中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (7): 582-584.

• 科研论著 • 上一篇    下一篇

品行障碍儿童青少年的家庭功能及精神病态特质的初步研究

王朋朋1,张劲松1,2,夏卫萍1,2,廖祥鹏1   

  1. 上海交通大学医学院附属新华医院1儿童与青少年保健科,环境与儿童健康教育部和上海市重点实验室;
    2临床心理科,上海 200092
  • 收稿日期:2012-03-26 发布日期:2012-07-06 出版日期:2012-07-06
  • 通讯作者: 张劲松,E-mail:zhangjsk@gmail.com
  • 作者简介:王朋朋(1982-),女,山东人,硕士学位,研究方向为儿童心理行为问题的机制及干预
  • 基金资助:
    国家“十一五”科技支撑计划课题(2007BAI17B03)子课题资助;上海市科学技术委员会科研计划项目(10411966300)

Family function and psychopathic traits in children and adolescents with conduct disorder

WANG Peng-peng1,ZHANG Jin-song1,2,XIA Wei-ping1,2,LIAO Xiang-peng1.   

  1. 1 Department of Child and Adolescent Healthcare,Shanghai Institute for Pediatric Research,Shanghai Key Laboratory of Children's Environmental Health;
    2 Department of Medical Psychology,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China
  • Received:2012-03-26 Online:2012-07-06 Published:2012-07-06

摘要: 【目的】 探讨品行障碍儿童青少年家庭功能与精神病态特质的特点,以及两者之间的关系。 【方法】 对99名品行障碍青少年和71名正常对照组青少年,进行病例对照研究,采用家庭功能评定问卷(Family Assessment Device,FAD)和反社会筛查量表(Antisocial Process Screening Device,APSD)进行评定,并对两者进行相关分析。 【结果】 品行障碍组在FAD家庭总功能和沟通、角色、情感介入、问题解决因子的得分高于正常组,差异有统计学意义(P<0.05);APSD量表的总分及冷漠无情、自恋和冲动因子分均高于正常组,差异有统计学意义(P<0.01)。冷漠无情特质与家庭功能之间的相关性不大,自恋特质与情感介入呈低水平正相关(P<0.05),冲动特质与情感介入、情感反应和行为控制呈低水平正相关(P<0.05)。 【结论】 品行障碍的儿童青少年有多方面的家庭功能不良和精神病态特质。家庭功能和精神病态特质在品行障碍的发病中共同起作用。

关键词: 品行障碍, 家庭功能, 精神病态特质, 儿童青少年

Abstract: 【Objectives】 To explore the characters of family functional factors and psychopathic traits in children and adolescents with conduct disorder. 【Methods】 99 adolescents with conduct disorder and 71 normal controls were enrolled in this case-control study.The Family Assessment Device(FAD)and Antisocial Process Screening Device(APSD)were used in the assessment. 【Results】 The score of general family function and factors' scores of communication,role playing,affection reaction,affection involvement,problem solving in FAD in children and adolescents with conduct disorder were significantly higher than those of normal controls(P<0.05).The scores of callous-unemotional(CU),narcissism(NA)impulsivity(IM)were significantly higher than those in normal control group(P<0.01).Sperman correlation analysis demonstrated that narcissism was positively relative to affection involvement at low level; impulsivity was positively relative to affection reaction,affection involvement and behavior control at low level.Callous-unemotional traits had no relationship with family factors. 【Conclusions】 The children and adolescents with conduct disorder has dysfunctional family factors and psychopathic traits.The family function and psychopathic traits both impact on the onset of conduct disorder.

Key words: conduct disorder, family function, psychopathic traits, children and adolescents

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