关键词: 发育迟缓, 家庭亲密度, 自我意识, 焦虑, 中介作用

Abstract: Objective To investigate the level of self-awareness of children with developmental delay, and to explore the mediating role of anxiety in family cohesion and self-awareness. Methods Convenience sampling method was adopted to select 200 children with developmental retardation from July 2019 to April 2021. General information questionnaire, Family Adaptability Cohesion Scale, Second Edition (FACES-II), DSM-5 Level 2-Anxiety-Child Age 11 - 17 and Children's Self-Consciousness Scale were used to investigate. Results The total score of self-consciousness in 200 children with developmental delay was 45.87±4.15. Family cohesion was negatively correlated with the total score of self-consciousness (r＝-0.607, P<0.01), and positively related to anxiety of children (r=0.416, P<0.001).There was a negative correlation between anxiety of children and self-consciousness (r＝-0.367, P<0.01). The mediating effect test showed that the anxiety of children played a partial mediating role in the relationship between family cohesion and self-consciousness, with 95%CI (-0.257,-0.043). The mediating effect value was -0.077, accounting for 9.50% of the total effect. Conclusions The self-awareness of children with developmental delay is low. More attention should be paid to anxiety of these children. Meanwhile, a good family atmosphere and harmonious parent-child relationship are helpful to improve the mental health and self-awareness of children with developmental delay.

Key words: developmental delay, family cohesion, self-consciousness, anxiety, mediation