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目的探讨脑瘤患儿及其父母的心理特征。方法选取我科2009年10月至2013年8月收治的78对脑瘤患儿及其父亲或母亲。患儿包括40例脑瘤初发、38例脑瘤术后康复期。另选取80对年龄、性别相匹配的正常儿童作为正常对照。采用儿童抑郁障碍自评量表(DSRSC)和儿童焦虑性情绪障碍筛查表(SCARED)对以上被试进行心理测评,同时采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对2组脑瘤患儿的父亲或母亲进行心理状态调查。结果 DSRSC三组被试评分,组间差异无统计学意义(P>0.05)。SCARED结果显示,初诊脑瘤组患儿在总分及各因子得分与正常对照组相比无统计学意义(P>0.05);术后康复组患儿在总分及躯体化惊恐、广泛性焦虑、社交恐怖的因子得分显著高于正常对照组,且在广泛性焦虑的因子得分显著高于初诊组患儿,差异均有统计学意义(P<0.05)。SAS和SDS结果显示:78名脑瘤患儿父母中有42例(53.85%)存在焦虑,32例(41.03%)存在抑郁,脑瘤患儿父母的SAS和SDS总分均高于我国常模分,差异均有显著统计学意义(P<0.001)。其中初发脑瘤组父母的焦虑得分明显高于术后康复组,差异有统计学意义(P<0.05)。脑瘤患儿父母的焦虑与抑郁有正相关性(r=0.953,P<0.001),但与脑瘤患儿的焦虑、抑郁得分无相关性(P>0.05)。结论术后康复期脑瘤患儿的焦虑抑郁情况较初诊脑瘤患儿及正常儿童严重。脑瘤患儿父母合并有不同程度的焦虑、抑郁心理。
Objective To explore the psychological characteristics of children with brain tumor and their parents. Methods Totally 78 children with brain tumor and their father or mother who were treated in our department from October 2009 to August 2013 were selected. Including 40 cases of children with brain tumor initial, 38 cases of brain tumor postoperative recovery. Another 80 healthy children of the same age and gender were selected as normal controls. The subjects were assessed by using DSRSC and SCARED, and SAS, SDS, The psychological status of the father or mother of 2 children with brain tumor was investigated. Results There were no significant differences among the three groups (P> 0.05). The results of SCARED showed that there was no significant difference between the scores of total score and each factor in newly diagnosed brain tumor group (P> 0.05). The scores of total score and somatization panic and generalized anxiety , Social terror factor score was significantly higher than the normal control group, and in the generalized anxiety factor score was significantly higher than the newly diagnosed group of children, the difference was statistically significant (P <0.05). SAS and SDS results showed that there were anxiety in 42 (53.85%) of 78 children with brain tumor and 32 (41.03%) in depression. The total score of SAS and SDS in parents of children with brain tumor was higher than that in China Points, differences were statistically significant (P <0.001). Among them, the anxiety scores of the parents of newly diagnosed brain tumor group were significantly higher than that of the postoperative rehabilitation group (P <0.05). There was a positive correlation between anxiety and depression in children with brain tumor (r = 0.953, P <0.001), but no correlation with anxiety and depression scores in children with brain tumor (P> 0.05). Conclusions The anxiety and depression in children with congenital brain tumor are worse than those in newly diagnosed brain tumor and normal children. Parents of children with brain tumor merged with varying degrees of anxiety and depression.