双相情感障碍儿童与家庭环境及父母教养方式的关系  

Relationship between Family Environment,Parents Nurturing Styles in Bipolar Disorder children

作　　者：杨超 张莉 傅岳文 卢卓丽 古丽巴哈 YANG Chao ZHANG Li FU Yuewen et al(Urumqi Fourth People＇s Hospital ,Urumqi 830000,Chin)

机构地区：[1]新疆乌鲁木齐第四人民医院儿童心理科,830000

出　　处：《中国健康心理学杂志》2017年第2期182-185,共4页China Journal of Health Psychology

摘　　要：目的:探讨双相情感障碍(BPD)儿童发病与家庭环境、父母教养方式的关系。方法:采用家庭环境量表(FES)和父母教养方式评价量表(EMBU)对56例BPD患儿和50例健康对照者儿童进行问卷调查。采用Logistic回归分析分析家庭环境、父母教养方式对BPD的影响。结果:BPD组FES量表中亲密度(F=4.098,P<0.05)、情感表达(F=3.245,P<0.05)及娱乐性(F=3.090,P<0.05)分值与EMBU量表中母亲情感温暖、理解分值(M1)(F=27.891,P<0.01)低于对照组,差异有统计学意义;而FES量表中矛盾性(F=6.871,P<0.01)、控制性(F=3.765,P<0.05)分值及EMBU量表中父亲惩罚、严厉(F2)(F=6.754,P<0.01)、母亲惩罚、严厉(M4)(F=4.762,P<0.05)、父亲拒绝、否认(F5)(F=5.432,P<0.01)、母亲拒绝、否认(M3)(F=6.760,P<0.01)、母亲过分干涉和保护(M2)(F=7.012,P<0.01)分值高于对照组,差异有统计学意义。非条件多因素Logistic回归分析结果显示,亲密度、矛盾性、控制性、M1是儿童BPD影响因素,其中亲密度(β=-0.608,P<0.01)、M1(β=-0.771,P<0.01)是保护性因素,矛盾性(β=0.509,P<0.05)、控制性(β=0.617,P<0.01)是危险因素。结论:家庭成员的亲密度、矛盾性、控制性及母亲情感温暖、理解是儿童BPD的影响因素。Objective： To explore the relationship between family environment,parents nurturing styles in Bipolar Disorder children.Methods： 56 BPD children and 50 healthy children were given questionnaire survey.The Family En- vironment Scale-- Chinese Version （FES-- CV） and the Egma Minnen av Bardnosnauppforstran （EMBU） had been used.The relationship between family environment and parents nurturing styles were analyzed with Logistic regres- sion analysis.Results： Compared with the control group,intimate degree, emotion expression, amusement and score of M1 were significant lower in BPD group（F=4.098, 3.245, 3.090, 27.891,P〈0.05）,while scores of F2,M4,F5, M3, M2, contradictions and controlling nature were significant higher （F = 6. 754, 4.762, 5. 432, 6. 760, 7. 012, 6.871, 3.765 ;P〈0.05）.Logistic regression analysis showed that intimate degree,contradictions,controlling nature, M1 had significant correlation with BPD. Intimate degree and Mlwere protective factors for BPD children（β= -0.608 ,-0.771 ; P〈0.01 ）. But contradictions, controllingnature of family environment were risk factors for BPD children（β = 0.509, 0.617 ; P〈0.05）.Conclusion.. Intimate degree, contradictions, controlling nature, M1 are the influen- cing factors for BPD children.

关 键 词：双相情感障碍 家庭环境 父母教养方式 家庭环境量表 

分 类 号：R749.4[医药卫生—神经病学与精神病学]