确定儿童残疾与抑郁之间的关系:斯里兰卡卡鲁塔拉地区的个案研究

E. D. C. Dilhani, D. Karunanayake
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引用次数: 0

摘要

研究目的:本研究主要旨在确定:(1)残疾与抑郁之间的关系;(2)身体残疾儿童抑郁及其与年龄、性别、行走能力、自理依赖、休闲活动、定期锻炼、便利环境、同伴关系满意、言语虐待的关系。方法学:本研究采用相关性研究设计。采用目的抽样方法,选取6 ~ 15岁肢体残疾儿童60例(n=60)。通过残疾量表、抑郁量表和人口统计信息问卷收集定量数据。采用IBM SPSS软件对数据进行分析。主要发现:身体残疾与抑郁呈显著正相关。该研究无法揭示抑郁症在统计学上有显著的性别差异。参与者的抑郁得分与年龄呈正相关,而抑郁与行走能力、自理能力、休闲活动、便利环境、同伴关系满意、有目标但与定期锻炼和同伴辱骂无关。研究的应用:由于研究揭示了残疾儿童心理健康潜在的令人担忧的状况,因此需要在心理健康实践中采取预防措施,包括医学心理干预和社会工作实践。此外,研究结果表明,将现有的教育、卫生、发展和政策实践方法细化为积极和尊重的参与以及有影响力和响应性的结果。研究的独创性:本研究将已建立的成人残疾与抑郁之间的正相关关系扩展到儿童群体中。最初,该研究解决了在斯里兰卡制定包容残疾人方案方面缺乏全面科学研究的问题。由于了解儿童残疾是多样性的一个方面,该研究强调需要采用多学科方法将问题转化为解决方案。
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Identifying the relationship between disability and depression among children:A Case Study in Kalutara District, Sri Lanka
Purpose of the study: This study mainly aimed to identify the relationship between: (1) disability and depression; and (2) depression and its relations to age, gender, walking ability, self-care dependence, leisure activities, regular exercises, facilitated environment, satisfied peer relationships, and verbal abuse among children with physical disabilities.Methodology: The research design of the study was correlational. A sample of 60 children (n=60) with physical disabilities between 6-15 years were selected by using the purposive sampling method. Quantitative data was collected through a disability scale, depression scale, and a questionnaire on demographic information. Data were analyzed by using IBM SPSS software.Main Findings: Physical disability showed a significant positive relationship with depression. The study were unable to reveal a statistically significant gender difference of depression. The depression scores of participants showed a positive correlation with age while depression was showing negative relationships with ability to walk, self-care dependence, leisure activities, facilitated environment, satisfied relationship with peers, and having goals but not with regular exercises and verbal abuse by peers.Applications of the study: Since the study revealed a potential alarming condition on mental health of children with disabilities, it is that to take prevention initiatives in mental health practice including medico-psychological interventions and social work practices. Further, research findings suggest elaborating existing methodology of educational, health, developmental and policy practices into an active and respectful engagement as well as impactful and responsive outcomes.Originality of the study: The study enabled to extend the established positive relationship between disability and depression among adult population into child population also. Initially the research addresses the lack of comprehensive scientific research on developing disability-inclusive programmes in Sri Lanka. With understanding disability among children as a dimension of diversity, the research highlighted the need of a multi-disciplinary approach to move problem to solution.    
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