特发性性早熟患儿心理健康情况调查及相关影响因素分析  

Investigation on mental health and related influencing factors of adolescents with precocious puberty

作　　者：鲁晓辉[1] 李妍 芦红燕[1] 李幼东[3] 韩建妙[4] LU Xiaohui;LI Yan;LU Hongyan;LI Youdong;HAN Jianmiao(Department of Psychology,Shijiazhuang Third Hospital,Shijiazhuang 050011,Hebei,China;Psychology Teaching and Research Section,Shijiazhuang People′s Medical College,Shijiazhuang 050000,Hebei,China;Department of Clinical Psychology,First Hospital of Hebei Medical University,Shijiazhuang 050030,Hebei,China;Department of Health Care,Shijiazhuang Third Hospital,Shijiazhuang 050011,Hebei,China)

机构地区：[1]石家庄市第三医院心理科,石家庄050011 [2]石家庄市人民医专高等专科学校心理教研室,石家庄050000 [3]河北医科大学第一医院临床心理科,石家庄050030 [4]石家庄市第三医院干保科,石家庄050011

出　　处：《中国性科学》2023年第3期153-156,共4页Chinese Journal of Human Sexuality

基　　金：石家庄市科学技术研究与发展计划(211460863)。

摘　　要：目的分析特发性性早熟(ICPP)患儿心理健康情况调查及相关影响因素。方法选取2019年3月到2022年3月在石家庄市第三医院接受治疗的120例ICPP患儿,采用自制患儿一般资料问卷、疾病相关信息问卷、社会支持评定量表(SSRS)及儿少心理健康量表(MHS-CA)对患儿及其照护者开展调查。比较不同特征患儿的MHS-CA总分,并通过多元线性回归分析筛查ICPP患儿心理健康水平的影响因素。结果120例ICPP患儿MHS-CA总分为(65.29±10.53)分,明显较常模的(77.93±8.74)分降低(P<0.05);多元线性回归分析显示,患儿心理健康水平的危险因素有高年级、学习成绩差、照护者为非父母、家庭氛围不和谐、病程>2年(P<0.05),保护因素有照护者学历在大专或以上、社会支持度高(P<0.05)。结论ICPP患儿心理健康水平较低,高年级、学习成绩差、照护者为非父母、家庭氛围不和谐、病程>2年为其危险因素。故应加强对上述高危患儿心理的关注,及时对其开展心理干预,并提供必要的社会支持,以确保其心理健康。Objective To analyze the mental health status and related influencing factors of adolescents with precocious puberty.Methods A total of 120 children with precocious puberty who were treated in Shijiazhuang Third Hospital from March 2019 to March 2022 were selected.The children and their caregivers were investigated by self-made general information questionnaire,disease-related information questionnaire,social support rating scale(SSRS)and mental health scale for children and adolescents(MHS-CA).The total score of MHS-CA of children with different characteristics was compared,and the influencing factors of mental health level of children with precocious puberty were screened by multiple linear regression analysis.Results The total score of MHS-CA in 120 children with precocious puberty was 65.29±10.53,which was obviously lower than that of the norm(77.93±8.74)(P<0.05);Multivariate linear regression analysis showed that the risk factors for children′s mental health level were senior grade,poor academic performance,non-parent caregivers,disharmonious family atmosphere,disease duration>2 years(P<0.05),the protective factors included college education or above,and high social support(P<0.05).Conclusions The mental health level of children with precocious puberty is relatively low.Higher grades,poor academic performance,non-parent caregivers,disharmonious family atmosphere,and disease duration>2 years are the risk factors.Therefore,attention should be paid to the psychology of the children with above-mentioned high-risk,psychological intervention should be carried out in time,and necessary social support should be provided to ensure their mental health.

关 键 词：性早熟 心理健康 影响因素 多元线性回归分析 

分 类 号：R395[哲学宗教—心理学]