家庭环境因素对青少年精神分裂症的影响  

A study of fam ily environm entin adolescent schizophrenia

作　　者：郑成畴[1] 黄运坤[1] 张小聆[1] 吴爱萍[1] 温达民[1] 

机构地区：[1]福建省闽清精神病防治院,350800

出　　处：《中国行为医学科学》1999年第1期51-52,50,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的　探讨精神分裂症和家庭环境的关系。　方法　用自编“家庭环境调查问卷”、修订的父母养育方式评价量表（ＥＭＢＵ）对８２ 例青少年患者和８２ 个正常青少年家庭进行调查，用Ｃａｍ ｂｅｒｗｅｌｌ家庭会谈表（ＣＦＩ）评定患者亲属的情感表达（ＥＥ）水平。结果　（１）病例组父母关系、亲子关系差，父母有不良行为习惯者多（ Ｐ＜ ０．０５）；家族性患者父母文化水平低、经济收入低、健康状况差（Ｐ＜ ０．０１）。（２）病例组父母养育方式不恰当，散发性家庭表现更突出。（３）病例组高ＥＥ家庭占７４．４％（６１／８２），散发组正性情感和情绪过分卷入多于家族组。结论　青少年精神分裂症家庭存在较多的不良因素，可能对本病的发生起促进作用。Objective To explore the relationship betw een fam ily environm ent and adolescentschizophrenia. Methods Using a fam ily envirom entinventory, Revised Egna Minnen av Barndosnaupp-forstran(EMBU) and Cam berw ellfam ily inter- view , a controlstudy was m ade between 82 adolescentschizophrenic patients(w ithin the range of13 to 18 years)and 82 nor- m alsubjects. Based on the fam ily history ofpsychosis, thepatients w eredivided into tw o groups: fam ilialgroup and sporadic group. Results(1) The relation between fatherand m other, parents and children w asw orse in patients, and theirparentshad m ore deviantbehaviorhabits(P< 0.05). The parents had low er culture and incom e, and their health w as worse in fam ilial group( P< 0.01).(2) The parentalrearing patterns ofpatient's w ere unfit, and itw as m ore outstanding in sporadic group. (3) High expressed em otion(EE) was 74.4 percent in patien's fam ily, positive em otion and em otionalover-involvem ent in sporadic group w ere m ore than thatin fam ilialgroup. Conclusion There are m any deviantfactors in the fam ily ofadolescent schizophrenia, w hich m ay be able to play a role ofprom otion for the onsetand influence the course ofdisease.

关 键 词：精神分裂症 青少年 家庭特征 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.94[医药卫生—临床医学]