精神分裂症儿童的父母养育方式与家庭动力学特征  

Parental rearing styles and family dynamics in children with schizophrenia

作　　者：李沙沙[1] 陈一心[1] 詹明心[1] 张宇琼[1] 张久平[1] 

机构地区：[1]南京医科大学附属脑科医院,南京210029

出　　处：《中国心理卫生杂志》2013年第1期49-53,共5页Chinese Mental Health Journal

基　　金：国家科技支撑计划心理疾患防治研究与示范项目(2009BA177B05)

摘　　要：目的:探讨精神分裂症儿童父母养育方式与家庭动力学特征的关系,为探索如何通过改善养育方式促进家庭动力学特征良性互动提供依据。方法:选取符合中国精神障碍分类方案与诊断标准第3版(CCMD-3)相应的诊断标准的精神分裂症儿童84例,选取性别、年龄匹配的正常儿童84例。对两组儿童采用系统家庭动力学自评问卷(SSFD)评定家庭动力学特征的4个维度,用父母养育方式评价量表(EMBU)评定父母养育方式11个因子。结果:精神分裂症组的SSFD家庭气氛[(26.1±7.3)vs.(22.5±6.9),P<0.01)]、系统逻辑维度[(16.9±4.6)vs.(15.1±3.5),P<0.05]得分高于正常对照组,EMBU的母亲情感温暖因子得分低于正常对照组[(53.3±10.6)vs.(56.6±9.6),P<0.05],父亲偏爱被试因子得分高于正常组[(12.1±2.8)vs.(10.9±3.3),P<0.01]。多元线性回归分析显示,EMBU中父母情感温暖和理解因子与SSFD中家庭气氛(β=-0.23、-0.28)、个性化(β=-0.26、-0.20)、疾病观念(β=-0.09、-0.09)得分均呈负相关(均P<0.05),EMBU中父亲过分干涉得分与SSFD中个性化得分呈正相关(β=0.46,P<0.01),母亲过分干涉、过度保护得分与SSFD中个性化、系统逻辑得分星正相关(β=0.28、0.18.均P<0.05);EMBU中母亲拒绝、否认因子与SSFD中家庭气氛维度呈正相关(β=0.52,P<0.01)。结论:精神分裂症儿童的家庭动力学特征和父母养育方式与正常儿童存在差异,父母低情感温暖和理解或过分干涉、过度保护、拒绝否认的养育方式可能与家庭动力学不良的互动模式相关。Objective： To investigate the relationship between parental rearing styles and family dynamics in children with schizophrenia. Methods： Totally 84 adolescents with schizophrenia meeting the criteria of Chinese Classification of Mental Disorders, Third version（CCMD-3） and 84 gender-and age-matched normal controls were selected. They were assessed with the Self-rating Scale of Systemic Family Dynamics （SSFD） to assess the charac- teristics of family dynamics, and with the Egma Minnen Bardnd0m Uppforstran （EMBU） to assess parental rearing style. Results： Compared with the controls, the children with schizophrenia showed lower scores in SSFD family at- mosphere [（26. 1 ±7.3） vs. （22.5 ±6.9）, P 〈0.01] and systemic logic [（16.9 ±4.6） vs. （15. 1 ±3.5）, P 〈 0.05] and lower scores of EMBU emotional warmth and understanding of mother [（53.3 ± 10.6） vs. （56.6 ±9. 6）, P 〈 0. 05], and higher scores of partiality of father [ （ 12. 1 ± 2. 8） vs. （ 10. 9 ±3.3）, P 〈 0. 01 ]. Multiple linear regression showed that the scores of EMBU emotional warmth and understanding of parents were negatively correlated with the scores of SSFD family atmosphere （β = -0. 23, -0. 28; Ps 〈 0.05）, individuation （β = -026, - 0. 20; Ps 〈0.05） and disease conception （β = -0. 09, -0. 09; Ps 〈0. 05）. The EMBU excessive interference of father scores were positively correlated with individuation （β = 0. 46, P 〈 0.01）, and the scores of EMBU excessive interference and protection of mother were positively correlated with the scores of SSFD individuation and systemic logic （β = 0. 28, 0. 18; Ps 〈 0. 05）, and the scores of EMBU rejection and deny of mother were positively correlated with the scores of SSFD family atmosphere （fl =0. 52, P 〈0.01）. Conclusion： It suggests that family dynamics and parental rearing styles of children with schizophrenia may be different from that of normal children, and low emotional warmth and understanding, excessive interfe

关 键 词：精神分裂症 儿童 父母养育方式 家庭动力学 横断面研究 

分 类 号：R749.3[医药卫生—神经病学与精神病学] TS976.31[医药卫生—临床医学]