety,hostility,paranoid and other factors（ r value was 0. 313,0. 369,0. 280,0. 256,0. 295,0. 355 and 0. 275,respectively,all P〈 0. 05）. Conclusion Mothers of children with autism present obvious mental problems,and mo

关 键 词：孤独症 母亲 应对方式 症状自评量表 应对方式问卷 

分 类 号：R395.9[哲学宗教—心理学]