共患其他精神障碍的Tourette’s综合征患儿的父母养育方式  

Parental rearing behaviors in children with Tourette' s syndrome and comorbid other mental disorders

作　　者：杨建红[1] 党卫民[2] 郑毅[1] 梁月竹[1] 何凡[1] 刘杰[1] 陈旭[1] 郭怿暄[3] 

机构地区：[1]首都医科大学附属北京安定医院,北京100088 [2]北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学),北京100191 [3]北京大学基础医学院,北京100191

出　　处：《中国心理卫生杂志》2011年第9期673-678,共6页Chinese Mental Health Journal

摘　　要：目的:初步探讨Tourette's综合征(TS)患儿有无共患其他精神障碍与其父母养育方式特点的关系,为探索父母养育方式在TS发病机制和治疗中的意义提供线索。方法:采用个体匹配对照研究设计,以87例7～17岁共患其他精神障碍(注意缺陷多动障碍24例,强迫障碍33例,抑郁状态21例,分离和转换障碍9例)的TS患儿(TS共病组)、87例无共患其他精神障碍TS患儿(TS无共病组)以及87例正常少年对照(健康对照组)为研究对象。采用美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)标准做出相应诊断。全部被试均完成一般情况调查表及父母养育方式问卷中文版(EMBU)的评估。结果:TS共病组、TS无共病组的EM-BU父亲惩罚严厉、拒绝否认、过度保护因子分均高于健康对照组,且TS共病组父亲惩罚严厉因子分高于TS无共病组;TS共病组的母亲的惩罚严厉、拒绝否认、过度保护因子分高于TS无共病组、健康对照组(均P<0.01)。回归分析结果显示父母惩罚严厉、过分干涉、拒绝否认、过度保护因子分与"是TS共病患儿"呈正相关(β=1.8～5.3,均P≤0.01)。结论:TS患儿的父母养育方式主要表现为父母对子女拒绝接纳、否定及过度保护,父母养育方式中的惩罚严厉、拒绝否认、过度保护可能与Tourette's综合征共患其他精神障碍及发病存在更为密切的联系,值得今后研究重点关注。Objective： To explore the characteristics of parents rearing behaviors in children with Tourette＇s syndrome （TS） and comorbid other mental disorders. Methods： A controlled study was carried out among 87 chil- dren with Tourette＇s syndrome and comorbid other mental disorder （including 24 cases with ADHD, 33 with OCD, 21 with depression, 9 with separation and conversion disorder ）, 87 children with Tourette syndrome without other mental disorder, and 87 children without any mental disorder as the healthy controls. All the subjects matched by gender and age. The diagnoses were made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-IV）. The Egna Minnen av Barndoms Uppfostran （EMBU） was used to assess pa-rental rearing styles, and the general information data were collected with a self-compiled questionnaire. The data between the three groups were compared by One-way ANOVA and multiple linear regression analysis. Results： There were significant differences in the three EMBU factor scores of fathers among the three groups, with higher scores of high-pnnishment, refuse dinying and over protection in TS comorbidity group and TS without comorbidity group than the healthy controls （P 〈 0.01 ）, and higher score of father＇s high-punishment in TS comorbidity gourp than TS without comorbidity group （P 〈 0.01）. The scores the factors of high-punishment, refuse denying and over protection of the mowers were higher in TS comorbidity group than TS without comorbidity group and the healthy controls （ P 〈 0. 01）. The regression analysis revealed that 4 factors of high-punishment, over interference, refuse de- nying, over protection were positively correlated to TS with comorbid other mental disorders （ standardized β = 1.8 -5.3, Ps ≤0. 01）. Conclusion： It is suggested that the parents＇rearing behaviors of high-punishment, refuse deny- ing and over interference may be related to Tourette＇s syndrome with comorbid other men

关 键 词：儿童精神疾病 Tourette’s综合征 共患其他精神障碍 父母养育方式 父母受教育程度 父母 职业 个体匹配对照研究 

分 类 号：R749.94[医药卫生—神经病学与精神病学]