反复呼吸道感染儿童情绪障碍对照研究

Emotional disorders of children with recurrent respiratory tract infection:a case control study

目的：分析反复呼吸道感染（RRTIs）儿童焦虑、抑郁等情绪障碍的发生情况,以揭示在关心反复呼吸道感染儿童的躯体健康的同时,也应关注其心理健康的必要性。方法：用上海惠诚咨询有限公司出版的《儿童青少年心理测验系统2.0版》中的“焦虑自评量表（SAS）”和“抑郁自评量表（SDS）”,将46例反复呼吸道感染儿童作为观察组进行问卷调查和评定,并选择59例正常儿童作为对照组,探讨儿童焦虑和抑郁症状检出率和状态水平与反复呼吸道感染的相关性,以及儿童性别、年龄、母亲焦虑水平、母亲文化程度、家庭关系、经济状况对儿童焦虑、抑郁的影响。母亲焦虑水平用＂汉密顿焦虑量表＂进行测评。结果：反复呼吸道感染儿童的焦虑、抑郁症状检出率、焦虑水平、抑郁水平显著高于正常儿童,差异有统计学意义（P均〈0.05）;比较不同年龄、性别的焦虑、抑郁状态水平,显示10－13岁儿童比7－9岁儿童的焦虑、抑郁状态水平更高（P〈0.01和P〈0.05）,不同性别儿童的焦虑、抑郁状态水平差异无统计学意义（P均〉0.05）;反复呼吸道感染儿童的焦虑水平与母亲焦虑水平明显相关（P〈0.01）,而抑郁与母亲焦虑水平以及焦虑、抑郁水平与母亲文化程度、家庭关系、经济条件等没有明显的相关性。结论：反复呼吸道感染儿童焦虑、抑郁等情绪障碍发生水平高于正常儿童,提示反复呼吸道感染儿童比正常儿童更需要心理上的帮助和支持。

Objective：To analyze the status of emotional disorders such as anxiety and depression in children with recurrent respiratory tract infection（RRTI）,reveal the importance of attention on psychological health while paying attention to physical health of children with RRTI.Methods：46 children with RRTI were selected as observation group and surveyed by Self-rating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS） of psychological test system of Children and adolescents（version 2.0）,59 normal healthy children were selected as control group.The detection rates of depression and anxiety and the correlation between depression,anxiety and RRTI,effects of gender,age,anxiety levels of mothers,education levels of mothers,family relationship,economic status on depression and anxiety of children were explored,the anxiety levels of mothers were evaluated by Hamilton Anxiety Scale.Results：The detection rates of depression and anxiety,anxiety level and depression levels in observation group were significantly higher than those in control group（P〈0.05）;the anxiety level and depression level in children aged 10-13 years old were significantly higher than those in children aged 7-9 years old（P〈0.01,P〈0.05）;there was no significant difference in anxiety level and depression level between boys and girls（P〉0.05）;there was a correlation between anxiety level of children with RRTI and anxiety level of mothers（P〈0.01）,there was no correlation between anxiety level,depression level of children and anxiety level,depression level of mothers,education level of mothers,family relationship and economic status.Conclusion：Anxiety level and depression level of children with RRTI are significantly higher than those in normal children,which indicates children with RRTI need more help and supports compared to normal children.