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精神发育迟滞儿童父母抑郁及相关因素研究 被引量:8

Relationship Between Depression and Related Factors of Parents with Disabled Children
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摘要 目的:考察精神发育迟滞儿童父母的抑郁状况及其相关因素。方法:对157名精神发育迟滞儿童和青少年的父母采用应对策略问卷、照顾负担问卷、日常照料压力问卷、修订版家庭支持量表、一般自我效能感量表、罗森伯格自尊量表、流调中心用抑郁量表进行测评,对130名正常儿童父母采用流调中心用抑郁量表进行测评。结果:精神发育迟滞儿童及青少年父母的抑郁检出率为26.11%,其抑郁分数显著高于正常儿童父母。抑郁和照顾负担中的所有维度(时间负担、发展负担、身体负担、社会负担、情绪负担)都有显著正相关;抑郁和情绪中心解决策略倾向有显著正相关,和问题中心解决策略倾向有显著负相关;抑郁和家庭月收入有显著负相关;抑郁和日常照料压力有显著正相关,和自我效能及自尊有显著负相关。多元回归结果表明,对精神发育迟滞儿童及青少年父母抑郁总分贡献最大的因素是:照顾负担总分、问题中心应对策略、自尊和月收入。结论:精神发育迟滞儿童父母的抑郁水平显著高于正常儿童父母,照顾负担、应对策略、自尊水平和月收入与抑郁的形成有密切关联。 Objective: To explore the depression level of parents with intellectual disabled children and relevant factors with their depression. Methods: 157 parents of intellectual disabled children or adolescents filled in the Ways of Cope Scale, Caregiver Burden Inventory Scale, Daily Caregiving Stress Scale, Modified Family Support Scale, General Perceived Self-efficacy Scale, Rosenberg Self-esteem Scale and CES-D. 130 parents of normal children filled in the CES-D. Results: The depression detection rate of parents with intellectual disabled children was as high as 26.11%; their depression scores were significantly higher than those of the parents with normal children. Depression was positively correlated to all the dimensions of caregiver burdens (including time-dependent burden, developmental burden, physical burden, social burden and emotional burden), positively correlated with emotion-focused coping and negatively correlated with problemfocused coping, negatively correlated with family monthly income, positively correlated with daily caregiving stress and negatively correlated with self-efficacy and self-esteem. The results of the multiple regression showed that the largest con- tributors to depression were caregiver burdens, problem-focused coping, self-esteem and month income. Conclusion: Par- ents with intellectual disabled children have higher depression than the parents of normal children, caregiver burdens, ways of cope, self-esteem and monthly income are significantly correlated with the depression.
作者 张奕 易春丽
出处 《中国临床心理学杂志》 CSSCI CSCD 2011年第6期776-778,共3页 Chinese Journal of Clinical Psychology
关键词 精神发育迟滞儿童父母 抑郁 应对策略 照顾负担 Parents with intellectual disabled children Depression Coping strategies Care-giving stress
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