双相Ⅱ型患者攻击行为与儿童期受虐史、父母养育方式的关系  

The relationship of aggressive behavior with childhood abuse and parental rearing patterns in patients with bipolar Ⅱ disorders

作　　者：栾融融[1] 邹韶红 贾丽娜[3] 

机构地区：[1]西安市中心医院精神心理科,710003 [2]新疆自治区人民医院临床心理科 [3]新疆精神卫生中心

出　　处：《临床精神医学杂志》2016年第4期245-247,共3页Journal of Clinical Psychiatry

基　　金：国家自然科学基金[新疆维汉双相障碍患者冲动攻击行为基因与社会心理因素的交互研究(2013~2017年)(31360239)]

摘　　要：目的:探讨双相Ⅱ型患者攻击行为与儿童期受虐情况和父母养育方式的关系。方法:根据外显版攻击行为量表(MOAS)评分将98例汉族双相Ⅱ型障碍患者分为攻击组(47例)及非攻击组(51例);采用自编一般情况问卷、儿童期虐待史自评量表(PRCA)和父母教养方式评价量表(EMBU)对两组患者进行调查、评估和比较。结果:攻击组PRCA中儿童期受躯体虐待分明显高于非攻击组;EMBU中父亲"惩罚、严厉"(21.28±8.70)评分及母亲"拒绝、否认"(16.79±8.14)、"惩罚、严厉"(15.43±7.79)评分明显高于非攻击组[(17.63±6.05)、(13.08±4.86)、(12.67±4.80)](P均<0.05)。结论:双相Ⅱ型患者的攻击行为可能与其童年遭受躯体虐待和父母不良教育方式有关。Objective： To explore the relationship between aggressive behavior and childhood abuse or parental rearing patterns in patients with bipolar Ⅱ disorders. Method： According to the scores of modified overt aggression scales （MOAS） ,98 Han patients with bipolar II disorder were divided into aggressive behavior groups （47 cases） and non-aggressive behavior group （51 eases）. They were investigated by a self-eompiled inventory, personal report of childhood abuse （PRCA） and parental rearing patterns self rating scale （ EMBU ）. Results：In the aggressive behavior group, the score of childhood physical abuse in PRCA was significantly higher than the non-aggressive behavior group （ P 〈 0.05 ）. The scores of fatherS＂ punishment, harsh＂ （ 21.28 ± 8.70） and the mother ＂refuse, deny＂ （ 16.79 ± 8.14 ）, ＂punishment, harsh＂ （ 15.43 ± 7.79 ） in EMBU score were significantly higher than those in the non-aggressive behavior group [ （ 17.63± 6.05 ）, （ 13.08 ± 4.86 ）, （ 12.67 ±4.80 ） ] （ all P 〈 0. 05 ）. Conclusion： The aggressive behavior of bipolar Ⅱ disorder patients may be correlated with the childhood physical abuse and unhealthy parental edueation.

关 键 词：双相Ⅱ型障碍 攻击行为 儿童期受虐史 父母养育方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学]