目的 分析孤独谱系障碍(ASD)患儿母亲参与半结构团体干预的心理历程变化过程,为团体干预改善ASD患儿母亲不良情绪状态提供研究基础。方法 研究采用量化取向语文探索与字词分析软件(LIWC)2007中文简体版,对上海市和台湾台中市4例ASD患儿母亲参与半结构支持性团体干预(12次,每次90 min)的前段(第1～4次)、中段(第5～8次)、后段(第9～12次)、结束后12个月共计4个时长段的团体干预咨询录音文稿进行字词分析。结果 4位参与团体干预的ASD患儿母亲从团体干预前段到后段负性情绪词汇不断减少;团体干预中段积极关注自我,工作、个人成就、家庭词汇增多;团体干预后段休闲等提高生活质量词汇上升;干预后母亲心理词汇、关爱词汇较干预前增加,差异有统计学意义(t=3.758,3.794,P均<0.05);干预后患儿孤独症儿童行为评定量表(ABC)评分较干预前降低,差异有统计学意义(t=-3.100,P<0.05)。结论 支持性团体干预能够帮助增加ASD患儿母子之间良性调试,减少患儿问题行为。同时,ASD患儿母亲会建构新的自我认同,降低不确定感,提升心理健康。
Abstract
Objective To analyze the psychological change of mothers with autism spectrum disorders(ASD) children in semi-structural psychological process,in order to provide references for improving the negative mood of mothers with autistic children employing group intervention. Methods The research analyed words and phrases from recorded transcript of group consulting record data of four mothers with autistic children from Shanghai and Taizhong.Mothers participated in semi-structural supportive group for twelve times with ninety minutes each time,consultion recording data during four time periods,including first section(the 1st~4th week),middle section(the 5th~8th week),last section(the 9th~12th week) and twelve months after therapy were analyzed by using the simplified Chinese version of the quantifying trend words and phrases analytic software "linguistic inquiry and word count,LIWC 2007 (Pennebaker,2007)". Results From the first section to the last section,the four mothers with autistic children who participated in the group consultation showed a gradual decrease of negatively emotional words.In the middle section,more words of concerning positively about themselves were used in those mothers including work,personal achievement and family.In the last section,more words regarding recreation or improving life quality from those mothers were heard.The differences were statistically significant on mental lexicon and care and love lexicon of mothers (t=3.758,3.794,P<0.05).The score of Autistic Children's Behavior Rating Scale(ABC)before and after intervention was significantly different (t=-3.100,P<0.05). Conclusion Supportive groups intervention can help effectively increase the coadaptation of ASD children and their mothers,and reduce children's behavior problems.Also,mothers with ASD children will construct a new self-identity,reduce the sense of uncertainty,and improve mental health through this intervention.
关键词
孤独症 /
文本分析 /
团体干预 /
情绪 /
“语文探索与字词计算分析”软件
Key words
autism /
text analysis /
group intervention /
mood /
linguistic inquiry and word count
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基金
上海市妇联家庭文明建设重点项目(201503);安徽省高校人文社科研究重点项目(SK2014A189);上海交通大学医工交叉重点项目 多学科交叉项目培育(医工)(YG2013ZD0503)
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