认知行为疗法在矮小症儿童治疗中的应用及对儿童SDS、SAS评分的影响

Application of cognitive-behavioral therapy in the treatment of children with short stature and its effects on children’s SDS and SAS scores

目的:探讨认知行为疗法在矮小症儿童治疗中的应用及对儿童焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分的影响。方法:选取2017年11月至2020年7月94例矮小症患儿,随机分为两组,对照组实施常规治疗,研究组实施认知行为疗法。比较两组患儿、照顾者的抑郁、焦虑评分变化情况,比较两组照顾者应对方式、生活质量变化情况。结果:治疗2个月后,研究组患儿、照顾者的SDS、SAS评分均低于治疗治疗前(P<0.05),但对照组治疗前后,患儿及照顾者SDS、SAS评分均无明显差异(P>0.05);两组间对比,治疗2个月后,研究组患儿、照顾者的SDS、SAS评分均低于对照组患儿、照顾者(P<0.05);研究组照顾者治疗2个月消极应对方式评分低于治疗前,积极应对方式评分高于治疗前(P<0.05),但对照组照顾者治疗前后无明显差异(P>0.05);两组间对比,研究组照顾者治疗2个月消极应对方式评分低于对照组,积极应对方式评分高于对照组照顾者(P<0.05);研究组治疗后2个月各项生活质量评分均高于治疗前(P<0.05),但对照组治疗前后无明显差异(P>0.05);两组间对比,研究组治疗2个月在躯体感觉、自我认知、生活环境、学校生活、同伴交往、家庭生活方面的评分均高于对照组(P<0.05)。结论:矮小症患儿治疗中应用认知行为心理治疗干预,患儿各项生活质量均有显著提高,促进患儿照顾者改变应对方式,患儿及患儿照顾者的抑郁、焦虑情绪均获得有效缓解,值得临床推广应用。

Objective:To explore the application of cognitive-behavioral therapy in the management of children with short stature and its effects on children’s SDS and SAS scores.Methods:A total of 94 children with short stature were selected from November 2017 to July 2018 and randomly divided into two groups.The control group received routine treatment and the study group received cognitive-behavioral therapy.The changes in depression and anxiety scores of the two groups of children and caregivers,coping styles of the two groups of caregivers,and the quality of life were compared.Results:After two months of treatment,the SDS and SAS scores of the children and caregivers in the study group were lower than those before the treatment(P<0.05),but there was no significant difference in the SDS and SAS scores of the children and caregivers in the control group before and after treatment(P>0.05);after two months of treatment,the SDS and SAS scores of the children in the study group and caregivers were lower than those in the control group and caregivers(P<0.05).For caregivers in the study group,the score of negative coping style after two months of treatment was lower than that before treatment,and positive coping style was higher than before(P<0.05),but there was no significant difference in the control group before and after treatment(P>0.05).The scores of negative coping styles of caregivers were lower than control group,and the scores of positive coping styles were higher than control group after two months of treatment care(P<0.05);the quality of life scores of the study group was higher than the control group for two months after treatment(P<0.05),but there was no significant difference before and after treatment in the control group(P>0.05).Compared with the control group,the scores of physical sensation,self-cognition,living environment,school life,peer interaction,and family life in the study group were higher than those in the control group(P<0.05).Conclusion:The application of cognitive-behavioral therapy in the treatment of children with short stature can significantly improve the quality of life of the children,promote the change of coping styles in caregivers,and effectively alleviate the depression and anxiety of children and their caregivers,which is worthy of clinical application.