强迫症患者家庭教养方式和顺应性与强迫症状的关系  

Relationship among parents rearing style,family conformity and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder

作　　者：梁燕 杨航怡 黄悦琦 唐文新 江小英[1] LIANG Yan;YANG Hangyi;HUANG Yueqi;TANG Wenxin;JIANG Xiaoying(Affiliated Mental Health Center&Hangzhou Seventh People's Hospital,Zhejiang University School of Medicine,Hangzhou 310013,China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]浙江大学医学院附属精神卫生中心/杭州市第七人民医院,杭州310013 [2]南方医科大学南方医院,广州510515

出　　处：《中国心理卫生杂志》2025年第1期8-12,共5页Chinese Mental Health Journal

摘　　要：目的:探究强迫症患者父母教养方式和家庭顺应性与强迫症状的关系。方法:在某医院门诊及住院部招募强迫症患者216例(轻度强迫症状59例,中度强迫症状121例,重度强迫症状36例),采用耶鲁-布朗强迫症量表(Y-BOCS)、父母教养方式评价量表(EMBU)、强迫症家庭顺应性行为量表患者版(FAS-PV)评估。结果:重度强迫症状者的父母积极教养得分最低,父母消极教养得分、FAS-PV总分最高(均P<0.01)。有序logistic回归分析显示,男性患者强迫症状程度更轻(OR=0.22);受教育年限越低、父母积极教养方式得分越低,强迫症状越重(OR=0.87、0.98、0.97);父亲消极教养方式得分越高、FAS-PV总分越高,强迫症状越重(OR=1.02、1.04)。结论:本研究提示强迫症状严重程度与父母教养方式及家庭顺应性有关。重度强迫症患者父母积极教养方式更少,父亲消极教养方式更多,家庭顺应性更高。Objective:To survey the relationship among parents'rearing style,family conformity and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder(OCD).Methods:Totally 216 patients diagnosed with OCD were recruited(59 cases of mild obsessive-compulsive symptoms,121 cases of moderate obsessive-compulsive symptoms,36 cases of severe obsessive-compulsive symptoms).They were assessed with the YaleBrown Obsessive-Compulsive Disorder Scale(Y-BOCS),Egma Minnen av Bardndosna Uppforstran(EMBU),and Family Accommodation Scale for Obsessive-Compulsive Disorder-Patient Version(FAS-PV).Results:The severe obsessive-compulsive symptom group had the lowest positive parenting style scores.Conversely,they had the highest negative parental rearing scores and total FAS-PV scores(Ps<0.01).The ordered logistic regression results showed that male patients had less severe obsessive-compulsive symptoms(OR=0.22).Patients with lower years of education(OR=0.87)and positive parental rearing scores(OR=0.98,0.97)had more severe obsessive-compulsive symptoms.Conversely,higher negative paternal rearing scores(OR=1.02)and total FAS-PV scores(OR=1.04)were associated with more severe obsessive-compulsive symptoms.Conclusion:This study suggests that the severity of obsessive-compulsive symptoms is related to parental rearing style and family accommodation.Patients with severe obsessive-compulsive symptoms are more likely to feel negative paternal rearing style and higher level of family compliance,and less likely to feel positive parental rearing style.

关 键 词：强迫症 父母教养方式 家庭顺应性 

分 类 号：R749.72[医药卫生—神经病学与精神病学] TS976.31[医药卫生—临床医学]