儿童精神分裂症的家庭特征研究  

Study of the family features in childhood schizophrenia

作　　者：焦公凯[1] 陈一心[1] 陈图农[1] 张久平[1] 张宇琼[1] 

机构地区：[1]南京医科大学附属脑科医院,210029

出　　处：《精神医学杂志》2012年第1期4-7,共4页Journal of Psychiatry

基　　金：国家科技支撑计划心理疾患防治研究与示范项目(编号:2009BAI77B05)

摘　　要：目的探讨儿童精神分裂症患者的家庭特征。方法使用自编一般情况调查表、系统家庭动力学自评量表(SSFD)及家庭环境量表中文版(FES-CV)对71例儿童精神分裂症患者(研究组)和128名正常儿童(对照组)进行评估。结果 (1)研究组的家庭气氛和系统逻辑维度高于对照组,差异具有统计学意义(t=3.287,P<0.01;t=2.987,P<0.01),两组个性化、疾病观念维度两组差异无显著性(P>0.05)。(2)研究组亲密度低于对照组(t=-3.955,P<0.01),矛盾性、独立性和控制性高于对照组(t=3.214,P<0.01;t=2.178,P<0.05;t=2.528,P<0.05)。(3)逐步回归分析显示:儿童精神分裂症患者的家庭气氛维度与家庭环境中矛盾性呈正相关(P<0.01),与亲密度、组织性呈负相关(P<0.01);个性化维度与亲密度、独立性呈负相关(P<0.01);系统逻辑维度与控制性呈正相关(P<0.01),与情感表达呈负相关(P<0.01);疾病观念维度与成功性呈正相关(P<0.01),与娱乐性呈负相关(P<0.01)。结论儿童精神分裂症患者的家庭特征为亲密度低、情感疏远、矛盾性和控制性高,因此,家庭气氛倾向于"敌对、沉闷",系统逻辑倾向于"非此即彼"的二元认知对立模式。Objective To explore the family features of childhood schizophrenia. Methods A total of 71 child patients with schizophrenia （study group） and 128 healthy controls （control group） were evaluated with self-designed general information questionnaire, the self-rating scale of systematic family dynamics （SSFD） and the family environment scale Chinese version （FES-CV）. Results （ 1 ） Study group showed significantly higher scores on family atmosphere, systematic logic in SSFD than those in control group （ t = 3. 287, P 〈 0. 01 ; t = 2. 987, P 〈 0.01 ）. There were no differences in dynamic dimensions of individuation and disease conception between the two groups （P 〉 0.05 ）. （2） The score of cohesion in FES-CV in study group was significantly lower than that in control group （ t = - 3. 955, P 〈 0.01 ）, while scores of conflict, independence and control in study group were significantly higher than those in control group （t =3. 214,P 〈0.01 ;t =2. 178,P 〈0. 05;t =2. 528,P 〈0.05）. （3） The stepwise regression indicated that the family atmosphere was positively correlated with conflict factor （ P 〈 0.01 ） , and was negatively related with cohesion and organization factors （P 〈 0.01 ）. The individuation was negatively related with cohesion and independence （P 〈 0.01 ）. System logic dimensions was positively related with the control factor （ P 〈 0.01 ）, and was negatively related wiht expressiveness （P 〈 0. 01 ）. Disease conception was positively related with achievement （ P 〈 0. 01 ）, while was negatively related with the active-recreational orientation （ P 〈 0.01 ）. Conclusion The family features of childhood schizophrenia include low cohesion, low expressiveness, high conflict and high control. The family atmosphere is inclined to be hostile and sullen. And the system logic tendes to he ＂white or black＂.

关 键 词：儿童精神分裂症 家庭动力学 家庭环境 

分 类 号：R749.3[医药卫生—神经病学与精神病学]