家庭任务干预对提升孤独症谱系障碍患儿家庭功能及父母自我效能感的效果
|
摘要
目的探讨家庭任务干预对提升孤独症谱系障碍患儿家庭功能及父母自我效能感的效果。方法选取湖北省黄冈市平安康复医院2016年6月—2017年5月收治的孤独症谱系障碍患儿父母作为此次研究的对象,根据其自身意愿分为试验组(43例)和对照组(27例)。对照组采用常规干预措施,试验组在对照组基础上进行家庭任务模式下的干预措施,以6个月为一个疗程,共干预两疗程。采用临床症状自评量表(SCL-90)对两组患儿父母的心理状态进行评估。比较两组遵医行为、自尊量表(SES)及家庭功能量表评分(FFFS),并对家长自我效能量表(SEPTI)进行评测。结果较干预前比较,干预后的SCL-90量表评分明显更优,且试验组的评分更优于对照组(t=11.842,11.933,11.905,12.201,11.229,11.988,11.892,11.783,11.892,P<0.05);干预后,试验组的遵医行为量表评分、SES评分及FFFS总分均显著高于对照组,差异有统计学意义(t=13.012,15.293,12.011,P<0.05);此外,在对两组的SEPTI量表分析发现,试验组干预后的约束/限制、游戏、教育等相关指标明显优于对照组和干预前,而两组干预前后的情感依恋、保护、生活常规、养育/重视/同理心、总量表指标比较差异无统计学意义(P>0.05)。结论家庭任务干预可以有效减少孤独症谱系障碍患儿父母心理不良情绪,以此促进其积极遵医行为和自尊水平,并在一定程度上提高了家庭功能及自我效能感,值得推广。
Objective To explore the effect of family task intervention on family function and self-efficacy of children with autism spectrum disorder. Methods From June 2016 to May 2016 parents of children with autism spectrum disorders were as the research object, they were divided into experimental group(n=43)and control group(n=27)according to its willingness. The intervention measures were used in the control group, and the intervention measures in the family task mode were conducted on the basis of the control group. The psychological status of parents of the two groups was assessed using the clinical symptom self-rating scale(scl-90). The two groups were compared to the medical behavior, self-esteem scale(SES)and family function scale score(FFFS), and evaluated the parent self-efficacy scale(SEPTI). Results Compared with before and after the intervention of SCL-90 scale score better obviously, and the experimental group score was better than that in control group(t=11.842, 11.933,11.842, 11.933, 11.229, 11.988, 11.892, 11.783, 11.892, P<0.05); After the intervention, the scores of compliance scale, SES score and FFFS in the experimental group were significantly higher than those in control group, with statistically significant difference(t=13.012, 15.293, 12.011, P<0.05). In addition, in the two groups of SEPTI scale analysis found that the experimental group after the intervention of constraints/limits, games, education and other related indicators is better than the control group and intervention,and the emotional attachment, protection of the two groups before and after the intervention, regular life, raising/value/empathy, total table index was no significant difference(P>0.05). Conclusion Family intervention can effectively reduce the task to children with autism spectrum disorders parents psychological feelings, to promote its positive as directed by the medical behavior and the level of self-esteem, and to a certain extent, improve the function of family and self-efficacy, worthy of promotion.
Objective To explore the effect of family task intervention on family function and self-efficacy of children with autism spectrum disorder. Methods From June 2016 to May 2016 parents of children with autism spectrum disorders were as the research object, they were divided into experimental group(n=43)and control group(n=27)according to its willingness. The intervention measures were used in the control group, and the intervention measures in the family task mode were conducted on the basis of the control group. The psychological status of parents of the two groups was assessed using the clinical symptom self-rating scale(scl-90). The two groups were compared to the medical behavior, self-esteem scale(SES)and family function scale score(FFFS), and evaluated the parent self-efficacy scale(SEPTI). Results Compared with before and after the intervention of SCL-90 scale score better obviously, and the experimental group score was better than that in control group(t=11.842, 11.933,11.842, 11.933, 11.229, 11.988, 11.892, 11.783, 11.892, P<0.05); After the intervention, the scores of compliance scale, SES score and FFFS in the experimental group were significantly higher than those in control group, with statistically significant difference(t=13.012, 15.293, 12.011, P<0.05). In addition, in the two groups of SEPTI scale analysis found that the experimental group after the intervention of constraints/limits, games, education and other related indicators is better than the control group and intervention,and the emotional attachment, protection of the two groups before and after the intervention, regular life, raising/value/empathy, total table index was no significant difference(P>0.05). Conclusion Family intervention can effectively reduce the task to children with autism spectrum disorders parents psychological feelings, to promote its positive as directed by the medical behavior and the level of self-esteem, and to a certain extent, improve the function of family and self-efficacy, worthy of promotion.
引文
[1]王石换,邓红珠,陈凯云,等.基于儿童心理教育评估第3版的孤独症谱系障碍儿童认知功能与行为特征的性别差异研究[J].中国儿童保健杂志,2016,24(3):245-248.
[2]杨涛,王垭,刘娟,等.孤独症谱系障碍儿童的家庭负担及康复治疗研究进展[J].华西医学,2016(6):1147-1151.
[3]周子琦,程茜.图片交换沟通系统对孤独症谱系障碍儿童社交及语言功能康复效果的系统评价[J].中国康复理论与实践,2016,22(9):1075-1079.
[4]杨友,金星明.美国精神障碍诊断和统计手册第五版对儿童孤独症谱系障碍诊治的影响[J].中国儿童保健杂志,2015,23(12):1278-1280.
[5]ISMAEL N,LAWSON L M,LITTLE L.The Relationship Between Children With ASDs80.79.):24Processing Patterns and Their Activity Participation Patterns[J].American Journal of Occupational Therapy Official Publication of the American Occupational Therapy Association,2017,71(4_Supplement_1):7111510194p1.
[6]胡纯纯,周秉睿,刘春雪,等.孤独症谱系障碍儿童家长压力及相关影响因素研究[J].中国儿童保健杂志,2016,24(12):1263-1266,1270.
[7]周雅婷,尹华英,王敏建,等.孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性[J].中国康复理论与实践,2017,23(4):465-469.
[8]章丽丽,刘毅梅,吴燕玲,等.孤独症谱系障碍儿童干预成效与父母焦虑抑郁状态变化的关系[J].中国妇幼保健,2017,32(9):1895-1897.
[9]肖璐,欧建君,陈琛,等.孤独症谱系障碍儿童父母照顾负担及生活质量调查[J].国际精神病学杂志,2017(5):814-818.
[10]徐玉英,刘桂华,李国凯,等.孤独症谱系障碍患儿照顾者家庭坚韧力状况及影响因素研究[J].护理学杂志,2017,32(7):65-68.
[11]周雅婷,尹华英,王敏建,等.孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性[J].中国康复理论与实践,2017,23(4):465-469.
[12]陈艳娟,梁屏好,粟丽群,等.家庭训练对孤独症谱系障碍患儿的干预效果[J].社区医学杂志,2017,15(14):65-67.
[13]马居飞,匡桂芳,曲烨,等.孤独症谱系障碍儿童父母性格特征和家庭环境的病例对照研究[J].中国学校卫生,2015,36(6):861-863.
[14]胡纯纯,李云,周秉睿,等.父亲带养时间对孤独症谱系障碍患儿母亲育儿压力的影响[J].中华儿科杂志,2017,55(5):355-359.
[15]周雅婷,尹华英,王敏建,等.孤独症谱系障碍患儿养育者育儿自我效能感的现状分析[J].中国儿童保健杂志,2016,24(9):913-916.
[16]祖燕飞,徐光兴,杜亚松.孤独症患者家庭干预的研究现状回顾[J].中国儿童保健杂志,2016,24(7):729-731.
[17]胡纯纯,周秉睿,刘春雪,等.孤独症谱系障碍儿童家长压力及相关影响因素研究[J].中国儿童保健杂志,2016,24(12):1263-1266,1270.
[18]徐玉英,刘桂华,李国凯,等.孤独症谱系障碍患儿照顾者家庭坚韧力状况及影响因素研究[J].护理学杂志,2017,32(7):65-68.
[19]梁颖,李楠,郭园园,等.不同干预模式下孤独症谱系障碍儿童干预效果的比较[J].天津医药,2016,44(7):880-883.
[20]郭奎芳,胡霄,蔡佳,等.孤独症患儿行为问题及其与父母孤独症特质和家庭功能的相关分析[J].中华精神科杂志,2016,49(3):148-153.
[21]樊越波,曹伟,黄丹.孤独症谱系障碍儿童情绪面孔识别事件相关电位研究[J].中国健康心理学杂志,2015,23(5):784-788.
[22]顾钰恒,施春华.国外对孤独症谱系障碍的心理治疗述评[J].中国健康心理学杂志,2017,25(6):957-960.
[23]刘瑞芝,宋丽华,孙志刚,等.孤独症谱系障碍病理学机制研究进展[J].中国健康心理学杂志,2015,23(5):796-799.
[24]赵刚,吴惠娟,刘健,等.杭州市1~3岁儿童父母亲孤独症相关信息知晓情况调查[J].中国健康心理学杂志,2017,25(3):432-434.
[2]杨涛,王垭,刘娟,等.孤独症谱系障碍儿童的家庭负担及康复治疗研究进展[J].华西医学,2016(6):1147-1151.
[3]周子琦,程茜.图片交换沟通系统对孤独症谱系障碍儿童社交及语言功能康复效果的系统评价[J].中国康复理论与实践,2016,22(9):1075-1079.
[4]杨友,金星明.美国精神障碍诊断和统计手册第五版对儿童孤独症谱系障碍诊治的影响[J].中国儿童保健杂志,2015,23(12):1278-1280.
[5]ISMAEL N,LAWSON L M,LITTLE L.The Relationship Between Children With ASDs80.79.):24Processing Patterns and Their Activity Participation Patterns[J].American Journal of Occupational Therapy Official Publication of the American Occupational Therapy Association,2017,71(4_Supplement_1):7111510194p1.
[6]胡纯纯,周秉睿,刘春雪,等.孤独症谱系障碍儿童家长压力及相关影响因素研究[J].中国儿童保健杂志,2016,24(12):1263-1266,1270.
[7]周雅婷,尹华英,王敏建,等.孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性[J].中国康复理论与实践,2017,23(4):465-469.
[8]章丽丽,刘毅梅,吴燕玲,等.孤独症谱系障碍儿童干预成效与父母焦虑抑郁状态变化的关系[J].中国妇幼保健,2017,32(9):1895-1897.
[9]肖璐,欧建君,陈琛,等.孤独症谱系障碍儿童父母照顾负担及生活质量调查[J].国际精神病学杂志,2017(5):814-818.
[10]徐玉英,刘桂华,李国凯,等.孤独症谱系障碍患儿照顾者家庭坚韧力状况及影响因素研究[J].护理学杂志,2017,32(7):65-68.
[11]周雅婷,尹华英,王敏建,等.孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性[J].中国康复理论与实践,2017,23(4):465-469.
[12]陈艳娟,梁屏好,粟丽群,等.家庭训练对孤独症谱系障碍患儿的干预效果[J].社区医学杂志,2017,15(14):65-67.
[13]马居飞,匡桂芳,曲烨,等.孤独症谱系障碍儿童父母性格特征和家庭环境的病例对照研究[J].中国学校卫生,2015,36(6):861-863.
[14]胡纯纯,李云,周秉睿,等.父亲带养时间对孤独症谱系障碍患儿母亲育儿压力的影响[J].中华儿科杂志,2017,55(5):355-359.
[15]周雅婷,尹华英,王敏建,等.孤独症谱系障碍患儿养育者育儿自我效能感的现状分析[J].中国儿童保健杂志,2016,24(9):913-916.
[16]祖燕飞,徐光兴,杜亚松.孤独症患者家庭干预的研究现状回顾[J].中国儿童保健杂志,2016,24(7):729-731.
[17]胡纯纯,周秉睿,刘春雪,等.孤独症谱系障碍儿童家长压力及相关影响因素研究[J].中国儿童保健杂志,2016,24(12):1263-1266,1270.
[18]徐玉英,刘桂华,李国凯,等.孤独症谱系障碍患儿照顾者家庭坚韧力状况及影响因素研究[J].护理学杂志,2017,32(7):65-68.
[19]梁颖,李楠,郭园园,等.不同干预模式下孤独症谱系障碍儿童干预效果的比较[J].天津医药,2016,44(7):880-883.
[20]郭奎芳,胡霄,蔡佳,等.孤独症患儿行为问题及其与父母孤独症特质和家庭功能的相关分析[J].中华精神科杂志,2016,49(3):148-153.
[21]樊越波,曹伟,黄丹.孤独症谱系障碍儿童情绪面孔识别事件相关电位研究[J].中国健康心理学杂志,2015,23(5):784-788.
[22]顾钰恒,施春华.国外对孤独症谱系障碍的心理治疗述评[J].中国健康心理学杂志,2017,25(6):957-960.
[23]刘瑞芝,宋丽华,孙志刚,等.孤独症谱系障碍病理学机制研究进展[J].中国健康心理学杂志,2015,23(5):796-799.
[24]赵刚,吴惠娟,刘健,等.杭州市1~3岁儿童父母亲孤独症相关信息知晓情况调查[J].中国健康心理学杂志,2017,25(3):432-434.