探究青少年抑郁障碍患者的童年创伤、父母教养方式及家庭功能  

The Childhood Trauma, Parenting Style and Family Function in Adolescents with Depression

作　　者：刘丽芳[1] 全军 李水英[1] 张倬秋[1] LIU Li-fang;QUAN Jun;LI Shui-ying;ZHANG Zhuo-qiu(The Mental Health Center of West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院心理卫生中心

出　　处：《神经损伤与功能重建》2019年第9期444-446,468,共4页Neural Injury and Functional Reconstruction

基　　金：四川省卫生和计划生育委员会科研课题(No.17PJ083)

摘　　要：目的:探究青少年抑郁障碍患者的童年创伤、父母教养方式及家庭功能。方法:选择青少年抑郁障碍患者96例为研究组,另选择年龄、性别与研究组相匹配的健康青少年96例为对照组。采用儿童期创伤问卷简化版(CTQ-SF)、父母教养方式评价量表(EMBU)、家庭功能评定量表(FAD)对2组进行问卷评估。结果:研究组的情感虐待(t=4.6154,P=0.0000)、情感忽视(t=4.0670,P=0.0001)因子评分及CTQ-SF总分(t=5.2431,P=0.0000)明显高于对照组(P<0.05)。研究组母亲情感温暖与理解关心(t=-2.1265,P=0.0348)、父亲情感温暖与理解关心(t=-3.0984,P=0.0022)评分低于对照组(P<0.05),研究组母亲拒绝否认(t=2.7257,P=0.0070)、母亲惩罚严厉(t=2.7204,P=0.0071)、父亲惩罚严厉(t=3.2322,P=0.0014)和父亲拒绝与否认(t=3.7895,P=0.0002)评分高于对照组(P<0.05)。研究组的问题解决(t=3.0227,P=0.0029)、沟通(t=3.0006,P=0.0031)、角色(t=3.3780,P=0.0009)、情感反应(t=3.9031,P=0.0001)、情感介入(t=4.8471,P=0.0000)、行为控制(t=3.6788,P=0.0003)及总的功能(t=5.7201,P=0.0000)的因子评分高于对照组(P<0.05)。结论:青少年抑郁障碍患者存在更多的童年创伤,父母教养方式及家庭功能都存在一定问题。Objective:To explore childhood trauma,parenting styles,and family functions in adolescents with depression.Methods:A total of 96 adolescents with depressive disorder were enrolled as the study group,another 96 healthy adolescents matched with the age and gender were enrolled as the control group.The two groups were assessed by the Childhood Trauma Questionnaire-Short Form(CTQ-SF),the Egma Minnen Bardndoms uppforstran(EMBU),the Family assessment device(FAD).Results:The scores of the emotional abuse factor(t=4.6154,P=0.0000),emotional neglect factor(t=4.0670,P=0.0001)and total scores of CTQ-SF(t=5.2431,P=0.0000)in the study group were significantly higher than those in the control group.The score of mother's emotional warmth and understanding care(t=-2.1265,P=0.0348),father's emotional warmth and understanding care(t=-3.0984,P=0.0022)in the study group were lower than those in the control group.The score of mother refused and denied(t=2.7257,P=0.0070),the mother punishes severely(t=2.7204,P=0.0071),the father punishes severely(t=3.2322,P=0.0014),and the father refuses and denies(t=3.7895,P=0.0002)in the study group were higher than those in the control group.The factor scores of problem solving(t=3.0227,P=0.0029),communication(t=3.0006,P=0.0031),roles(t=3.3780,P=0.0009),affective responsiveness(t=3.9031,P=0.0001),affective involvement(t=4.8471,P=0.0000),behavior control(t=3.6788,P=0.0003)and general functioning(t=5.7201,P=0.0000)in the study group were significantly higher than those in the control group.Conclusion:The Adolescent patients with depressive disorder have more childhood trauma.Their parental rearing style and family function have certain problems.

关 键 词：青少年 抑郁障碍 童年创伤 父母教养方式 家庭功能 

分 类 号：R741[医药卫生—神经病学与精神病学] R749.79[医药卫生—临床医学]