心理韧性水平对少年儿童癫痫患者积极消极情感及心理健康的影响

摘要

Objective To explore the effect of mental toughness level on positive and negative emotion and mental health in children with epilepsy.Methods In accordance with the International League against epilepsy and epilepsy syndrome in 1989 International Classification of young children with epilepsy,160 cases were sampled.Based on the Adolescent Resilience Scale ( HKRA ) score,according to the 27％ principles of delimitation,the patients were divided into high HKRA score group and low HKRA score group,43 cases in each group.Then positive emotions and negative affect scale (PANAS),mental health test (MHT) were applied to two groups.Results ,Except family support dimension,the others HKRA dimension and total score were higher in female children with epilepsy than those in male patients,there was significant difference (P＜ 0.01 ).The positive affect score were higher in high HKRA score group than that of low HKRA group ; and negative emotion was significantly lower than that in low HKRA group (P＜ 0.01 ).Except physical symptom dimension,other dimensions and total score of HKRA in high HKRA score group were higher than those in low HKRA group,there was significant difference (P＜ 0.01 ).Children with epilepsy HKRA score was positive correlation with positive emotion score but negative correlation with negative affect scores (P ＜ 0.01 ) ; in addition to physical symptom,HKRA score and MHT score,and all the other dimensions were negatively related (P＜0.01 or 0.015).Conclusion The mental toughness level are significantly related to children's epilepsy patients with positive and negative emotion and mental health status.A high level of mental toughness can increase positive emotional experience,and reduce the negative emotional experience of children with epilepsy.%目的 探讨心理韧性水平对少年儿童癫痫患者积极消极情感及心理健康的影响.方法 符合国际抗癫痫联盟1989年癫痫和癫痫综合征国际分类标准的少年儿童癫痫患者,根据青少年心理韧性量表(HKRA)评分,按27％的划界原则,将患者分为HKRA高、低分组各43例.再分别进行积极情感和消极情感量表( PANAS)、心理健康诊断测验(MHT)的测评,并进行比较.结果 女性少年儿童癫痫患者HKRA评分,除家庭支持维度外,其各维度及总分均高于男性患者,差异有统计学意义(P＜0.01).HKRA高分组少年儿童癫痫患者,其积极情感得分[(3.31±0.42)分]显著高于HKRA低分组[(2.18 ±0.54)分]；而消极情感得分则显著低于HKRA低分组[(2.17±0.62)分；(2.87 ±0.59)分],差异有统计学意义(P＜0.01).HKRA高分组少年儿童癫痫患者,其MHT得分除身体症状维度外,其各维度及总分均高于低分组患者,差异有显著性(P＜0.01).少年儿童癫痫患者HKRA评分与积极情感评分呈显著正相关,而与消极情感得分呈显著负相关(P＜0.01)；HKRA评分与MHT评分,除身体症状维度外其他各维度及总分均呈显著负相关(P＜0.01或＜0.015).结论 心理韧性水平与少年儿童癫痫患者积极消极情感及心理健康状况显著相关.高水平的心理韧性能够增加少年儿童癫痫患者的积极情感体验,减少消极情感体验；心理韧性较高的少年儿童癫痫患者,心理健康状况较心理韧性低的患者相对较好.