性早熟患儿的心理健康问题及干预措施研究

A study on the mental health problems and intervention measures of children with precocious puberty

目的探讨性早熟患儿的心理健康问题并对其进行干预,确定性早熟患儿的心理特征是否随时间和治疗而改变。方法以249例性早熟患儿为基础,随机抽取其中的60例患儿为研究对象,对其进行心理评估,并采用随机数字法将其分为对照组和实验组,每组30例。对照组给予常规治疗,实验组在对照组的基础上给予心理干预。比较两组患儿干预前后的心理评估指标(儿童抑郁量表、社会接受图式量表、儿童行为检查表)及心理健康程度指标[完成NEO五因素量表-3(NEO-FFI-3)、抑郁-焦虑-压力量表(DASS)、积极和消极影响量表(PANAS)]评分。结果干预后,实验组患儿的儿童抑郁量表评分(0.52±0.36)分低于对照组的(1.81±0.31)分,社会接受图式量表的认知能力评分(3.46±0.32)分、身体能力评分(3.41±0.31)分、同伴接受度评分(3.56±0.22)分及儿童行为检查表的内化评分(2.32±0.43)分、外化评分(2.53±0.32)分、总行为问题评分(17.12±9.14)分均高于对照组的(2.71±0.41)、(2.24±0.62)、(2.35±0.47)、(1.91±0.41)、(1.90±0.21)、(14.64±8.65)分,差异具有统计学意义(P<0.05)。干预后,实验组患儿的NEO-FFI-3量表评分(3.61±0.15)分高于对照组的(2.94±0.11)分,DASS量表的抑郁评分(1.56±0.32)分、焦虑评分(1.06±0.15)分、压力评分(1.62±0.32)分,PANAS量表的积极影响评分(2.68±0.22)分、消极影响评分(1.54±0.41)分低于对照组的(2.18±0.66)、(1.53±0.23)、(2.12±0.68)、(3.11±0.26)、(2.72±0.33)分,差异具有统计学意义(P<0.05)。结论药物治疗加上正确的心理干预措施,可有效改善性早熟患儿的心理健康状况,提高治疗效果。

Objective To investigate the mental health problems and interventions for children with precocious puberty,and determine whether the psychological characteristics of children with precocious puberty change over time and with treatment.Methods Based on 249 patients with precocious puberty,60 of them were randomly selected as research subjects for psychological evaluation,and were divided into a control group and an experimental group according to random number method,each with 30 cases.The control group received conventional treatment,and the experimental group received psychological intervention based on the control group.Comparison was made on psychological assessment indicators(children's depression scale,social acceptance scale,child behavior checklist)and mental health indicators[NEO five-factor inventory version 3(NEO-FFI-3),depression anxiety stress scale(DASS),positive and negative affectivity scale(PANAS)]before and after the intervention between the two groups.Results After the intervention,the experimental group had lower score of children's depression scale of(1.81±0.31)points than(0.52±0.36)points in the control group;in the experimental group,the cognitive ability score of children's depression scale was(3.46±0.32)points,the physical ability score was(3.41±0.31)points,the peer acceptance score was(3.56±0.22)points,the internalization score of child behavior checklist was(2.32±0.43)points,the externalization score was(2.53±0.32)points,and the total behavior problem score was(17.12±9.14)points,which were higher than(2.71±0.41),(2.24±0.62),(2.35±0.47),(1.91±0.41),(1.90±0.21),and(14.64±8.65)points in the control group;the difference was statistically significant(P<0.05).After the intervention,the experimental group had higher NEO-FFI-3 score of(3.61±0.15)points than(2.94±0.11)points in the control group;in the experimental group,the depression score of DASS scale was(1.56±0.32)points,the anxiety score was(1.06±0.15)points,the stress score was(1.62±0.32)points,and the positive impact score of PANAS scale was(2.68±0.22)points,the negative impact score was(1.54±0.41)points,which were lower than(2.18±0.66),(1.53±0.23),(2.12±0.68),(3.11±0.26)and(2.72±0.33)points in the control group;the difference was statistically significant(P<0.05).Conclusion For the patients with precocious puberty,drug therapy combined with correct psychological intervention measures can effectively improve the mental health of the children and improve the therapeutic effect.