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
2009年
9期
805-807
,共3页
闫景新%周玉萍%靳陆平%高晓翠%楚平华
閆景新%週玉萍%靳陸平%高曉翠%楚平華
염경신%주옥평%근륙평%고효취%초평화
抑郁症%儿童期虐待%父母养育方式%病例对照研究
抑鬱癥%兒童期虐待%父母養育方式%病例對照研究
억욱증%인동기학대%부모양육방식%병례대조연구
Depression%Childhood abuse%Parental rearing behavior%Case-control
目的 探讨儿童期虐待和父母养育方式与抑郁症的关系.方法 采用儿童期虐待史自评量表(PRCA)、父母养育方式评价量表(EMBU)对符合入组标准的98例抑郁症患者进行评估,并与100例正常人群进行对照,采用汉密顿抑郁量表(24项,HAMD)评定抑郁症状严重程度.结果 抑郁症患者儿童期受虐待史率(36.7%)明显高于正常人(9.0%),差异具有显著性(P<0.01).抑郁症患者的父母惩罚严厉、拒绝否认[分别为(17.95±5.72)分,(13.89±5.40)分.(10.45±3.47)分,(13.99±4.85)分],高于对照组[分别为(15.98±4.86)分,(11.61±4.19分)分,(8.02±2.98)分,(11.14±3.76)分],而父母情感温暖理解因子,低于对照组,差异具有显著性(P<0.05).抑郁症状与情感虐待、性虐待、忽视因子及父母惩罚严厉、拒绝否认、母亲过分干涉因子呈显著正相关r=0.298～0.540,P<0.05或P<0.01),与父母情感温暖理解因子呈显著负相关(r=-0.350～-0.508,P<0.05或P<0.01).情感虐待、性虐待、忽视和虐待总分与父母养育方式多个因子分存在显著相关(r=-0.479～0.523,P<0.05或P<0.01).结论 抑郁症患者儿童期遭遇过较多的情感虐待、性虐待和忽视,父母养育方式影响儿童虐待的发生,儿童期被受虐待经历和父母不良养育方式与抑郁症的形成有关.
目的 探討兒童期虐待和父母養育方式與抑鬱癥的關繫.方法 採用兒童期虐待史自評量錶(PRCA)、父母養育方式評價量錶(EMBU)對符閤入組標準的98例抑鬱癥患者進行評估,併與100例正常人群進行對照,採用漢密頓抑鬱量錶(24項,HAMD)評定抑鬱癥狀嚴重程度.結果 抑鬱癥患者兒童期受虐待史率(36.7%)明顯高于正常人(9.0%),差異具有顯著性(P<0.01).抑鬱癥患者的父母懲罰嚴厲、拒絕否認[分彆為(17.95±5.72)分,(13.89±5.40)分.(10.45±3.47)分,(13.99±4.85)分],高于對照組[分彆為(15.98±4.86)分,(11.61±4.19分)分,(8.02±2.98)分,(11.14±3.76)分],而父母情感溫暖理解因子,低于對照組,差異具有顯著性(P<0.05).抑鬱癥狀與情感虐待、性虐待、忽視因子及父母懲罰嚴厲、拒絕否認、母親過分榦涉因子呈顯著正相關r=0.298～0.540,P<0.05或P<0.01),與父母情感溫暖理解因子呈顯著負相關(r=-0.350～-0.508,P<0.05或P<0.01).情感虐待、性虐待、忽視和虐待總分與父母養育方式多箇因子分存在顯著相關(r=-0.479～0.523,P<0.05或P<0.01).結論 抑鬱癥患者兒童期遭遇過較多的情感虐待、性虐待和忽視,父母養育方式影響兒童虐待的髮生,兒童期被受虐待經歷和父母不良養育方式與抑鬱癥的形成有關.
목적 탐토인동기학대화부모양육방식여억욱증적관계.방법 채용인동기학대사자평량표(PRCA)、부모양육방식평개량표(EMBU)대부합입조표준적98례억욱증환자진행평고,병여100례정상인군진행대조,채용한밀돈억욱량표(24항,HAMD)평정억욱증상엄중정도.결과 억욱증환자인동기수학대사솔(36.7%)명현고우정상인(9.0%),차이구유현저성(P<0.01).억욱증환자적부모징벌엄려、거절부인[분별위(17.95±5.72)분,(13.89±5.40)분.(10.45±3.47)분,(13.99±4.85)분],고우대조조[분별위(15.98±4.86)분,(11.61±4.19분)분,(8.02±2.98)분,(11.14±3.76)분],이부모정감온난리해인자,저우대조조,차이구유현저성(P<0.05).억욱증상여정감학대、성학대、홀시인자급부모징벌엄려、거절부인、모친과분간섭인자정현저정상관r=0.298～0.540,P<0.05혹P<0.01),여부모정감온난리해인자정현저부상관(r=-0.350～-0.508,P<0.05혹P<0.01).정감학대、성학대、홀시화학대총분여부모양육방식다개인자분존재현저상관(r=-0.479～0.523,P<0.05혹P<0.01).결론 억욱증환자인동기조우과교다적정감학대、성학대화홀시,부모양육방식영향인동학대적발생,인동기피수학대경력화부모불량양육방식여억욱증적형성유관.
Objective To explore the relationship of depression to childhood abuse and the parental rearing behaviors.Methods 120 patients with depression and 100 healthy controls were evaluated with personal report of childhood abuse(PRCA)and egma minnen borndoms uppforstran(EMBU),then the data were used to analyze,and the depression state assessed with the 24-item Hamilton rating scale for depression(HAMD).Results The occurrence rate(36.7%)of childhood abused history in depressive patients was significanfly higher than that in healthy controls(9.0%)(P＜0.01).Compare with the healthy controls,depressive patients had higher scores in parental punishment and severity,rejection and denial,while had lower scores in parental emotional warmth(17.95±5.72 vs 15.98±4.86,13.89±5.40 vs 11.61±4.19,10.45±3.47 vs 8.02±2.98,13.99±4.85 vs 11.14±3.76,45.34±8.58 vs 49.43±9.21,46.92±10.19 vs 50.17±11.85,all P＜0.05).Depression sign were positively correlated to emotional abuse factor.sexual abuse factor,neglect factor,parental punishment and severity,rejection and denim,mother's over interference(r=0.298～0.540,P＜0.05 or P＜0.01).negatively to parental emotional warm(r=-0.350～-0.508,P,＜0.05 or P＜0.01).Significant relation exists between emotional abuse,sexual abuse,neglect,total abuse and some factors of the parental rearing behaviors(r=-0.479～0.523,P＜0.05 or P＜0.01).Conclusion Depressive patients experienced more severe traumatic events during their early life,parental rearing behavior effected childhood abuse,and childhood maltreatment experiences and negative parental rearing behavior have influence on the development of depression.
