Moorjani J D, Issac Chithira
Department of Psychology, University of Rajasthan, Jaipur, Rajasthan.
Indian J Pediatr. 2006 Jul;73(7):603-7. doi: 10.1007/BF02759926.
To study the neurotic manifestations in thalassemic adolescents as a consequence of long-term illness.
From July 2003, thirty six thalassemic adolescents and forty normal adolescents were selected with age ranging from 13 to 18 and with same socio economic status and family background. Middlesex Hospital Questionnaire by Crown and Crisp [1966] was administered and Mann Whiteny 'U' test was employed to measure free-floating anxiety, phobia, somatic anxiety, obsession, depression, hysteria and total neuroticism score. An interview was conducted along with the questionnaire to detect the problems in depth. Parents of thalassemic adolescents were interviewed subsequently to realize the behavioral problems existing along with neuroticism.
Thirty-six of thalassemic and all forty normal adolescents returned the questionnaires. The responses suggest a marked difference in total neuroticism score and all other variables except that of hysteria. The interview on parents of thalassemic adolescents exposed various behavioral problems in these adolescents.
Thalassemic adolescents were having higher scores in neuroticism. Some behavioral problems are also found to exist along with neurotic manifestations. There remains a need to improve the management of thalassemia in terms of psychological aspects in order to improve the mental health of this group.
研究地中海贫血青少年因长期患病而出现的神经症表现。
从2003年7月起，选取36名年龄在13至18岁之间、社会经济地位和家庭背景相同的地中海贫血青少年以及40名正常青少年。采用Crown和Crisp[1966年]编制的米德尔塞克斯医院问卷，并运用曼-惠特尼“U”检验来测量自由浮动焦虑、恐惧症、躯体焦虑、强迫症、抑郁、癔症及总神经症得分。在发放问卷的同时进行访谈，以深入发现问题。随后对地中海贫血青少年的父母进行访谈，以了解伴随神经症出现的行为问题。
36名地中海贫血青少年和所有40名正常青少年都返还了问卷。结果显示，除癔症外，总神经症得分及所有其他变量均存在显著差异。对地中海贫血青少年父母的访谈揭示了这些青少年存在的各种行为问题。
地中海贫血青少年的神经症得分较高。还发现一些行为问题与神经症表现并存。为改善这一群体的心理健康状况，在地中海贫血的心理管理方面仍有必要加以改进。
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