孤独症儿童父母心理健康状态的研究

Mental health state of parents of children with autism

目的研究孤独症患儿家长的心理健康状态。方法采用症状自评量表(SCL-90)对34名孤独症儿童和35名健康儿童的父母亲进行评分。结果孤独症儿童父母亲SCL-90总分分别为162.5±34.0,175.1±51.0,均高于正常儿童的父母亲(分别为142.4±82.8,152.3±40.6;P<0.05)。孤独症儿童的父亲在强迫症状、忧郁、焦虑、偏执等4个因子上的分数高于健康儿童的父亲(P<0.05);孤独症儿童的母亲在强迫症状、人际关系敏感、忧郁、焦虑、偏执、敌对性、精神病性和睡眠/饮食等8个因子的分数较正常儿童的母亲高(P<0.05);在人际关系敏感、焦虑、精神病性症状因子上,孤独症儿童的母亲得分较父亲高(P<0.05)。结论在对孤独症儿童给与关爱和治疗的同时,也要关注孤独症儿童父母的心理健康。

Objective To study the mental health state of parents of children with autism.Methods The mental health state was evaluated by conducting the Symptom Checklist（SCL-90） on parents of 34 children with autism and of 35 healthy children.Results The SCL-90 total scores in the fathers（162.5±34.0） and mothers of autistic children（175.1±51.0） were significantly higher than those in healthy children′s parents（142.4±42.8 and 152.3±40.6,respectively）（P0.05）.The SCL-90 scores of obsessive-compulsive symptoms,depression,anxiety and paranoia in the fathers of autistic children were significantly higher than those in the fathers of healthy children（P0.05）.The SCL-90 scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,paranoia,psychotic symptoms,hostility and sleep/diet were significantly higher in the mothers of autistic children than those in the mothers of healthy children（P0.05）.The mothers of autistic children presented higher SCL-90 factor scores in interpersonal sensitivity,anxiety and psychotic symptoms than the fathers（P0.05）.Conclusions We should pay more attention to the mental health of parents of autistic children.