独生子女家庭环境与抽动-秽语综合征发病的相关性分析  

The analysis of correlation between the occurrence of tourette syndrome with one-child family environment

作　　者：王彩凤[1] 赵志付[1] 史英杰[2] 李秀梅[2] 张成[1] 肖怡[1] 范桂清[1] 刘彦辰[1] 

机构地区：[1]中国中医科学院广安门医院心身医学科,北京100053 [2]中国中医科学院广安门医院儿科,北京100053

出　　处：《国际中医中药杂志》2011年第8期698-700,共3页International Journal of Traditional Chinese Medicine

摘　　要：目的探讨抽动-秽语综合征（抽动症）患儿的家庭环境因素与发病的相关性。方法通过调查门诊200例抽动一秽语综合征（抽动症）患儿作为抽动症组，并以三所中、小学同龄健康儿童的家庭环境情况作为对照组，分析了两组儿童的家庭环境因素，如父母关系是否融洽、管教方式、父母亲的情绪因素等。结果在家庭环境因素中，父母关系紧张、经常吵架、分居和离婚者，抽动症组明显高于健康对照组；养教方式方面，经常动用粗暴方式训斥、甚至打骂孩子者，抽动症病组也明显高于健康对照组；与孩子密切相处的直接监护人（多为母亲）情绪焦躁者抽动症组明显高于健康对照组。两组家庭环境量表中10个家庭环境因子比较研究显示，亲密度、情感表达、矛盾性、知识性、娱乐性、组织性6个因子两组间存在显著性差异（P〈0．05）。结论①家庭中父母关系、对子女的管教方式与抽动症的发病有一定相关性；②直接监护人的焦虑情绪会影响抽动症的发病和发展产生；③转变家长的教育方式，进行家庭整体治疗对降低抽动症发生率、提高疗效有重要意义。Objective The analysis of correlation between the occurrence of tourette syndrome with one-child family environment. Methods The authors investigated home environment of two groups. One group included 200 patients with tourette syndrome and is the other group included healthy children of the same age in 3 different primary and secondary schools. By comparing with the home environmental factors, parenting styles and parent emotional factors between two groups. Results The instabilities of home environment included bad family relationship, separation between parents, divorce, scolding and even beating children. It showed that anxiety of the direct supervisors among the sickness group were higher than healthy control group as well. Among the ten factors of the Family Environments Scale, the significant differences showed in six factors of affection, cohesion, expressiveness, conflict, intellectual-culture orientation, active-recreational orientation, organization between the two groups. Conclusion So we concluded that O-） There is a correlation between the parents relations, parenting styles and the incidence of tourette syndrome; ~）An anxiety of the direct supervisor may initiate, even aggravate the incidence of tourette syndrome; @It is important to convert the education mode and take family overall treatment in order to reduce the incidence and improve the effectiveness of tourette syndrome.

关 键 词：家庭环境因素 抽动-秽语综合征 养教方式 

分 类 号：R277.7[医药卫生—中医学]