父母愤怒表达与儿童对立违抗障碍症状的关系  

Relationship of parental anger expression and symptoms in children with oppositional defiant disorder

作　　者：司飞飞[1] 何婷 杨靓靓 赵梦婕[1] 董敏 刘璐[1] 蔺秀云 SI Feifei;HE Ting;YANG Liangliang;ZHAO Mengjie;DONG Min;LIU Lu;LIN Xiuyun(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Institute of Developmental Psychology,Faculty of Psychology,Beijing Normal University,Beijing 100875,China;Hua Yuan Lu School District,Haidian District in Beijing,Beijing 100080,China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [2]北京师范大学心理学部,北京100875 [3]北京市海淀区花园路学区管理中心,北京100080

出　　处：《中国心理卫生杂志》2024年第3期254-259,共6页Chinese Mental Health Journal

基　　金：国家自然科学基金资助项目(32071072);北京大学第六医院主治医师青年骨干项目(BDLYYLZL2023-05);2021青年长江科研资助项目。

摘　　要：目的:探讨父母愤怒表达与儿童对立违抗障碍(ODD)症状的关系。方法:选取符合美国精神障碍诊断与统计手册第5版(DSM-5)诊断标准的ODD儿童46例,及性别、年龄匹配的46例正常对照。用状态-特质愤怒表达量表评估父母的愤怒表达,用儿童情绪管理量表评估儿童的愤怒管理。结果:母亲愤怒指数(β=0.13,P<0.05)和愤怒向外表达(β=0.25,P<0.05)能直接预测ODD症状。儿童愤怒应对在母亲愤怒指数与儿童ODD症状间起中介效应,中介效应占总效应的13%;儿童愤怒应对和愤怒失调均在母亲愤怒向外表达和ODD症状间起中介效应,中介效应分别占总效应的29%和18%。结论:对立违抗障碍儿童愤怒应对和愤怒失调可能在母亲愤怒表达和ODD症状间起中介作用。Objective:This study is to investigate the relationship of parental anger expression and symptoms in children with oppositional defiant disorder(ODD).Methods:Forty-six children with ODD and 46 age-gender-matched normal children participated.The Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5),guided the diagnoses.Parental anger expression and children′s anger management were assessed using the State-Trait Anger Expression Inventory-2 and Children Emotion Management Scales.Results:ODD symptoms were directly predicted by maternal anger index(AI)(β=0.13,P<0.05)and anger expression-out(AX-O)(β=0.25,P<0.05).Children′s anger cope(AC)played a mediating function to maternal AI through ODD symptoms,occupying 13%of the total effect;their AC and anger dysregulation(AD)played a mediating function to maternal AX-Othrough ODD symptoms,accounting for 29%and 18%of the total effect,respectively.Conclusion:It suggests that anger cope and anger dysregulation in children with oppositional defiant disordermay may play a mediating role between maternal anger expression and oppositional defiant disorder symptoms.

关 键 词：儿童 对立违抗障碍 愤怒表达 愤怒管理 

分 类 号：B842.1[哲学宗教—基础心理学]