自闭症儿童与智力迟钝儿童母亲的精神病理学比较。
Comparison of psychopathology in the mothers of autistic and mentally retarded children.
作者信息
Firat Sunay, Diler Rasim Somer, Avci Ayse, Seydaoglu Gulsah
机构信息
Child and Adolescent Psychiatry, Cukurova University Faculty of Medicine, Balcall, Adana, Turkey.
出版信息
J Korean Med Sci. 2002 Oct;17(5):679-85. doi: 10.3346/jkms.2002.17.5.679.
The aim of this study was to evaluate anxiety, depression, alexithymia, and general psychological symptoms in the mothers of autistic children in comparison with those in the mothers of mentally retarded children. Forty mothers of autistic children and 38 mothers of mentally retarded children were included in the study. After a clinical interview, psychometric tests were performed for depression, anxiety, alexithymia, and Symptom Distress Check List (SCL-90) for general psychological symptoms. Non-depression rates was 27.5% in the mothers of autistic children whereas the rate was 55.3% in the mothers of mentally retarded children. There was no difference regarding anxiety and alexithymia between the two groups. The psychopathology in the mothers of autistic children was more frequent than in those of mentally retarded children in all sub-scales of SCL-90 (somatization obsessive-compulsive, interpersonal sensitivity, depression, anxiety, anger-hostility, phobic anxiety, paranoid thought, psychotism, and extra scale). The mothers of autistic children experienced more psychological distress than those of mentally retarded children. Our findings indicates that the assessment of autistic and mentally retarded children should include psychological assessment of their mothers.
本研究的目的是比较自闭症儿童母亲与智障儿童母亲的焦虑、抑郁、述情障碍及一般心理症状。本研究纳入了40名自闭症儿童的母亲和38名智障儿童的母亲。经过临床访谈后，对抑郁、焦虑、述情障碍进行了心理测量测试，并对一般心理症状进行了症状困扰检查表（SCL - 90）测试。自闭症儿童母亲的非抑郁率为27.5%，而智障儿童母亲的这一比率为55.3%。两组在焦虑和述情障碍方面没有差异。在SCL - 90的所有子量表（躯体化、强迫观念 - 强迫行为、人际敏感、抑郁、焦虑、敌对愤怒、恐惧焦虑、偏执观念、精神质及附加量表）中，自闭症儿童母亲的精神病理学表现比智障儿童母亲更为常见。自闭症儿童的母亲比智障儿童的母亲经历了更多的心理困扰。我们的研究结果表明，对自闭症和智障儿童的评估应包括对其母亲的心理评估。
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