对立违抗障碍儿童心理特点分析:家庭系统观角度  

Psychological Analysis of Children with Oppositional Defiant Disorder:A View of Family System

作　　者：李泽[1] 蔺秀云[2] 刘杨[1] 李俊红 何杰[4] 曹艳瑛 

机构地区：[1]北京航天航空大学人文社会科学学院心理系,北京100191 [2]北京师范大学心理学院发展心理研究所,北京100875 [3]山东省乐陵市挺进小学,乐陵253600 [4]北京市东城区史家小学分校,北京100007

出　　处：《中国临床心理学杂志》2014年第4期610-614,共5页Chinese Journal of Clinical Psychology

基　　金：2010教育部人文社会科学研究青年项目(10YJCXLX029);2012年度国家社会科学基金项目(12CSH014);2013年度北京市优秀人才培养资助个人项目(2013D009012000004)的资助

摘　　要：目的:从家庭系统观角度探讨不同性别对立违抗障碍(oppositional defiant disorder,ODD)儿童和非ODD儿童的心理特点。方法:选取符合DSM-IV中ODD诊断标准的儿童260人(ODD组)及非ODD组269人,应用来自整体水平的家庭亲密度和适应性量表、来自互动水平的夫妻适应量表、亲子冲突解决方式问卷和来自个体水平的父母情绪控制问卷、儿童情绪控制问卷进行测量。结果:1无论是在整体水平,互动水平还是在个体水平上,与非ODD组相比,ODD组有显著低的家庭亲密度和适应性(P<0.01)、父母婚姻质量(P<0.01),显著高的亲子冲突(P<0.01)和情绪控制异常(P<0.01);2对比不同性别ODD组和非ODD组中发现,ODD分组的主效应(P=0.000)显著,孩子性别的主效应和两者的交互效应均不显著。结论:ODD组与非ODD组相比,在三个水平上都显著较差;比较不同性别ODD组和非ODD组儿童,这种差异更多的是ODD与否的差异,而非性别差异。Objective： To analysis psychological characteristics of children with oppositional defiant disorder（ODD） from a view of family systems theory. Methods： 260 children with clinical diagnosis of ODD and 269 non-ODD children participated in the study. Measures of FACES Ⅱ -CV, dyadic adjusting, conflict tactics, difficulty in Emotion Regulation, and children＇ s emotion management from whole family level, family interaction level and individual level were completed by children and their parents. Results： （1）Compared with healthy group, ODD group had significantly lower score in family cohesion and adaptability, marital quality and higher score in parent-child conflict and difficulties in emotion regulation （P〈0.01）. （2）The gendere has no main effect and interactive effects with group on these scores. Conclusion： From the family system perspective, our findings suggest the ODD may be influenced by the family closeness, parental relationship and parent-child conflict.

关 键 词：对立违抗障碍儿童 整体水平 互动水平 个体水平 

分 类 号：R395.2[哲学宗教—心理学]