首发精神障碍青少年患者父母心理社会轨迹探究
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女,硕士,副主任护师

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九江市科技计划项目(S2021ZDYFN117)


Psychosocial trajectory in parents of adolescents with first-episode mental disorders
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    目的 探索首发精神障碍青少年患者父母心理社会轨迹,为针对性干预提供参考。 方法 对42例首发精神障碍青少年患者的43名父母,采用一般资料调查表、应付方式问卷、SCL-90问卷于确诊2周内进行调查,于6个月、12个月再用SCL-90问卷调查;于上述3个时间段对患者父母进行半结构化访谈,归纳分析其心理社会轨迹。 结果 父母3个时间段SCL-90得分呈下降趋势,差异有统计学意义(P<0.05);依据应付方式得分分为退避自责组(22人)与非退避自责组(21人),两组SCL-90得分比较,第6个月及时间效应有统计学意义(均P<0.05);访谈资料呈现心理弹性、心理恢复、心理痛苦3种心理社会轨迹。 结论 首发精神障碍青少年患者父母早期心理社会轨迹呈3种不同形式,大部分父母心理健康水平随患者病情好转而逐渐恢复,少部分父母心理痛苦持续存在。医护人员应同步对患者父母实施针对性干预,以提高其心理健康水平。

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    Objective To explore the psychosocial trajectory in parents of adolescents with first-episode mental disorders, and to provide references for targeted intervention. Methods Forty-three parents of 42 adolescents with first-episode mental disorders were investigated by utilizing a general data questionnaire, the Coping Styles Questionnaire, and the Symptom Checklist-90 (SCL-90) within 2 weeks of their child′s diagnosis. At 6 and 12 months postdiagnosis, they were assessed with the SCL-90 again.Semi-structured interviews were also conducted at the above mentioned three timepoints, and their psychosocial trajectories were summarized. Results The total SCL-90 score showed a decline over time, and the difference was statistically significant (P<0.05). Based on the coping score, parents were divided into an avoidance and self-blame group (n=22) and a non-avoidance and non-self-blame group (n=21).The total SCL-90 score at 6 months postdiagnosis had significant difference and a distinct time effect was also observed between the two groups (both P<0.05).Three psychosocial trajectories were identified through the interview data:resilience, recovery, and distress. Conclusion Three psychosocial trajectories are observed in parents of adolescents with first-episode mental disorders. Mental health recovery can be found in most parents when their child′s illness is getting better, but a minority of parents still suffer from psychological distress.Medical staff should implement targeted interventions for parents to improve their mental health.

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胡海霞,钟清玲,梁孟姣,吴刚,董春霞,黄燕萍,王晓.首发精神障碍青少年患者父母心理社会轨迹探究[J].护理学杂志,2022,27(19):71-74

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  • 收稿日期:2022-05-10
  • 最后修改日期:2022-07-12
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  • 在线发布日期: 2023-08-29