南京城区儿童青少年功能性躯体化症状及其相关因素  

Children and Adolescents’ Functional Somatic Symptoms and Related Factors in Urban Areas of Nanjing

作　　者：杜颖莹[1] 储康康[1] 徐斌 张久平[1] 王晨阳[1] 方慧[1] 邹冰[1] 焦公凯[1] 刘青香[1] 张敏[1] 谷力 柯晓燕[1] DU Yingying;CHU Kangkang;XU Bin(Child Mental Health Research Center,Nanjing Brain Hospital Affliated to Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]中国.南京医科大学附属脑科医院儿童心理卫生中心儿童精神科,江苏南京210029 [2]南京教师培训中心

出　　处：《中国健康心理学杂志》2018年第10期1441-1445,共5页China Journal of Health Psychology

基　　金：国家科技支撑计划重大精神疾病防治关键技术研究(编号:2012BAI01B02)

摘　　要：目的：调查南京城区6~16岁在校儿童青少年功能性躯体化症状（FSS）的发生率及其影响因素。方法：采取分层整群随机抽样法,采用自编一般情况调查表和Achenbach儿童行为量表（Child Behavior Checklist,CBCL）对南京市6个区7017名在校儿童进行评估。结果：（1）功能性躯体化症状的总检出率为7.6%;（2）6~11岁与12~16岁年龄组、男生与女生组的功能性躯体化症状的检出率差异有统计学意义（χ^2=49.329,48.883;均P〈0.001）;（3）家庭结构（χ^2=36.460,P=0.000）、教养方式（χ^2=13.628,P=0.009）、与家人关系（χ^2=14.984,P=0.001）、与周围人关系（χ^2=37.679,P=0.000）显著影响着儿童FSS的发生率;（4）Logistic回归分析结果显示,矛盾型的教养方式（OR=0.911,95%CI：0841~0.987）、不和睦的家庭关系（Or=0.780,95%CI：0.614~0.992）、不和睦的老师/同学关系（ORF=0.684,95%CI：0.549~0.852）是儿童青少年功能性躯体化症状的危险因素。结论：（1）南京城区儿童青少年的功能性躯体化症状的检出率为7.6%,小年龄组的儿童比大年龄组的表现出更多的躯体化症状,男生比女生表现出更多的躯体化症状;（2）教养方式、与家人和周围人关系是儿童青少年功能性躯体化症状的主要预测指标。Objective：To investigate the prevalence of functional somatic symptoms（FSS）in children and adolescents,aged 6-16 years old,in urban areas of Nanjing,and related environmental factors.Methods：Self-desgined General Condition Questionaire and Achenbach Child Behavior Scale（CBCL for parents）were tested on 7017 students aged 6-16 years-old in six districts of Nanjing City.Results：（1）Totally,7.6% of children and adolescents were reportedly due to FSS;（2）The rate of FSS in subjects aged 6-11 and 12-16 years old was respectively 9.2% and4.5%,which was significantly different in the two age groups（χ^2=49.329,P =0.000）and 6.1% of female and10.8% of male were detected as FSS,which was significantly different in gender（χ^2=48.883,P=0.000）;（3） According to the threshold of the factor of somatic complaints,the subjects were separated into two groups,which were the positive group and the negative one,family structure,parental style,the relation with family,the connection with classmates or teachers（χ^2=36.460,13.628,14.984,37.679;P〈0.01）had significant impact on FSS.（4）Binary Logistic Regression analysis indicated that inconsistent parental style（OR=0.911,95%CI：0841~0.987）,bad relationship with family（OR=0.780,95%CI：0.614~0.992）,and conflict connection with classmates or teachers（Or=0.684,95%CI：0.549~0.852）were the main risk factors contributed to FSS in children and adolescents.Conclusion：（1） The prevalence rate of FSS in children and adolescents is 7.6% in urban area in Nanjing,in which younger children show more somatic symptoms than older one,and boys show more than girls;（2）Parental style,the relation with family,and the connection with surrounding people are main factors contributed to FSS.

关 键 词：功能性躯体化症状 儿童青少年 环境因素 儿童行为量表 

分 类 号：R395.4[哲学宗教—心理学]