神经症性障碍患者早年与父母分离经历的相关研究  

Correlation of neurotic disorders and schizophrenia patients experienced early separation from parents

作　　者：谢美玲[1,2] 李晓驷[2] 夏海涛[2] 王安珍[2] 蔡春岚[2] 

机构地区：[1]安徽医科大学医学心理学系,合肥230032 [2]安徽医科大学精神卫生临床学院,合肥230022

出　　处：《安徽医科大学学报》2014年第9期1310-1313,共4页Acta Universitatis Medicinalis Anhui

基　　金：合肥市科技局合科[2013]123号项目(编号:6)

摘　　要：目的调查和比较神经症性障碍与精神分裂症患者以及正常者之间早年与父母分离经历,初步探讨早年与父母分离经历与神经症性障碍之间的关系。方法采用随机抽样方法,选取符合国际疾病及有关健康问题的分类第十版(ICD-10)神经症性障碍和精神分裂症诊断标准的住院患者各100例,选取来自社区的100名年龄、性别、受教育年限匹配的正常者为正常对照组。采用自编早年分离调查问卷对3组的早年与父母分离经历进行调查。结果神经症性障碍组有早年与父母分离的比率(χ2=7.113、15.092)、分离期间父母相距省外的比率(χ2=8.213、10.425)以及对分离经历的负面评价(χ2=11.051、9.273)均高于精神分裂症组和正常对照组(P<0.05,P<0.01);神经症性障碍组早年与父母分离后的照料者类型与精神分裂症组、正常对照组之间的差异有统计学意义(χ2=10.433、12.273,P<0.05);各组与父母分离后互相之间联系频率方面(主观感受),神经症性障碍组与精神分裂症组和正常对照组之间差异有统计学意义(χ2=12.159,12.221,P<0.05)。结论神经症性障碍患者较之精神分裂症患者与正常者有更多的早年与父母分离的经历,且对分离经历的主观感受多为负性。Objective To explore the early parental separation experience of patients with neurotic disorders and schizophrenia, and discuss the relationship between neurotic disorders and the early parental separation experience. Methods Totally 100 neurotic disorders and 100 schizophrenia patients meeting the criteria of the international sta- tistical classification of diseases and related health problems 10th revision （ ICD-10 ） were chosen as the case groups, and 100 age- and tender-Q and education matched normal people were chosen as the control group using random sampling method. Three groups were surveyed with the early parental separation experience questionnaire. Results The percentage of the early parental separation experience （X2 = 7. 113,15.092 respectively） , the per- centage of being in different province from parents during separation experiences （ X2 = 8. 213,10. 425 respective- ly）, the percentage of negative evaluation to the separation experiences （X2 = 11. 051,9. 273 respectively） in the neurotic disorders group was significantly higher than those of the schizophrenia and the normal group （ P 〈 0. 05 or P 〈0. 01 ）. In the type of raising people among the neurotic disorders, schizophrenia （ X2 = 10. 433 ） and control group （X2 = 12. 273 ） had all significant differences （all P 〈 0. 05 ）. Both the schizophrenia group （X2 =12. 159, P 〈0. 05） and the normal group （x2 = 12. 221 ,P 〈 0.05） had significant difference with the neurotic disorders group in the frequency of contacting parents after separating （subjective feelings）, etc. Conclusion Compared with normal people, neurotic disorders patient have more early separation experiences with parents, and most of their subjective feelings of separation experience are negative.

关 键 词：神经症性障碍 早年 分离经历 主观感受 

分 类 号：R749.7[医药卫生—神经病学与精神病学]