青少年双相情感障碍患者的家庭功能过程和结果  

Family functional process and outcome about adolescent patients with bipolar disorder

作　　者：张建军[1] 杨光远[1] 徐汉明[1] 马筠[1] 李轶琛[1] 

机构地区：[1]武汉市精神卫生中心,武汉430022

出　　处：《中国心理卫生杂志》2016年第8期588-592,共5页Chinese Mental Health Journal

基　　金：武汉市卫生局科研项目基金(WG15C02)

摘　　要：目的:探索青少年双相障碍患者的家庭功能过程和结果的特点,为进一步的研究和临床治疗提供参考。方法:选取符合精神障碍诊断与统计手册第4版(DSM-IV)诊断标准的青少年双相情感障碍患者75例,选取性别、年龄匹配的75例正常青少年作为对照。采用家庭功能评定量表(FAD)和家庭亲密度与适应性量表(FACES)评估两组被试的家庭功能。结果:在FAD量表中,青少年双相障碍患者家庭在总功能、行为控制、情感介入、角色、沟通这几个维度上得分高于对照(P<0.05),在问题解决、情感反应维度上两组差异无统计学意义(P>0.05)。在FACES量表中,双相障碍患者组在家庭的亲密度得分低于对照(P<0.05),在适应性方面差异无统计学意义(P>0.05)。两组家庭在家庭类型的分布上的差异有统计学意义(P<0.05),双相情感障碍组家庭极端型占29.3%,中间型占31.7%,平衡型占39%,对照组家庭极端型占14.1%,中间型占18.2%,平衡型占67.7%。FAD的角色维度得分(β=-15.09,P<0.05)能预测FACES的亲密度维度的得分,FAD的角色维度得分(β=-9.84,P<0.05)和行为控制维度得分(β=9.61,P<0.05)能预测FACES的适应性维度得分。结论:青少年双相障碍患者的家庭功能在过程和结果上存在功能失调,两者存在线性关系。Objective： To explore the features of family function processes and results about adolescents with bipolar disorder, and to provide references for family therapy and further research. Methods： Totally 75 patients meeting the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DMS-IV） and 75 normal controls were selected. They were assessed with the Family Assessment Device（FAD） and Family Adaptability and Cohesion Scale, FACES） to assess process and outcome of family function respectively. Results： The FAD scores on dimension of communication, roles, affective involvement, behavior control and the overall function were higher in patients than in normal controls （P 〈 0. 05）, while there was no significant difference on the FAD scores of problem solving and emotional reactions between the two groups （P 〉 0. 05）. The FACES scores on cohesion dimension were higher in patients than in normal controls, while there was no significant difference on adaptability scores between the two groups （P 〉 0. 05）. The family type distribution was significantly different between patient＇s family and the common family （P 〈 0.05）. Families are characterized by schizophrenic patients as a whole as extreme type in 29. 3% of cases, as intermediate type in 31.7% and as balanced type in 39%, while the normal controls defined families as extreme type in 14. 1%, as intermediate type in 18.2% and as balanced type in 67. 7% . In addition, The FAD scores on dimension of the role（β = - 15.09, P 〈 0.05） could predict the FACES scores on cohesion dimension; the FAD scores on dimensions of the role（β= - 9. 84, P 〈0. 05） and behavior control （β = 9.61, P 〈 0.05）could predict the FACES scores on adaptability dimension. Conclusion： There are dysfunc- tion of processes and outcome of family function in adolescents with bipolar disorder, and there is linear relationship between processes and results.

关 键 词：青少年 双相情感障碍 家庭功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]