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目的调查肥胖及矮小儿童自我意识水平,探讨其与正常儿童自我意识方面的差异。方法 2008年8月至2008年12月用Piers-Harris儿童自我意识量表对湖南省长沙市7所中学中86例肥胖及69例矮小儿童进行心理健康调查。结果肥胖儿童在行为、躯体外貌、合群、焦虑及自我意识总分得分均低于全国常模水平,差异有统计学意义(P<0.05或0.01);肥胖儿童在智力与学校及幸福与满足两个分量表得分与全国常模水平的差异无统计学意义(P均>0.05)。矮小儿童在行为、躯体外貌、幸福与满足、合群及自我意识总分得分均低于全国常模水平,差异有统计学意义(P<0.05或0.01);矮小儿童在智力与学校表现及焦虑两个分量表得分与全国常模水平差异无统计学意义(P均>0.05)。结论肥胖及矮小儿童自我意识水平较正常同龄儿童低,且其自我意识水平高低程度不一。青少年的自我意识水平与躯体疾病密切相关,有必要在医学治疗的基础上加入相应的心理干预措施以促进其身心健康。

Study on self-concept of children with obesity and short stature

??Abstract??Objectives??To investigate the level of self-concept of children with obesity and short stature??and to compare the level of self-concept of them with normal children. Methods??Piers-Harris Children’s Self-concept Scale was used in 86 obesity children and 69 short stature children in Changsha. Results??Obesity children scored significantly lower than normal children on the total scores of self-concept??especially on sub-scales of behavior??sociability??anxiety??body and appearance??there were no significant differences in the sub-scales of well-being and satisfaction??intelligence and school appearance between obese children and normal children.Short stature children scored significantly lower on the total scores of self-concept??especially on sub-scales of behavior??body and appearance??gregarization??well-being and satisfaction??than normal children??there were no significant differences in the sub-scales of intelligence and school appearance and anxiety between short stature children and normal children. Conclusion??The level of self-concept of children with obesity and short stature is significantly lower than normal children. More attention should be paid to the development of self-concept of obese and short stature children.