CAJ | 학술논문

目的：探讨脑瘫患儿父母的心理状况与应付方式的相关性。方法：采用症状自评量表（SCL-90）和应付方式问卷（WCSQ ），对60例脑瘫患儿父母和60名与脑瘫患儿同年龄、同性别正常儿童父母（对照组）心理状况和应付方式进行评估。结果：脑瘫患儿父母组SCL-90总分152±13．5及各因子分均高于对照组122±13．1，P均＜0．01；脑瘫患儿父母组WCSQ中的求助、合理化、解决问题因子分为0．7±0．1、0．6±0．1、0．8±0．2均高于对照组0．5±0．2、0．4±0.1、0．7±0．1，P均＜0．01；而WCSQ 的退避、幻想、自责因子分为0．2±0．1、0．1±0．1、0．3±0．2均低于对照组0．3±0．1、0．3±0．2、0．4±0．1，P均＜0．01；脑瘫患儿父母组WCSQ的退避、幻想、自责、求助、合理化因子与SCL-90各项因子呈正相关（r＝0．55～0．91，P均＜0．01）；WCSQ的解决问题与躯体化、强迫症状、抑郁、焦虑、恐怖呈负相关（ r＝-0．27、-0．26、-0．26、-0．24、-0．25，P均＜0．05）。结论：脑瘫患儿父母有较明显的心理健康问题，但其多能采用积极的应付方式，这可能有助于减轻心理问题的影响。
목적：탐토뇌탄환인부모적심리상황여응부방식적상관성。방법：채용증상자평량표（SCL-90）화응부방식문권（WCSQ ），대60례뇌탄환인부모화60명여뇌탄환인동년령、동성별정상인동부모（대조조）심리상황화응부방식진행평고。결과：뇌탄환인부모조SCL-90총분152±13．5급각인자분균고우대조조122±13．1，P균＜0．01；뇌탄환인부모조WCSQ중적구조、합이화、해결문제인자분위0．7±0．1、0．6±0．1、0．8±0．2균고우대조조0．5±0．2、0．4±0.1、0．7±0．1，P균＜0．01；이WCSQ 적퇴피、환상、자책인자분위0．2±0．1、0．1±0．1、0．3±0．2균저우대조조0．3±0．1、0．3±0．2、0．4±0．1，P균＜0．01；뇌탄환인부모조WCSQ적퇴피、환상、자책、구조、합이화인자여SCL-90각항인자정정상관（r＝0．55～0．91，P균＜0．01）；WCSQ적해결문제여구체화、강박증상、억욱、초필、공포정부상관（ r＝-0．27、-0．26、-0．26、-0．24、-0．25，P균＜0．05）。결론：뇌탄환인부모유교명현적심리건강문제，단기다능채용적겁적응부방식，저가능유조우감경심리문제적영향。
Objective :To explore the relevance between mental symptoms and coping styles of cerebral palsy children’s parents .Methods :Totally 60 cerebral palsy children’s parents and 60 normal children’s parents were recruited in this study .The symptoms were assessed with the symptom checklist 90(SCL-90) ,and coping styles with the ways of coping styles questionnaire(WCSQ) .Results :In cerebral palsy children’s parents ,the total scores and factor scores of SCL-90 , and WCSQ factor scores of seeking help ,rationlization ,problem-solving were higher (P< 0 .01) ,while WCSQ factor scores of avoidance ,fancy ,self-blame were lower than that in normal children’s parents(P<0 .01) .In cerebral palsy children’s parents ,there were positive correlations between the WCSQ factor scores of avoidance ,fancy ,self-blame , seeking help ,rationalization and all the factor scores of SCL-90(r=0 .55~0 .91 ,P<0 .01) ,and negative correlations between the SCL-90 factor scores of somatization ,obsessive-compulsive ,depression ,anxiety ,phobia anxiety and the WCSQ factor scores of problem-solving(r= -0 .27 ,-0 .26 ,-0 .26 ,-0 .24 ,-0 .25 ,P<0 .05) .Conclusion:Parents of cerebral palsy children are possibly have some mental symptoms such as obvious depression and anxiety .The positive coping styles existed in the parents of cerebral palsy children ,which could help to decrease the influence of mental symptoms .