| 新冠疫情隔离期间学龄期儿童情绪和行为变化的研究 |
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| 引用本文： | 仇晓艳,王广海,王瑜,姜莲,霍言言,陈津津,江帆.新冠疫情隔离期间学龄期儿童情绪和行为变化的研究[J].中华全科医学,2021,19(12):2077. |
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| 作者姓名： | 仇晓艳 王广海 王瑜 姜莲 霍言言 陈津津 江帆 |
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| 作者单位： | 1.上海市儿童医院, 上海交通大学附属儿童医院儿保科，上海 200062 |
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| 基金项目： | 国家自然科学基金青年项目81703235国家自然科学基金面上项目81670810 |
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| 摘 要： | 目的 探索新型冠状病毒肺炎(coronavirus disease 2019，COVID-19) 疫情隔离期间学龄期儿童情绪和行为问题现状，为未来公共卫生事件中儿童心理干预提供指导。 方法 通过简单随机抽样选取上海某区4所小学按照班级进行整群抽样，对学生家长进行一般问卷调查及长处与困难量表调查。对过去6个月新冠疫情期间居家隔离的孩子及家庭的基本状况进行信息收集并对结果进行分析。 结果 单亲家庭儿童的情绪症状2.50(1.00, 5.25)分]、直系家庭儿童的品行问题2.00(1.00, 3.00)分]以及联合家庭孩子亲社会行为8.00(7.00, 10.00)分]得分较高。疫情隔离期间学龄期儿童情绪和行为问题有所变化，与上海常模相比，发现7~9岁年龄段的女孩的行为问题得分增加(均P＜0.05)，而6~9岁年龄段的男孩多动注意不能得分是降低的(均P＜0.05)；与SH2018相比，各年龄段儿童行为问题得分增加(均P＜0.05)，而7~9岁年龄段儿童亲社会行为得分降低。 结论 研究发现单亲家庭、直系家庭中儿童的情绪问题，直系家庭中儿童的品行问题要多加关注。COVID-19疫情期间学龄儿童情绪和行为发生变化，未来发生类似公共卫生事件时，须对不同情绪和行为问题儿童进行分层分类干预，相关政府、社会、学校等心理援助机构等应当给予重点关心和支持。
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| 关 键 词： | 新型冠状病毒肺炎 情绪 行为 学龄儿童 |
| 收稿时间： | 2020-12-21 |
Study on the changes of school-age children's emotional and behavioural problems during the COVID-19 quarantine |
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| Affiliation: | Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China |
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| Abstract: | Objective To explore the current situation of emotional and behavioural problems among school-age children during the quarantine period of coronavirus disease 2019 (COVID-19), and to provide guidance for children's psychological intervention in public health events in the future. Methods Four primary schools in a district of Shanghai were selected and included in the study using simple random sampling. The general questionnaire and strength and difficulty scales were used on the parents of students. Information on the basic situation of children and families quarantined by COVID-19 during the past 6 months was collected and the results were analyzed. Results The emotional symptoms of children from single-parent families 2.50(1.00, 5.25)points], the behaviour problems of children from immediate families 2.00(1.00, 3.00) points] and the prosocial behaviours of children from joint families 8.00(7.00, 10.00) points] were scored higher. Emotional and behavioural problems changed in school-age children during the quarantine period. Higher scores for behavioural problems were found in girls aged 7-9 years old (all P < 0.05), and hyperactivity inactivity score decreased in boys aged 6-9 years old (all P < 0.05) compared with the Shanghai norm. Compared with SH2018, scores for behavioural problems increased in children of all ages (all P < 0.05), and the prosocial behaviour scores of children aged 7-9 years old decreased. Conclusion The emotional problems of children in single-parent families and lineal families and the conduct problems of children in lineal families should become the focus of research. If a similar public health event occurs in the future, then stratified and classified interventions should be carried out for children with different emotional and behavioural problems. |
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