Abstract: 【Objective】 To explore the family dynamics in children with tic disorder. 【Method】 30 children's patients with tic disorder and 30 normal controls were evaluated by general information inventory,the self-rating scale of systematic family dynamics(SSFD). 【Results】 The study group showed higher scores on family atmosphere,systematic logic in SSFD(t=3.151,P<0.01;t=2.142,P<0.05).There were no differences in the individuation and disease conception dynamic dimensions between the two groups. 【Conclusion】 The family dynamics of tic disorders include:The family atmosphere is inclined to be "hostile and sullen",and the system logic tends to be "white or black",seldom " not only… but also…".

Key words: tic disorder, family dynamics, children

摘要： 【目的】 探讨抽动障碍患儿的家庭动力学特征,为治疗探索新的途径。 【方法】 使用自编一般情况调查表、系统家庭动力学自评量表对30例抽动障碍患儿(研究组)和30名正常儿童(对照组)进行评估。 【结果】 研究组的家庭气氛和系统逻辑维度高于对照组,差异具有统计学意义(t=3.151,P<0.01;t=2.142,P<0.05),在个性化、疾病观念维度两组差异无统计学意义(P>0.05)。 【结论】 抽动障碍患儿的家庭动力学特征为:家庭气氛倾向于“敌对、沉闷”,系统逻辑倾向于“非此即彼”的二元对立认知模式。

关键词: 抽动障碍, 家庭动力学, 儿童