中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2012年
1期
69-72
,共4页
徐向东%吕淑云%夏叶玲%贾丽娜%张莉%李月娥%王欣%马瑞晨%陈晓英%买力开木%王丽萍%余金鸣
徐嚮東%呂淑雲%夏葉玲%賈麗娜%張莉%李月娥%王訢%馬瑞晨%陳曉英%買力開木%王麗萍%餘金鳴
서향동%려숙운%하협령%가려나%장리%리월아%왕흔%마서신%진효영%매력개목%왕려평%여금명
暴力伤害%父母教养方式%心理状况%创伤后应激障碍
暴力傷害%父母教養方式%心理狀況%創傷後應激障礙
폭력상해%부모교양방식%심리상황%창상후응격장애
Deliberate injury%Parental rearing behaviors%Psychological status%Post-traumaticstress disorder
目的 研究突发暴力伤害伤员父母教养方式与心理状况及创伤后应激障碍(PTSD)的关系.方法 161例在突发暴力伤害事件受伤的住院伤员,受伤第3,4周用心理健康自评问卷(Self-Reporting Questionnaire-20,SRQ20)、创伤后应激障碍筛查表(7-items screening scale for PTSD,PTSD7)、事件影响量表(Impact of event scale,IES)和症状自评量表(Symptom Checklisr 90,SCL-90)等进行测评,对其中113名年龄14 ～ 50岁伤员完成父母教养方式问卷(Egna Minnen av Barndoms Uppfostran,EMBU)测评.受伤2个月后用DSM-Ⅳ-TR轴Ⅰ障碍临床定式检查病人版(Structured Clinical Interview for DSM-Ⅳ-TR Axis Ⅰ Disorders/Patients,SCID-I/P)对伤员进行检查,共对113人中的106人做出诊断.失访7人.结果 父亲偏爱被试与事件影响量表总分(r=-0.234,P＜0.05)和因子2回避(r=-0.309,P＜0.01)呈负相关.父亲惩罚严厉与SCL-90因子其他(r=0.224,P＜0.05)、事件影响量表因子2回避(r=0.211,P＜0.05)呈正相关.母亲情感温暖与理解与事件影响量表因子1闪回呈正相关( r=0.194,P＜0.05).根据诊断分成无病组、PTSD组和其他诊断组.父亲偏爱被试、母亲偏爱被试与精神症状呈负相关,父亲惩罚严厉、过分干涉和拒绝否认,母亲过分干涉过度保护和惩罚严厉与精神症状呈正相关.3组方差分析父亲教养方式的6个分量表、母亲教养方式的5个分量表均无显著性差异.结论 少儿时父母偏爱对今后的心理创伤具有保护作用.父亲惩罚严厉、过分干涉和拒绝否认,母亲过分干涉过度保护和惩罚严厉对心理健康具有破坏作用.但暴力伤害伤员是否患PTSD和其他精神障碍父母教养方式影响有限.
目的 研究突髮暴力傷害傷員父母教養方式與心理狀況及創傷後應激障礙(PTSD)的關繫.方法 161例在突髮暴力傷害事件受傷的住院傷員,受傷第3,4週用心理健康自評問捲(Self-Reporting Questionnaire-20,SRQ20)、創傷後應激障礙篩查錶(7-items screening scale for PTSD,PTSD7)、事件影響量錶(Impact of event scale,IES)和癥狀自評量錶(Symptom Checklisr 90,SCL-90)等進行測評,對其中113名年齡14 ～ 50歲傷員完成父母教養方式問捲(Egna Minnen av Barndoms Uppfostran,EMBU)測評.受傷2箇月後用DSM-Ⅳ-TR軸Ⅰ障礙臨床定式檢查病人版(Structured Clinical Interview for DSM-Ⅳ-TR Axis Ⅰ Disorders/Patients,SCID-I/P)對傷員進行檢查,共對113人中的106人做齣診斷.失訪7人.結果 父親偏愛被試與事件影響量錶總分(r=-0.234,P＜0.05)和因子2迴避(r=-0.309,P＜0.01)呈負相關.父親懲罰嚴厲與SCL-90因子其他(r=0.224,P＜0.05)、事件影響量錶因子2迴避(r=0.211,P＜0.05)呈正相關.母親情感溫暖與理解與事件影響量錶因子1閃迴呈正相關( r=0.194,P＜0.05).根據診斷分成無病組、PTSD組和其他診斷組.父親偏愛被試、母親偏愛被試與精神癥狀呈負相關,父親懲罰嚴厲、過分榦涉和拒絕否認,母親過分榦涉過度保護和懲罰嚴厲與精神癥狀呈正相關.3組方差分析父親教養方式的6箇分量錶、母親教養方式的5箇分量錶均無顯著性差異.結論 少兒時父母偏愛對今後的心理創傷具有保護作用.父親懲罰嚴厲、過分榦涉和拒絕否認,母親過分榦涉過度保護和懲罰嚴厲對心理健康具有破壞作用.但暴力傷害傷員是否患PTSD和其他精神障礙父母教養方式影響有限.
목적 연구돌발폭력상해상원부모교양방식여심리상황급창상후응격장애(PTSD)적관계.방법 161례재돌발폭력상해사건수상적주원상원,수상제3,4주용심리건강자평문권(Self-Reporting Questionnaire-20,SRQ20)、창상후응격장애사사표(7-items screening scale for PTSD,PTSD7)、사건영향량표(Impact of event scale,IES)화증상자평량표(Symptom Checklisr 90,SCL-90)등진행측평,대기중113명년령14 ～ 50세상원완성부모교양방식문권(Egna Minnen av Barndoms Uppfostran,EMBU)측평.수상2개월후용DSM-Ⅳ-TR축Ⅰ장애림상정식검사병인판(Structured Clinical Interview for DSM-Ⅳ-TR Axis Ⅰ Disorders/Patients,SCID-I/P)대상원진행검사,공대113인중적106인주출진단.실방7인.결과 부친편애피시여사건영향량표총분(r=-0.234,P＜0.05)화인자2회피(r=-0.309,P＜0.01)정부상관.부친징벌엄려여SCL-90인자기타(r=0.224,P＜0.05)、사건영향량표인자2회피(r=0.211,P＜0.05)정정상관.모친정감온난여리해여사건영향량표인자1섬회정정상관( r=0.194,P＜0.05).근거진단분성무병조、PTSD조화기타진단조.부친편애피시、모친편애피시여정신증상정부상관,부친징벌엄려、과분간섭화거절부인,모친과분간섭과도보호화징벌엄려여정신증상정정상관.3조방차분석부친교양방식적6개분량표、모친교양방식적5개분량표균무현저성차이.결론 소인시부모편애대금후적심리창상구유보호작용.부친징벌엄려、과분간섭화거절부인,모친과분간섭과도보호화징벌엄려대심리건강구유파배작용.단폭력상해상원시부환PTSD화기타정신장애부모교양방식영향유한.
Objective To study the relationship of the parental rearing behaviors between the psychological status and post-traumatic stress disorder in the injured deliberately.Methods 161 injured people were treated in five hospitals of the Urumqi and evaluated the self-reporting questionnaire-20 (SRQ20),7-items screening scale for PTSD( PTSD7 ),impact of event scale (IES) and symptom checklist 90 (SCL-90) in the third and the fourth week injured,including 113 injured people aged at 14 ～50 years old completed the Egna Minnen av Barndoms Uppfostran (EMBU).Two months after the injury,113 injured people were interviewed,including 106 injured people diagnosed by Structured Clinical Interview for DSM-Ⅳ-TR Axis Ⅰ Disorders/Patients (SCID-I/P) and 7 injured people were lost.Results Father's preferences correlated with the total score of IES ( r =- 0.234,P ＜ 0.05 ) and avoid factor( r=-0.309,P＜ 0.01 ) positively,Mother's emotional warmth and understand correlated with the flashback factor of IES ( r =0.194,P ＜ 0.05 ) negatively.The injured people were divided into three groups by diagnosis:the illness-free group,the PTSD group,and other group.Parental preferences correlated with Mental symptoms negatively.Father's punish severely,interference too much,refuse or deny and Mother's interference too much,over protection and punish severely correlated mental symptoms positively.The six subscales of father's rearing behaviors and the five subscales of mother's rearing behaviors had no significant difference.Conclusions Parental preferences in childhood can internalizes inside support to protect the psychological trauma in future.Father's punish severely,interference too much,refuse or deny and mother's interference too much,over protection and punish severely can damage mental health and aggravate symptoms after traumatic event.But the influence of parental rearing behaviors is limited to decide whether the injured people suffering from PTSD or other mental disorders.
