有受虐经历的广泛焦虑障碍患儿的行为及自我意识特点  

Characteristics of Behavior and Self-concept in Psychological Abused/Neglected Juveniles with Generalized Anxiety Disorder

作　　者：管冰清[1] 邓云龙[1] 罗学荣[2] 

机构地区：[1]中南大学湘雅三医院临床心理科,湖南长沙410013 [2]中南大学精神卫生研究所,湖南长沙410011

出　　处：《中国临床心理学杂志》2010年第3期334-336,316,共4页Chinese Journal of Clinical Psychology

基　　金：长沙市科技基金资助(K051102-32);美国中华医学会项目资助(SmallGrants Program #02-777)

摘　　要：目的：调查广泛性焦虑障碍（GAD）患儿的心理虐待及忽视现状,探讨遭受心理虐待、忽视的GAD患儿行为及自我意识的特点。方法：在湖南省六个地区5~17岁中小学生中抽取9 495名儿童,采用二阶段流行病学调查方法,由对照组及符合诊断标准的GAD组儿童填写儿童自我意识量表、儿童心理虐待与忽视量表,两组家长填写Achenbach儿童行为量表,最后收集资料完整共409人（对照组206人,GAD非受虐组99人,GAD受虐组104人）。结果：GAD组受虐阳性率、心理虐待与忽视量表六个维度分均显著高于对照组（P=0.000）;GAD受虐组儿童的内化性行为、外化性行为得分高于GAD非受虐组（P=0.000）,自我意识总分及行为、焦虑、合群、幸福等四个因子分比GAD非受虐组低（P=0.000）。结论：心理虐待及忽视在GAD患儿中更普遍、更严重;当心理虐待、忽视与GAD同时存在时,儿童青少年的行为问题更严重,自我意识水平更低。Objective： To invesgate the situation of psychological abuse and neglect among juveniles with generalized anxiety disorder（GAD） and explore the characteristics of behavior and self-concept in psychological abused/neglected juveniles with GAD.Methods： A sampling survey was made in 9495 juveniles（5~17） from six regions of Hunan Province.After using the two-stage epidemiologic research method,409 children including 206 normal controls,99 GAD without abuse/neglect and 104 GAD with abuse/neglect,completed CPANS,CSCS and their parents completed CBCL.Results： There were significantly higher rates of psychological abuse or neglect in the GAD group than the normal controls;the factor scores of juveniles with GAD were significantly higher than those with no mental disorders in all six aspects in CPANS（P=0.000）,higher scores of internalizing and externalizing behaviors characterized the subgroup of juveniles with both GAD and abuse history compared with the subgroup with GAD without such history,and the scores including total score,behavior,anxiety,gregariousness and happiness factors（P=0.000）,of the subgroup of juveniles with GAD and abuse histories were significantly lower than the GAD subgroup without abuse or neglect.Conclusion： Psychological abuse and neglect are more prevalent and severe in juveniles with GAD than in normal ones;when psychological abuse/neglect co-occurs with GAD,juveniles’ behavior problems are even greater and their level of self-concept are much lower.

关 键 词：广泛性焦虑障碍 心理虐待 忽视 内化性行为 外化性行为 自我意识 

分 类 号：R395.2[哲学宗教—心理学]