河南省某村受艾滋病影响儿童的心理问题研究-社会医学与卫生事业管理专业论文.docxVIP

硕士学位论文 硕士学位论文 中文摘要 品行问题和焦虑症状(P0．05)；SCARED和DSRS的评估结果显示， 与对照组相比，研究组儿童有较多的广泛性焦虑症状(P=0．061)和 抑郁症状(P0．05)，且二者共存的检出率也高于对照组(P0．05)； UNAIDS受艾滋病影响儿童心理健康指标附加量表评估结果显示， 心境因子得分，研究组高于对照组(尸O．05)。 控制了背景特征的影响后，行为问题、抑郁症状检出情况在两 组之间存在差别，但焦虑症状、心理健康问题的差别不显著，背景 特征中，家庭类型、独生子女情况与儿童行为问题发生有关，而被 访家长身份对评估结果也有影响。 多因素logistic回归分析表明，性别、独生子女情况、应激性生 活事件及歧视相关事件与研究组儿童的行为问题、焦虑、抑郁症状、 心理健康问题有关。 结论：在艾滋病高发村，受艾滋病影响儿童的心理问题较同村 儿童突出，这与艾滋病对家庭环境的破坏性影响有关，与应激性生 活事件，尤其是歧视相关事件关系密切。受艾滋病影响儿童的心理 健康问题，应引起足够的重视，需要进行心理干预方面的研究。 关键词：艾滋病病毒／艾滋病，儿童，生活事件，心理问题 Ⅲ 硕士学位论文 硕士学位论文 英文摘要 ABSTRACT Purpose：To assess the mental health status of children infected／affected with／by HIV／AIDS，and to examine the life events of these children．This study would provide the scientific basis on improving mental health status ofthese children． Method：A HIWAIDS prevalent village was selected勰the study field．Comparison of all of children who were infected with the human immnnodeficiency virus or affected by Acquired Immtmodeficiency Syndrome in this village，and sex and grade(or age)matched children with no experience of human immunodeficiency virus infection within themselves or their families random selected from the same viUage． This study used Life Events Questionnaire to examine the life events and used 4 SCales to evaluate the mental health status of both subject and controI children．Parents completed the 48．item Conners’ Parent Rating Scales(CPRS-48)，children who were at Grade four or above，and who were aged at 10 or above and had absent from school completed Screen for Child Anxiety Related Emotional Disorders (SCARED)，Depression Self-rating Scale(DSRS)and the scale attached to Indicator of Psychological Health from UNAIDS Guide to Monitoring and Evaluation of the National Response for Children Orphaned and Made弧lIncrabte Bv HlW越Ds， Results：There were l 13 children infected／affected with／by HIV／AIDS 6--17