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认知行为压力管理训练对家中有一名人类免疫缺陷病毒(HIV)阳性成员的青少年的心理健康、社交互动及家庭功能的有效性。

The effectiveness of cognitive behavioral stress management training on mental health, social interaction and family function in adolescents of families with one Human Immunodeficiency Virus (HIV) positive member.

作者信息

Keypour Maryam, Arman Soroor, Maracy Mohammad Reza

机构信息

Resident of child and adolescent psychiatry, Department of Psychiatry, Behavioral Science Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2011 Jun;16(6):741-9.

PMID:22091302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3214391/
Abstract

BACKGROUND

This study evaluated stress management training to improve mental health, social interaction and family function among adolescents of families with one Human Immunodeficiency Virus (HIV) positive member.

METHODS

There were 34 adolescents (13-18 years old) with at least one family member living with HIV from whom finally 15 attended the study and participated in 8 weekly sessions of stress management training. The tests used in this study were: Strengths and Difficulties Questionnaire (self and parent report), General Health Questionnare-28 (GHQ-28) and Family Assessment Device (FAD), conducted before, after and three months after the intervention. The collected data were analyzed by repeated measure test using SPSS software (Version 18.0).

RESULTS

Adolescents with one HIV positive family member showed high level of emotional problem (40%) and conduct problem (33.3%). There was a significant difference between before, after and 3months after intervention based on GHQ-28 mean scores and FAD mean sores (p < 0.001). There was a significant difference between mean scores of peers' relationship based on SDQ (self report and parents report forms) before and after intervention, but there was no significant difference between mean scores of pro social behavior based on SDQ (self report and parents report forms) in all three stages (before, after and three months after intervention).

CONCLUSIONS

Stress management training is effective in improving mental health, family function and social interaction among adolescents living with parents infected with HIV/AIDS.

摘要

背景

本研究评估了压力管理培训对家庭中有一名人类免疫缺陷病毒(HIV)呈阳性成员的青少年心理健康、社交互动和家庭功能的改善情况。

方法

共有34名青少年(13 - 18岁),其家庭中至少有一名家庭成员感染HIV,最终15名青少年参与了研究,并参加了为期8周的压力管理培训课程。本研究使用的测试包括:长处与困难问卷(自我报告和家长报告)、一般健康问卷 - 28(GHQ - 28)和家庭评估量表(FAD),在干预前、干预后及干预后三个月进行测试。使用SPSS软件(版本18.0)通过重复测量检验对收集的数据进行分析。

结果

家庭中有一名HIV呈阳性成员的青少年表现出较高水平的情绪问题(40%)和行为问题(33.3%)。基于GHQ - 28平均得分和FAD平均得分,干预前、干预后及干预后3个月之间存在显著差异(p < 0.001)。基于长处与困难问卷(SDQ)(自我报告和家长报告表),干预前后同伴关系平均得分存在显著差异,但基于SDQ(自我报告和家长报告表)的亲社会行为平均得分在所有三个阶段(干预前、干预后及干预后三个月)之间没有显著差异。

结论

压力管理培训对于改善与感染HIV/AIDS的父母一起生活的青少年的心理健康、家庭功能和社交互动是有效的。

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