焦虑性障碍儿童家庭环境因素的研究  

Research of family environmental factors in anxiety disorder children

作　　者：沈玲[1] 罗学荣[1] 韦臻[1] 管冰清[2] 袁秀洪[2] 宁志军 丁军[1] 杨伟 

机构地区：[1]中南大学湘雅二医院精神卫生研究所,湖南长沙410011 [2]中南大学湘雅三医院心理科,湖南长沙410013 [3]永州芝山精神病医院精神科,湖南永州425006 [4]娄底市康复医院精神科,湖南娄底417000

出　　处：《中国儿童保健杂志》2011年第10期897-899,共3页Chinese Journal of Child Health Care

基　　金：美国中华医学会项目资助CMB #02-777~~

摘　　要：【目的】探讨父母养育方式、家庭亲密度及适应性与儿童青少年焦虑性障碍的关系,为儿童焦虑性障碍的预防及治疗提供参考依据。【方法】采用二阶段流行病学的方法选出焦虑障碍儿童110人,并从诊断阴性的儿童中随机抽取113人作对照,两组3年级以上的儿童分别填写父母养育方式量表及家庭亲密度及适应性量表,共回收父母养育方式量表197份,家庭亲密度及适应性量表187份。【结果】1)父母养育方式量表中的"父亲惩罚、父亲拒绝、父亲过度保护、母亲拒绝"4个因子得分,焦虑性障碍组儿童高于对照组儿童,且差异具有统计学意义(P<0.05或0.01);2)焦虑障碍组与对照组儿童家庭亲密度及适应性得分差异无统计学意义,各分量表因子分比较差异无统计学意义(P>0.05)。【结论】家庭环境因素中父母教养方式对儿童青少年焦虑障碍存在一定的影响,暂未发现家庭亲密度及适应性对焦虑障碍患儿产生影响。【Objective】 To explore the relationship between parental rearing style,family cohesion and adaptability and children with anxiety disorders,providing the reference for the prevention and treatment of children anxiety disorder. 【Methods】 With stratified random sampling method,a sampling survey was made,then using the two stage epidemiologic research method,two groups,including control group 113 cases,pure anxiety disorder group 110 cases were determined as the subjects.All the subjects who was over grade 3（grade 3 included） completed family adaptability and cohesion scale（FACES II-CV） and egma minnen av bardndosnauppforstran（EMBU）.At last recycled FACES II-CV scale 187,EMBU scale 197. 【Results】 1）Compared to the control group,anxiety disorder scored higher in ＂father punishment,father refused,father over-protective,mother refused＂ with（P〈0.05 or 0.01）.2）There was not any difference between the two groups in family adaptability and cohesion scale. 【Conclusions】 Parental rearing style have an impact on children anxiety disorder,but do not find family adaptability and cohesion have any impact on children anxiety disorders.

关 键 词：焦虑性障碍 儿童 父母养育 亲密度 适应性 

分 类 号：R749.94[医药卫生—神经病学与精神病学]