糖尿病患儿心理状态调查及干预

目的：探讨糖尿病患儿心理状态及心理干预效果。方法：采用Birmaher的儿童焦虑性情绪障碍筛查表（SCARED）、儿童抑郁障碍自评量表（DSRSC）和症状自评量表（SCL-90）评定48例糖尿病患儿的心理状态。在常规治疗、健康教育与心理干预5个月后，应用SCARED、DSRSC和SCL-90再次进行评测。结果：干预前糖尿病患儿的SCARED、DSRSC和SCL-90总分及SCL-90中躯体化、抑郁及焦虑、等因子分值明显高于国内常摸（P〈0.05或P〈0.01）。于预后糖尿病患儿的SCARED、DSRSC和SCL-90总分及SCL-90中躯体化、抑郁及焦虑、等因子分值显著降低（P〈0.05或P〈0.01）。结论：糖尿病患儿存在抑郁、焦虑、躯体化症状群等负性情感；系统的糖尿病健康教育与心理干预能缓解和改善抑郁、焦虑等负性情绪。

Psychological status and inter ventions in children witd diabetic mellitus

Objective：To study the psychological status and interventions in children with diabetic metUtus. Methods：The screen for children Anxiety Related Emotional Disorder （SCARED）Depression Self- Rating scalefor Childrel： （DSRSC） and Symptom Check- List 90 mere administered to 48 children with diabetic mellitus and the patieuts were assessed again after receiring routine treatment with health education and comprehensive psychology interference five months later. Results ：The scores of the SCARED,DSRSC,SCL- 90 and indices of SCL -90 including somatical change,interpersonal relationship, depression, anxiety and fear were significantlyhigher than that of the domestic routine model （P〈0.05 or P〈 0.01 ）. And the scores of the SCARED,DSRSC,SCL -90 and indices of SCL -90 including sonatical change.~depression and anxiety were dramatically lower after health education and comprehensive psychological in- tervenyion than before the intervention （ P 〈 0.05 or P 〈 0.01 ）. Conclusion： Anxiety symptoms, depressive symptoms and somatical changesymptoms are commonly accompanied in children with diabetic mellitus, and health education and comprehensive psychology intervention could improve mood symptoms.