【摘要】 目的 调查四川凉山艾滋病儿童的心理健康中自我意识与焦虑水平的现状。方法 采用整群随机抽样的方法，选取凉山州72名艾滋病儿童为研究组，110名健康儿童为对照组，进行焦虑性情绪障碍量表及自我意识水平量表调查，比较两组儿童的自我意识及焦虑水平，同时将研究组与全国常模进行比较。结果 艾滋病儿童躯体化/惊恐、广泛性焦虑、分离性焦虑等3个因子及焦虑障碍总分分数均高于健康儿童，差异有统计学意义（P<0.05）。艾滋病儿童焦虑水平各维度均高于全国常模（P<0.05）。艾滋病儿童自我意识的行为、焦虑、合群等3个因子的得分低于健康儿童，差异有统计学意义（P<0.05）；艾滋病儿童自我意识水平各维度除焦虑因子外，其余维度低于全国常模（P<0.05）。自我意识水平的行为因子与焦虑水平各维度除社交恐怖外均呈负相关（P<0.05），自我意识水平的幸福与满足因子与焦虑水平各维度除躯体化/惊恐及社交恐怖外均呈负相关（P<0.05），自我意识水平的焦虑及自我意识总分与焦虑水平各维度均呈负相关（P<0.05）。结论 艾滋病儿童的焦虑水平较高，自我意识水平偏低。更多还原

【Abstract】 Objective To investigate the current state of self-concept and anxiety levels among children with HIV/AIDS in Liangshan,Sichuan. Methods A cluster random sampling method was employed to select 72 children with HIV/AIDS as the study group and 110 healthy children as the control group. The Screen for Child Anxiety Related Emotional Disorders(SCARED)and Piers-Harris Children’s Self-concept Scale(PHCSS) were administered to evaluate and compared self-concept and anxiety levels between the two groups. Additionally,the study group was compared with the national norm. Results The children with HIV/AIDS had significantly higher scores on the somatization/fear,generalized anxiety and separation anxiety subscales,as well as on the total anxiety score,compared to healthy children(P<0.05),their anxiety levels also exceeded national norms(P<0.05).Regarding self-concept,children with HIV/AIDS scored significantly lower on the three factors of behavioral,anxiety and social integration than healthy children(P<0.05). Except for the anxiety factor,all the other self-concept subscales were significantly lower than national norms(P<0.05). The behavioral dimension of self-concept was negatively correlated with all dimensions of anxiety,except social phobia. Similarly,the happiness and satisfaction dimensions were negatively correlated with all anxiety domains except somatization/panic and social phobia. Both the anxiety subscale of self-concept and the total self-concept score were significantly negatively correlated with all dimensions of anxiety(P<0.05). Conclusion The children with HIV/AIDS exhibited significantly higher levels of anxiety and lower levels of self-concept.更多还原