首发儿童精神分裂症60名陪护心理健康状况分析与心理干预.docVIP

首发儿童精神分裂症60名陪护心理健康状况分析与心理干预 【关键词】 儿童精神分裂症；陪护；焦虑；抑郁；心理干预 　　【摘要】 目的 探讨首发儿童精神分裂症患者陪护的心理健康状况及干预效果。 方法 将60名陪护随机分为干预组与非干预组各30名。干预组给予健康教育和心理干预。对两组陪护在患者入院当天及1mo末采用抑郁自评量表、焦虑自评量表及自编一般项目调查表进行评定并与国内常模进行比较。 结果 两组陪护抑郁自评量表、焦虑自评量表评分均显著高于国内常模（P＜0.01）；干预组实施健康教育及支持性心理干预1mo末抑郁自评量表、焦虑自评量表评分均较非干预组下降显著，差异有显著性（t=3.06，3.21，P＜0.05）。 结论 首发儿童精神分裂症患者亲属焦虑、抑郁症状突出，心理干预是有效和必要的。 【关键词】 儿童精神分裂症；陪护；焦虑；抑郁；心理干预 Analyses on mental health status and psychointervention of accompanying relatives of firstepisode childhood schizophrenics 【Abstract】 ObjectiveTo study the mental health status and psycho intervention of the accompanying relatives of the inpatients with firstepisode child schizophrenia. Methods 60 accompanying relatives were randomly divided into intervention group and nonintervention group(each group 30 cases), intervention group was given health education and psychointervention. 60 ones were assessed with selfrating depression scale(SDS), selfrating anxiety scale(SAS) and selfmade general data questionnaire at the admission day and the end of 1 month. The results were compared with the norm. Results The scores of both SDS and SAS in the 60 relatives were obviously higher than national norm (P＜0.01)；which in the intervention group at the end of 1 month of health education and supportive mental decreased obviously compared with the nonintervention group, there was significantly difference between them（t=3.06，3.21，P＜0.05）. Conclusion The accompanying relatives have obvious anxiety and depression，and the psychointervention is effective and necessary. 【Keywords】 Childhood schizophrenia; accompanying relative; anxiety; depression; psychointervention 儿童青少年在其成长过程中倍受亲属的呵护与关注，当其罹患精神分裂症等疾病时，将对其亲属的心理健康状况产生不同程度的影响。为探讨儿童精神分裂症住院患者亲属的心理健康状况及干预措施，作者对在我院住院的儿童精神分裂症患者陪护的心理健康状况进行了相关调查，现报告如下。 1 资料与方法 1.1 对象 选取2004年1月～2005年12月在我院住院的60例首发儿童精神分裂症患者的陪护为研究对象。入组标准：（1）患者首次发病，均符合《中国精神障碍分类与诊断标准》第3版（CCMD3）精神分裂症诊断标准［1］，发病年龄≤15a；（2）陪护均为一级亲属，连续陪护≥1mo,年龄≥18a；（3）陪护亲属排除有精神病史及严重躯体