焦虑性障碍儿童家庭环境因素的研究

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (10): 897-899.

焦虑性障碍儿童家庭环境因素的研究

沈玲¹,罗学荣¹,韦臻¹,管冰清²,袁秀洪²,宁志军³,丁军¹,杨伟⁴

1 中南大学湘雅二医院精神卫生研究所,湖南长沙 410011;
2 中南大学湘雅三医院心理科,湖南长沙 410013;
3 永州芝山精神病医院精神科,湖南永州 425006;
4 娄底市康复医院精神科,湖南娄底 417000

收稿日期:2011-04-21 发布日期:2011-10-06 出版日期:2011-10-06
通讯作者: 罗学荣,E-mail:luoxr@vip.sina.com
作者简介:沈玲(1984-),女,山东人,在读硕士研究生,研究方向为儿童精神病学
基金资助:
美国中华医学会项目资助CMB(Small Grants Program#02-777)

Research of family environmental factors in anxiety disorder children

SHEN Ling¹, LUO Xue-rong², WEI Zhen¹, GUAN Bing-qing², YUAN Xiu-hong², NING Zhi-jun³, DING Jun¹, YANG Wei⁴

1 Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China;
2 The Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, China;
3 Yongzhou Zhishan Mental Disorders Hospital of Hunan Province, Yongzhou, Hunan 425006, China;
4 Loudi Rehabilitation Hospital of Hunan Province, Loudi, Hunan 417000, China

Received:2011-04-21 Online:2011-10-06 Published:2011-10-06

摘要/Abstract

摘要： 【目的】探讨父母养育方式、家庭亲密度及适应性与儿童青少年焦虑性障碍的关系,为儿童焦虑性障碍的预防及治疗提供参考依据。【方法】采用二阶段流行病学的方法选出焦虑障碍儿童110人,并从诊断阴性的儿童中随机抽取113人作对照,两组3年级以上的儿童分别填写父母养育方式量表及家庭亲密度及适应性量表,共回收父母养育方式量表197份,家庭亲密度及适应性量表187份。【结果】 1)父母养育方式量表中的“父亲惩罚、父亲拒绝、父亲过度保护、母亲拒绝”4个因子得分,焦虑性障碍组儿童高于对照组儿童,且差异具有统计学意义(P<0.05或0.01);2)焦虑障碍组与对照组儿童家庭亲密度及适应性得分差异无统计学意义,各分量表因子分比较差异无统计学意义(P>0.05)。【结论】家庭环境因素中父母教养方式对儿童青少年焦虑障碍存在一定的影响,暂未发现家庭亲密度及适应性对焦虑障碍患儿产生影响。

关键词: 焦虑性障碍, 儿童, 父母养育, 亲密度, 适应性

Abstract: 【Objective】 To explore the relationship between parental rearing style, family cohesion and adaptability and children with anxiety disorders, providing the reference for the prevention and treatment of children anxiety disorder. 【Methods】 With stratified random sampling method, a sampling survey was made, then using the two stage epidemiologic research method, two groups,including control group 113 cases, pure anxiety disorder group 110 cases were determined as the subjects. All the subjects who was over grade 3(grade 3 included) completed family adaptability and cohesion scale(FACES II-CV) and egma minnen av bardndosnauppforstran(EMBU). At last recycled FACES II-CV scale 187, EMBU scale 197. 【Results】 1)Compared to the control group, anxiety disorder scored higher in "father punishment, father refused, father over-protective, mother refused" with (P<0.05 or 0.01). 2)There was not any difference between the two groups in family adaptability and cohesion scale . 【Conclusions】 Parental rearing style have an impact on children anxiety disorder, but do not find family adaptability and cohesion have any impact on children anxiety disorders.

Key words: anxiety disorder, children, parental rearing, family adaptability and cohesion

中图分类号:

R749.94

沈玲,罗学荣,韦臻,管冰清,袁秀洪,宁志军,丁军,杨伟. 焦虑性障碍儿童家庭环境因素的研究[J]. 中国儿童保健杂志, 2011, 19(10): 897-899.

SHEN Ling, LUO Xue-rong, WEI Zhen, GUAN Bing-qing, YUAN Xiu-hong, NING Zhi-jun, DING Jun, YANG Wei. Research of family environmental factors in anxiety disorder children[J]. journal1, 2011, 19(10): 897-899.

参考文献

[1] Kendall PC, Safford S, Flannery-Schroeder, et al. Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up[J]. J Consult Clin Psychol,2004,72(2):276-287.
[2] Last CG, Hersen M. Anxiety disorders in children and their families[J]. Arch Gen Psychiatry,1991,48:928-934.
[3] Eley TC. Contributions of behavioral genetics research: Quantifying genetic, shared environmental and nonshared environmentalinfluences[M]∥ Vasey MW, Dadds M. Thedevelopmental psychopathology of anxiety. Oxford:University Press,2001:45-59.
[4] 管冰清,罗学荣,邓云龙,等.湖南省中小学生精神障碍患病率调查[J].中国当代儿科杂志,2010,12(2):123-127.
[5] 费立鹏,沈其杰.家庭亲密度及适应性量表和家庭环境量表的初步评价[J].中国心理卫生杂志,1991,5:198-202.
[6] 费立鹏,郑延平.家庭亲密度与适应性量表中文版[M]∥汪向东,王希林,马弘.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999:142-147.
[7] 岳冬梅.父母养育方式评定量表[M]∥汪向东,王希林,马弘.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999:161-167.
[8] Murisa P, Loxtonb H, Neumannc A, et al. DSM-defined anxiety disorders symotoms in South African youths: Their assessment and relationship with perceived parental rearing behaviors[J]. Behaviour Research and Therapy,2006,44(6):883-896.
[9] Lieb R, Wittchen HU. Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study[J]. Arch Gen Psychiatry,2000,57(9):859-866.
[10] Knappe S, Psych D, Lieb R, et al. The role of parental psychopathology and family environment for social phobia in the first three decades of life[J]. Depression and anxiety,2009,26:363-370.
[11] 曹枫林,覃倩,余昆容,等.儿童焦虑障碍症状与父母养育方式的关系[J].中国临床心理学杂志,2006,14(6):599-601.
[12] van Gastel W, Legerstee JS, Ferdinand RF, et al. The role of perceived parenting in familial aggregation of anxiety disorders in children[J]. Journal of Anxiety Disorders,2009,23:46-53.
[13] Peleg-Popko O, Reuven D. Marital quality, family patterns and children's fears and social anxiety contemporary[J]. Family Therapy,2001,23(4):465-487.
[14] 王继跃,朱红,周君富,等.儿童焦虑症与不同家庭特征的对照研究[J].浙江大学学报,2002,5(31):371-374.
[15] 阳德华.家庭亲密度和适应性与初中生抑郁、焦虑情绪的关系[J].健康心理学杂志,2001,9(6):417-419.