中国临床心理学杂志

综合干预改善肥胖儿童自我意识的研究

作者：单家银¹ 2 徐光兴² 浦小弟¹ 顾大华¹

单位：1. 上海市嘉定区南翔社区卫生服务中心上海201802
2. 华东师范大学心理学系上海200063

关键词：自我意识儿童肥胖团体干预

分类号：R395

出版年,卷(期):页码：2008,16(5):554-556

摘要：

目的：探讨综合营养、运动及心理辅导等手段的团体干预对肥胖儿童自我意识的影响。方法：采用平行对照，对86名肥胖儿童(平均年龄10.4±2.52岁)进行为期一年的团体干预，内容包括营养、运动及心理辅导等手段。干预前后对其作Piers-Harris儿童自我意识量表测查，并与正常体重儿童对比分析。结果：肥胖儿童自我意识总分、躯体与外貌、焦虑(P<0.01)、智力与学校属性、行为、合群(P<0.05)等得分显著低于正常体重儿童，且表现出性别差异：肥胖男生的总分、智力与学校属性、躯体与外貌属性(P<0.01)、合群等得分(P<0.05)显著降低，而肥胖女生仅焦虑(P<0.05)一项得分降低。团体干预一年后，肥胖儿童自我意识的总分(P<0.05)、智力与学校属性、躯体与外貌属性(P<0.01)等均显著提高，并且肥胖男生、肥胖女生的自我意识均与正常体重儿童无显著性差异。结论：肥胖儿童自我意识明显受损，团体干预可以提高肥胖儿童的自我意识。

Objective:To investigate group intervention effects on obesity children’s self-conception.Methods:86?obesity children (mean10.4±2.52 years) were under group intervention for one year.Piers-Harris Children’s Self-concept?Scale was used to measure both obesity and normal weight children before and after,compared and analyzed.Results:The total self-concept scores of obesity children and scores of anxiety(P<0.01),physical appearance,teamwork(P<0.05),etc.were significantly lower than those of normal children,and there were difference between sexes:The total scores of?obesity boys,school and intellectual and physical appearance (P<0.01),teamwork (P<0.05),etc.were significantly lower?than those of normal boys.And the obesity girls only had a lower anxiety score (P<0.05).One year after the intervention,the total self-concept scores of obesity children (P<0.05),physical appearance,teamwork(P<0.01),etc.were significantly?improved,there was no significant difference between obesity children and normal children,boys and girls correspondingly.Conclusion:Obesity damage children’s self-conception and group intervention can be an effective way to resume impaired?self-conception,and manage obesity children.

基金项目：

上海市医学重点社区项目(05I011)资助

作者简介：

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