文章摘要

自闭症儿童父母心理困扰与病耻感和自我同情的相关性

作者: 1念淑兰, 2陈艳晶
1 解放军福州总医院儿科,福州 350025
2 解放军福州总医院 急诊科,福州 350025
通讯: 陈艳晶 Email: 3242954378@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.06.026
基金: 福建省社会发展重点项目 (2013Y0072)

摘要

目的:探讨自闭症儿童父母心理困扰状况及其与病耻感和自我同情的相关性。方法:采用方便抽样方法纳入84名自闭症儿童父母进行问卷调查,选用自编的一般情况调查表收集人口学特征资料、简易心理状况评定量表(10-Item Kessler Psychological Distress Scale,Kessler10)评定心理困扰状况、贬低歧视感知量表(Perceived Devaluation and Discrimination Scale,PDD)评定病耻感状况、自我怜悯量表(Self-Compassion scale,SCS量表)评定自我同情状况。采用频数、百分比描述人口学特征,统计自闭症儿童父母心理困扰、病耻感和自我同情状况,使用Pearson相关分析各变量之间的相关性。结果:自闭症儿童父母心理困扰Kessler10评分为24.6±5.7,其中无困扰(评分10~19)占16.7%(14/84)、轻度困扰(评分20~24)占32.1%(27/84)、中度困扰(评分25~29)占40.5%(34/84)、重度困扰(评分30~50)占10.7%(9/84)。自闭症儿童父母PDD评分为30.6±7.3,SCS评分为86.3±11.4。 Kessler10评分与PDD评分呈正相关( r=0.438,P<0.001),与SCS评分呈负相关( r=−0.663, P<0.001)。结论:自闭症儿童父母心理困扰状况较为严重,心理困扰与病耻感和自我同情相关。降低病耻感、提高自我同情水平,可有助于改善自闭症儿童父母心理困扰程度。
关键词: 自闭症;父母;心理困扰;病耻感;自我同情

Correlation between psychological distress and stigma and self-compassion in parents of children with autism

Authors: 1NIAN Shulan, 2CHEN Yanjing
1 Department of Pediatrics, Fuzhou General Hospital of the People’s Liberation Army, Fuzhou 350025, China
2 Department of Emergency, Fuzhou General Hospital of the People’s Liberation Army, Fuzhou 350025, China

CorrespondingAuthor: CHEN Yanjing Email: 3242954378@qq.com

DOI: 10.3978/j.issn.2095-6959.2018.06.026

Foundation: This work was supported by the Key Project of Fujian Provincial Social Development, China (2013Y0072)

Abstract

Objective: To investigate the psychological distress state of the parents of children with autism and its correlation with stigma and self-compassion. Methods: The convenience sampling method was used in this study. A total of 84 children with autism were involved in this survey. The demographic data of the subjects were collected by a self-compiled general questionnaire. The 10-Item Kessler Psychological Distress Scale (Kessler10) was used to investigate the state of psychological distress. The Perceived Devaluation and Discrimination Scale (PDD) was used to investigate the level of stigma. The Delf-Compassion Scale (SCS) was used to investigate the level of self-compassion. The frequency and percentage were used to describe the demographic characteristics. The state of psychological distress, stigma, and self-compassion were counted. The correlation between the variables were analyzed using Pearson correlation analysis. Results: The Kessler10 score for psychological distress was 24.6±5.7 in this group of autistic children’s parents. The parents with no psychological distress (score 10~19) accounted for 16.7% (14/84), mild distress (score 20~24) accounted for 32.1% (27/84), moderate distress (score 25~29) accounted for 40.5% (34/84), and severe distress (score 30~50) accounted for 10.7% (9/84). The PDD score of the parents of autistic children was 30.6±7.3, and the SCS score was 86.3±11.4. The Kessler10 scores was positively correlated with PDD score (r=0.438, P<0.001), and negatively correlated with SCS score (r=0.663, P<0.001). Conclusion: The psychological distress state of the parents of children with autism is serious. The psychological distress is associated with stigma and self compassion. To reduce the stigma, improve the level of self compassion, may help to improve the degree of psychological distress of parents of autistic children.
Keywords: autism; parents; psychological distress; stigma; self-compassion

文章选项