青少年躯体形式障碍患者临床症状与家庭功能的关系  

Relationship between Family Function and Clinical Symptoms of Adolescent Patients with Somatoform Disorder

作　　者：邵云[1] 刘果[1] 王旭梅[1] 夏静[1] 战玉华[1] 豆立宁[1] 巩凯旋[1] 

机构地区：[1]中国医科大学附属盛京医院心理科,辽宁省沈阳市110004

出　　处：《中国全科医学》2013年第1期87-89,共3页Chinese General Practice

基　　金：教育部人文社会科学青年基金项目(09YJCXLX028)

摘　　要：目的探讨青少年躯体形式障碍患者的家庭功能状况及与临床症状的关系,为临床有效开展家庭治疗提供依据。方法 136例被临床诊断为躯体形式障碍的青少年(病例组)与122例对照者(对照组)共同完成一般资料调查表、家庭功能评定量表和症状自评量表的填写。采用SPSS 11.5统计软件对两组数据进行统计分析;采用χ2检验和t检验对病例组与对照组的一般资料进行比较;两组家庭功能评定量表及症状自评量表各因子比较采用t检验;采用Person法对病例组家庭功能评定量表评分与症状自评量表评分关系进行分析。结果病例组家庭功能评定量表(除外角色因子与情感介入因子)、症状自评量表总均分及各因子得分均高于对照组,差异有统计学意义(P<0.01);除角色因子以外,病例组家庭功能评定量表其他各因子得分与症状自评量表各因子得分存在着广泛的正相关(P<0.05)。结论青少年躯体形式障碍患者存在较明显的家庭功能失调,且与临床症状相互影响,家庭治疗是临床治疗的重要着眼点。Objective To explore the relationship between family functions and clinical symptoms of adolescent patients with somatoform disorder. Methods A total of 136 middle school students with somatoform disorder were included in the study group,and 122 normal students were included in the control group.All subjects were asked to fill out the form of general information,Family Assessment Device（FAD）and Symptom Checklist 90（SCL-90）.SPSS 11.5 was used for data analysis. Results The total and factor scores of FAD（except the factor of Roles and Affective Involvement）and SCL-90 were significantly higher in the study group than that in the control group（P0.01）.Except the factor of Roles,the factor scores of FAD was positively correlated with that of SCL-90 in the study group（P0.05）. Conclusion Adolescent patients with somatoform disorder tend to have visible family dysfunction,which is correlated with the patients′ clinical symptoms.Clinical treatment to adolescent somatoform should consider family therapy as a key component.

关 键 词：青少年 躯体形式障碍 家庭功能 关系 

分 类 号：R749.2[医药卫生—神经病学与精神病学]