小学生躯体化症状及其与述情障碍、心理虐待和忽视的关系  

Children's Somatization Symptoms and Its Relation with Alexithymia and Psychological Meltreatment

作　　者：罗爱民[1] 邓云龙[1] 唐秋萍[1] 魏吉槐 

机构地区：[1]中南大学湘雅三医院心身健康研究所,长沙410013 [2]湖南益阳医学高等专科学校,益阳413000

出　　处：《中国临床心理学杂志》2013年第2期236-239,共4页Chinese Journal of Clinical Psychology

基　　金：国家科技基础性工作专项:中国儿童青少年心理发育特征调查--儿童青少年发展障碍的临床研究子课题(2006FY110400);高等学校博士学科点专项科研基金(20070533025)

摘　　要：目的:了解小学生躯体化症状及其与述情障碍、心理虐待和忽视的关系。方法:采用儿童躯体化症状量表、多伦多述情障碍量表以及儿童心理虐待和忽视量表对长沙两所小学三至六年级的学生进行调查,收回有效问卷940份。结果:①儿童躯体化症状量表的平均得分为7.40±7.07,27.3%的儿童至少有一个经常出现或程度明显的症状,不同性别和不同年级儿童的躯体化症状检出率有显著差异;②述情障碍总分与躯体化总分的相关系数为0.32(P<0.01);③述情障碍对儿童躯体化症状的直接效应为0.39,心理虐待和忽视对儿童躯体化症状的间接效应分别为0.09和0.13。结论:①儿童躯体化症状的检出率为27.3%,其中疼痛/虚弱症状表现最为常见;②述情障碍与儿童躯体化症状之间存在低至中度相关;③述情障碍在心理虐待和忽视与儿童躯体化症状之间起完全中介作用。Objective： To investigate the prevalence of children＇s somatization symptoms and the relationship with alexithymia、psychological meltreatment and neglect,and to build relation model of this four.Methods： 940 primary school students were assessed with a series of questionnaires including Children＇s Somatization symptoms Inventory Scale（CSI）、the 20-item Toronto Alexithymia Scale（TAS-20） and Child Psychological Maltreatment and Neglect Scale.Results： ①The average score of children＇s somatization symptoms inventory is 7.40（M=7.40,SD=7.07）,27.3% of the children reported at least one serious somatization symptoms,There are significant differences in somatization symptoms from different gender and different grades;②The correlation coefficients of the TAS-20 and CSI is 0.32（P0.01）;③The direct effect of alexithymia to children＇s somatization symptoms is 0.39,and the indirect effect of child psychological meltreatment and neglect to somatization symptoms are 0.09 and 0.13.Conclusion： ①The detection rate of children＇s somatization symptoms in this sample is 27.3%,the pain/weak symptoms is the most common symptoms;②There is low to moderate correlation between alexithymia and children somatization symptoms;③Alexithymia mediates the relationship between somatization symptoms and psychological meltreatment and neglect.

关 键 词：儿童躯体化 躯体化症状 述情障碍 心理虐待 忽视 

分 类 号：R395.2[哲学宗教—心理学]