CAJ | 학술논문

目的：调查广泛性发育障碍（pervasive developmental disorders，PDDs）患儿多动、刻板、自伤、易激惹行为对照料者情绪及育儿压力的影响。方法对138例PDDs患儿使用异常行为量表（aberrant behavior check?list，ABC）、Conners多动指数问卷（Conner index of hyperactivity，CIH）评估患儿近一个月异常行为情况，使用医院焦虑抑郁量表（hospital anxiety and depression scale，HAD）、照料者压力问卷（caregiver strain questionnaire，CG?SQ）分别评估患儿照料者的情绪及育儿压力。结果 PDDs患儿的照料者中6.2%存焦虑情绪，17.8%存抑郁情绪，29.5%同时存在焦虑抑郁情绪。偏相关分析示，PDDs患儿照料者CGSQ得分与患儿CIH分（r=0.201，P=0.023）、刻板动作（r=0.189，P=0.033）呈正相关，与刻板言语呈负相关（r=-0.219，P=0.013），照料者焦虑情绪与刻板动作呈正相关（r=0.206，P=0.021）。结论焦虑抑郁情绪在PDDs照料者中较普遍。除刻板言语外，PDDs患儿的异常行为越严重，照料者育儿压力越大，焦虑情绪越明显。
목적：조사엄범성발육장애（pervasive developmental disorders，PDDs）환인다동、각판、자상、역격야행위대조료자정서급육인압력적영향。방법대138례PDDs환인사용이상행위량표（aberrant behavior check?list，ABC）、Conners다동지수문권（Conner index of hyperactivity，CIH）평고환인근일개월이상행위정황，사용의원초필억욱량표（hospital anxiety and depression scale，HAD）、조료자압력문권（caregiver strain questionnaire，CG?SQ）분별평고환인조료자적정서급육인압력。결과 PDDs환인적조료자중6.2%존초필정서，17.8%존억욱정서，29.5%동시존재초필억욱정서。편상관분석시，PDDs환인조료자CGSQ득분여환인CIH분（r=0.201，P=0.023）、각판동작（r=0.189，P=0.033）정정상관，여각판언어정부상관（r=-0.219，P=0.013），조료자초필정서여각판동작정정상관（r=0.206，P=0.021）。결론초필억욱정서재PDDs조료자중교보편。제각판언어외，PDDs환인적이상행위월엄중，조료자육인압력월대，초필정서월명현。
Objective To investigate the influence of hyperactivity, Stereotyped behaviors , self-injury and irritabili?ty on parenting stress and emotions of the caregivers for patients with pervasive developmental disorders (PDDs). Methods Abnormal behaviors during last month were assessed in 138 PDDs patients by using Aberrant Behavior Checklist (ABC) and Conners Index of Hyperactivity (CIH). The parenting stress and the emotional state of the patients’parents were evalu?ated by the Caregiver Strain Questionnaire (CGSQ) and Hospital Anxiety and Depression Scale (HAD), respectively. Re?sults Anxiety, depression and combination of anxiety and depression were present in 6.2%, 17.8%and 29.5%of PDDs caregivers, respectively. The partial correlation analysis showed that CGSQ score of patients’parents positively correlated with CIH score (r=0.201, P=0.023) and stereotyped act (r=0.189, P=0.033) of the patients, and negatively correlated with stereotyped speech (r=-0.219, P=0.013). The anxious mood of parents positively correlated with stereotyped act (r=0.206, P=0.021). Conclusions Anxiety and depression are common in caregivers of PDDs. Except for stereotyped speech, aber?rant behaviors of the PDDs increase parenting stress and worsen anxious mood of caregivers.