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面部畸形患儿心理健康状态的研究进展

陆楠 李冬梅   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2016-02-17 出版日期:2016-06-25 发布日期:2016-06-26
  • 通讯作者: 李冬梅,Email:ldmlily@x263.net
  • 基金资助:

    首都临床特色应用研究专项课题(Z131107002213002)

The mental health  of children with facial disfigurement

LU Nan, LI Dong-mei.   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Lab, Beijing 100730, China
  • Received:2016-02-17 Online:2016-06-25 Published:2016-06-26
  • Contact: LI Dong-mei, Email: ldmlily@x263.net
  • Supported by:

    Capital Clinical Superiority Application Research Program (Z131107002213002)

摘要:

面部畸形患儿在逐渐与外界接触的过程中面临着社会适应问题及心理问题。异常面容及消极的社会反馈在阻碍儿童正常自我概念形成的基础上,进一步导致自卑情结、孤独隔离感等异常心理状态。患儿为了抵御来自外界的不良影响必将形成异常的心理防御机制。家庭环境、父母学历、疾病类型、是否手术正畸等均是影响儿童心理健康状态的相关因素,其具体机制及影响程度尚未明确。针对心理畸形患儿的治疗,从一般疗法发展而来的循证疗法得到普遍应用,而最近研究普遍聚焦的“儿童焦虑、抑郁或行为问题的模块化治疗方法”(the modular approach to therapy for children with anxiety,depression,or conduct problems,MATCH)已被证明更有效。

Abstract:

Children with facial deformity always encounter social adaption problems and psychological problems in the process of contacting with the outside world. Facial deformity and negative social feedback will contribute to the formation of abnormal self-concept which leads to the inferiority complex, isolation feelings and some other adverse psychological states. In order to resist the bad influence from stereotyping reaction, they will form abnormal psychological defense mechanism. Family environment, academic background of parents, type of deformity and cosmetic repairing are considered as most important influence factors to the psychological development of children with facial deformity, but the special mechanism and extent is not yet clear. The therapy for the deformed mentality has been improved from usual interventions to the generally applied evidence-based psychosocial therapy. The latest research has been focused on the modular approach to therapy for children with anxiety, depression, or conduct problems (MATCH), which has been proved more useful than the former therapy.