湖南地区6~16岁焦虑障碍患儿生活质量及影响因素  

Quality of life and its influencing factors in children with anxiety disorder aged 6 to 16 years old in Hunan

作　　者：肖博 孟甜甜 何玉琼[3] 罗学荣[3] XIAO Bo;MENG Tiantian;HE Yuqiong(Shenzhen Baoan Women’sand Children’s Hosptial,Jinan University,Shenzhen 518106,China)

机构地区：[1]暨南大学附属宝安区妇幼保健院儿童心理卫生科,广东深圳518106 [2]陕西省西安市第四医院儿童保健科 [3]中南大学湘雅二医院精神卫生研究所国家精神心理疾病临床研究中心精神疾病诊疗技术工程实验室,湖南省精神病学与精神卫生重点实验室

出　　处：《中国健康心理学杂志》2022年第2期161-167,共7页China Journal of Health Psychology

基　　金：国家科技支撑计划(编号:2012BAI02012BAI01B021B02)。

摘　　要：目的:了解儿童青少年焦虑障碍患儿生活质量的水平及特点,并探讨其生活质量的影响因素。方法:本研究数据来自课题组2014年2-7月大型流行病学调查数据,研究对象来自湖南省长沙市和益阳市,采用C#程序1:2筛选出497例患有焦虑障碍的儿童作为病例组,性别、年龄与其匹配的994例健康儿童作为对照组,分别采用儿童期虐待问卷(CTQ-SF)、健康相关生活质量问卷(SF-12)、青少年生活事件量表(ALEC)及父母养育方式评价量表(EMBU)来了解受试儿童的虐待史、生活质量水平、生活事件及父母养育方式。采用t检验、单因素方差分析及多重线性回归分析等进行统计。结果:(1)焦虑障碍患儿组的SF-12生理健康总分(PCS)及心理健康总分(MCS)及7个维度(总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能)得分均低于健康对照组(t=4.719,10.019,6.892,3.769,6.450,8.521,4.402,5.986,5.255;P<0.001);(2)焦虑障碍患儿中,身体健康状况、父健康状况、同伴关系及父母间暴力行为组间的生理健康总分有差异(t/F=6.299,2.213,3.600,5.359;P<0.05);年龄、身体健康状况、父母健康状况、被老师批评、同伴关系、与父母关系、父母间暴力行为等组间的MCS总分有差异(t/F=3.339,4.875,2.490.2.480,12.609,22.504,14.754,4.300;P<0.05);(3)焦虑障碍患儿共病组的MCS总分明显低于无共病组,差异具有统计学意义(t=2.350,P<0.05);有虐待的焦虑障碍患儿的MCS评分低于无虐待组,组间差异具有统计学意义(t=5.034,P<0.001);且经历虐待种类数目增多,心理健康总分水平降低(F=13.014,P<0.001);(4)多重线性回归分析得出5个自变量身体健康状况、同伴关系、是否被欺侮、虐待史、双亲养育总分对PCS有影响,其中身体健康状况对其影响最显著;9个自变量双亲养育总分、身体健康状况、年龄、是否被老师批评、同伴关系、虐待史、是否被欺侮、与父母关Objective:To investigate the quality of life and its influencing factors in children and adolescents with anxiety disorder.Methods:The data of this study were collected from the large-scale epidemiological survey from February to July 2014.The subjects were from Changsha and Yiyang of Hunan Province.A total of 497 children with anxiety disorder and 994 healthy children matched in sex and age were selected by C # program at 1:2.Childhood abuse questionnaire(CTQ-SF),Health-related quality of Life questionnaire(SF-12),Adolescent Life events scale(ALEC)and Parental rearing style Evaluation scale(EMBU)were used to understand the history of abuse,quality of life,life events and parental rearing styles.T-test,one-way ANOVA and multiple linear regression analysis were used for statistics.Results:(1)The total scores of physical health(PCS)and mental health(MCS)and 7 dimensions(GH,PF,BP,RP,MH,VT,SF and RE)of SF-12 in the case group were lower than those in the control group(t=4.719,10.019,6.892,3.769,6.450,8.521,4.402,5.986,5.255;P<0.001).(2)Among the children with anxiety disorder,there were significant differences in health status,father’s health status,peer relationship and parental violence in the PCS(t/F=6.299,2.213,3.600,5.359;P<0.05),and there were differences in MCS among age,physical health,parents’ health,being criticized by teachers,peer relationship,parents’ relationship and parental violence status(t/F=3.339,4.875,2.490,2.480,12.609,22.504,14.754,4.300;P<0.05).(3)The MCS of the comorbid anxiety disorder group was significantly lower than that of the non-comorbid group(t=2.350,P<0.05),the MCS score of the children with anxiety disorder with abuse was lower than that of the non-abuse group(t=5.034,P<0.001),and with the increase in the number of types of abuse,the MCS decreased(F=13.014,P<0.001).(4)Multiple linear regression analysis showed that five independent variables,including health status,peer relationship,bullying,abuse and total score of parental rearing,had influence on PCS,among which health stat

关 键 词：焦虑障碍 生活质量 童年期虐待 共病 养育方式 

分 类 号：R395.4[哲学宗教—心理学]