1型糖尿病儿童情绪障碍与家长心理健康状况关系的研究

A Study on the Relationship between Mood Disturbance in Children with Type I Diabetes and Mental Health State of the Parents.

目的探讨1型糖尿病儿童情绪障碍与家长心理健康状况的关系.方法以儿童焦虑性情绪障碍筛查表(SCARED)及儿童抑郁障碍自评量表(DSRSC)为工具,评估90例儿童1型糖尿病患儿的情绪状况,任一量表分≥划界分者为情绪障碍组,余为情绪正常组。以SCL—90量表评估家长心理健康状况。比较两组家长心理健康水平的差异以及儿童情绪状况与家长心理健康状况的关系.结果①情绪障碍组与情绪正常组比较,其家长SCL—90量表阳性率高(46.9%、19.6%,X^2=6.946,P<0. 01),情绪障碍组家长SCL—90量表总分、阳性项目数、躯体化因子,强迫因子、人际敏感因子、抑郁因子、焦虑因子、恐怖因子、精神病性因子平均分均显著高于情绪正常组家长(P<0.05)。②儿童SCARED得分与家长SCL—90量表总分、强迫因子、人际敏感因子、抑郁因子、焦虑因子、恐怖因子得分具有相关关系(P<0.05),儿童DSRSC得分与家长SCL—90量表总分、强迫因子、人际敏感因子、抑郁因子、焦虑因子、精神病性因子得分具有相关关系(P<0.05).结论1型糖尿病儿童情绪障碍与家长心理健康状况相关,当家长心理健康状况不良时儿童易合并情绪障碍.

Objective To explore the relationship between mood disturbance in children with type Ⅰ diabetes and mental health state of the parents. Methods The mood state of 90 children with type Ⅰ diabetes was assessed with SCARED and DSRSC. The ease group with mood disturbance was consisted by the children scored equal or over the cut point of either the SCARED or the DSRSC. The control group without mood disturbance was consisted by the rest of the children. The mental health state of the parents was assessed by SCL-90. The mental health states of the parents in two groups were compared. The relationship between children＇s mood states and parents＇ mental states was explored. Results （1） the parents in the ease group have a higher positive rate with SCL-90 than those in control group （46. 9% vs 19.6%,Х^2=6. 946, P〈0. 01）. The mean scores of the ease group parents were higher than those control group parents, including the scores of the whole scale, the positive items, the somatic factor, the obsessive-compulsive factor, the interpersonal factor, the depressive factor, the anxiety factor, the phobic factor, and the psychotic factor （P〈0. 05）. （2）The score of SCARED of the children was correlated with the scores of SCL-90 of their parents, including the scores of the whole scale, the obsessive-compulsive factor, the interpersonal factor, the depressive factor, the anxiety factor, the psychotic factor （P〈0. 05）. Conclusion the mood disturbance of the children with type Ⅰ diabetes is related to their parents＇ mental state. The children with a mentally unhealthy parent were more likely to have mood disturbance.