CAJ | 학술논문

目的探讨情绪障碍儿童的家庭动力学特征.方法采用方便取样方法,选取在南京医科大学附属脑科医院儿童心理卫生研究中心确诊的情绪障碍儿童74例,同时,以性别、年龄相匹配抽取南京市普通学校的正常儿童148例.采用系统家庭动力学自评问卷研究儿童的家庭动力学特征,用自编一般情况调查表调查儿童的性别、年龄、父母的婚姻状况、父母的职业、家庭经济水平、家庭类型等情况.结果病例组家庭动力学自评问卷的家庭气氛、系统逻辑2个维度评分[分别为(30.54±8.28)分,( 17.14±4.26)分]高于对照组[分别为(23.45 ±7.40)分,(15.43 ±3.86)分],差异有统计学意义(P＜0.01).Logistic回归分析结果显示,高个性化(OR=0.903,95％ CI:0.834 ～0.977)、高疾病观念(OR =0.853,95％ CI:0.750 ～0.970)是儿童情绪障碍发病的保护性因素,而高家庭气氛(OR=1.167,95％ CI:1.101～1.236)是儿童情绪障碍发病的危险因素.结论情绪障碍儿童的家庭动力学特征表现为“沉闷、敌对”的家庭气氛,“非此即彼”的家庭系统逻辑.家庭气氛、疾病观念、个性化程度与儿童情绪障碍发生相关.
목적 탐토정서장애인동적가정동역학특정.방법 채용방편취양방법,선취재남경의과대학부속뇌과의원인동심리위생연구중심학진적정서장애인동74례,동시,이성별、년령상필배추취남경시보통학교적정상인동148례.채용계통가정동역학자평문권연구인동적가정동역학특정,용자편일반정황조사표조사인동적성별、년령、부모적혼인상황、부모적직업、가정경제수평、가정류형등정황.결과 병례조가정동역학자평문권적가정기분、계통라집2개유도평분[분별위(30.54±8.28)분,( 17.14±4.26)분]고우대조조[분별위(23.45 ±7.40)분,(15.43 ±3.86)분],차이유통계학의의(P＜0.01).Logistic회귀분석결과현시,고개성화(OR=0.903,95％ CI:0.834 ～0.977)、고질병관념(OR =0.853,95％ CI:0.750 ～0.970)시인동정서장애발병적보호성인소,이고가정기분(OR=1.167,95％ CI:1.101～1.236)시인동정서장애발병적위험인소.결론 정서장애인동적가정동역학특정표현위“침민、활대”적가정기분,“비차즉피”적가정계통라집.가정기분、질병관념、개성화정도여인동정서장애발생상관.
Objective To investigate the family dynamic characteristics of adolescents with emotional disorder.Methods 74 adolescents with emotional disorder from Child Mental Health Research Center of Nanjing Brain Hospital Affiliated to Nanjing Medical University were chosen and compared with 148 gender- and agematched controls from schools in Nanjing.Self-rating scale of systemic family dynamics(SSFD) was used to assess the characteristics of family dynamics,and general demographic information inventory was conducted for all subjects.Results Adolescents with emotional disorder showed higher scores in family atmosphere and systemic logic than control group ( ( 30.54 ± 8.28 ) vs (23.45 ± 7.40),( 17.14 ± 4.26 ) vs ( 15.43 -± 3.86 ),all P ＜ 0.01 ).Logistic regression analysis showed that high individuation ( OR =0.903,95％ CI:0.834 ～ 0.977 ) and high disease thinking( OR =0.853,95％ CI:0.750 ～ 0.970 ) were protective factors for emotional disorder.High family atmosphere ( OR =1.167,95％ CI:1.101 ～ 1.236) was risk factor for emotional disorder.Conclusion Adolescents with emotional disorder demonstrate boring and hostile family atmosphere and "Either/or" family systemic logic on the family dynamic characteristics.Family atmosphere,disease thinking and individuation are associated with emotional disorder.