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
2015年
5期
438-442
,共5页
依恋%焦虑障碍%情感自主性%儿童期创伤%父母教养方式
依戀%焦慮障礙%情感自主性%兒童期創傷%父母教養方式
의련%초필장애%정감자주성%인동기창상%부모교양방식
Attachment%Anxiety disorders%Emotional autonomy%Childhood trauma%Parental rearing style
目的 探讨焦虑障碍患者的依恋模式特点及与儿童期创伤、情感自主性、父母教养方式的关系.方法 选取38名安徽省精神卫生中心门诊及住院焦虑障碍患者作为研究组,以39名年龄、性别、教育年限匹配的成年人作为正常对照组,采用成人依恋问卷(AAQ3.1),父母教养方式问卷(PBI),情绪自主性量表(EAS)和儿童期创伤问卷(CTQ)对研究组和对照组进行施测.结果 ①与正常对照组(10.3％)相比,焦虑障碍患者的依恋类型多属于不安全依恋类型(84.2％),两组依恋类型差异有统计学意义(x2=42.28,P＜0.01).②焦虑障碍组和正常对照组在依恋因子(t=5.55,P＜0.05)、儿童期创伤维度(t=4.27,P＜0.05)、父母知觉(t=1.05,P＜0.05)和个体化评分(t=-1.02,P＜0.05)差异有统计学意义.③焦虑障碍患者的依恋各维度与情感自主性、儿童期创伤和父母教养方式存在不同程度相关,其中母亲依恋因子与个体化(r=0.405,P＜0.05)、母亲关爱(r=-0.358,P＜0.05)、母亲控制(r=0.467,P＜0.01)、父亲控制(r=0.460,P＜0.01)、情感虐待(r=0.473,P＜0.01)、性虐待(r=0.494,P＜0.01),父亲依恋因子与个体化(r=0.520,P＜0.01)、情感虐待(r=0.339,P＜0.05)、性虐待(r=0.378,P＜0.05);且个体化、母亲关爱、父母控制、情感和躯体虐待对依恋因子有预测作用.结论 焦虑障碍患者具有不安全依恋特征,情感自主性、儿童期创伤和父母教养方式对焦虑障碍患者的依恋模式存在显著影响.
目的 探討焦慮障礙患者的依戀模式特點及與兒童期創傷、情感自主性、父母教養方式的關繫.方法 選取38名安徽省精神衛生中心門診及住院焦慮障礙患者作為研究組,以39名年齡、性彆、教育年限匹配的成年人作為正常對照組,採用成人依戀問捲(AAQ3.1),父母教養方式問捲(PBI),情緒自主性量錶(EAS)和兒童期創傷問捲(CTQ)對研究組和對照組進行施測.結果 ①與正常對照組(10.3％)相比,焦慮障礙患者的依戀類型多屬于不安全依戀類型(84.2％),兩組依戀類型差異有統計學意義(x2=42.28,P＜0.01).②焦慮障礙組和正常對照組在依戀因子(t=5.55,P＜0.05)、兒童期創傷維度(t=4.27,P＜0.05)、父母知覺(t=1.05,P＜0.05)和箇體化評分(t=-1.02,P＜0.05)差異有統計學意義.③焦慮障礙患者的依戀各維度與情感自主性、兒童期創傷和父母教養方式存在不同程度相關,其中母親依戀因子與箇體化(r=0.405,P＜0.05)、母親關愛(r=-0.358,P＜0.05)、母親控製(r=0.467,P＜0.01)、父親控製(r=0.460,P＜0.01)、情感虐待(r=0.473,P＜0.01)、性虐待(r=0.494,P＜0.01),父親依戀因子與箇體化(r=0.520,P＜0.01)、情感虐待(r=0.339,P＜0.05)、性虐待(r=0.378,P＜0.05);且箇體化、母親關愛、父母控製、情感和軀體虐待對依戀因子有預測作用.結論 焦慮障礙患者具有不安全依戀特徵,情感自主性、兒童期創傷和父母教養方式對焦慮障礙患者的依戀模式存在顯著影響.
목적 탐토초필장애환자적의련모식특점급여인동기창상、정감자주성、부모교양방식적관계.방법 선취38명안휘성정신위생중심문진급주원초필장애환자작위연구조,이39명년령、성별、교육년한필배적성년인작위정상대조조,채용성인의련문권(AAQ3.1),부모교양방식문권(PBI),정서자주성량표(EAS)화인동기창상문권(CTQ)대연구조화대조조진행시측.결과 ①여정상대조조(10.3％)상비,초필장애환자적의련류형다속우불안전의련류형(84.2％),량조의련류형차이유통계학의의(x2=42.28,P＜0.01).②초필장애조화정상대조조재의련인자(t=5.55,P＜0.05)、인동기창상유도(t=4.27,P＜0.05)、부모지각(t=1.05,P＜0.05)화개체화평분(t=-1.02,P＜0.05)차이유통계학의의.③초필장애환자적의련각유도여정감자주성、인동기창상화부모교양방식존재불동정도상관,기중모친의련인자여개체화(r=0.405,P＜0.05)、모친관애(r=-0.358,P＜0.05)、모친공제(r=0.467,P＜0.01)、부친공제(r=0.460,P＜0.01)、정감학대(r=0.473,P＜0.01)、성학대(r=0.494,P＜0.01),부친의련인자여개체화(r=0.520,P＜0.01)、정감학대(r=0.339,P＜0.05)、성학대(r=0.378,P＜0.05);차개체화、모친관애、부모공제、정감화구체학대대의련인자유예측작용.결론 초필장애환자구유불안전의련특정,정감자주성、인동기창상화부모교양방식대초필장애환자적의련모식존재현저영향.
Objective To explore the characteristics of attachment and the effects of childhood trauma,emotional autonomy and parental rearing style of anxiety disorders.Methods 38 outpatients and hospital patients in Anhui Mental Health Center with anxiety were recruited as the study group,and 39 age-,gender-,and educationmatched adult college students or medical staff were screened as the control group.The study group and control group were assessed with adult attachment questionnaire3.1 (AAQ3.1),parental bonding instrument (PBI),childhood trauma questionnaire 28item short form (CTQ-SF) and emotional autonomy scale (EAS).Results ①Higher levels of insecure adult attachment (84.2％) were reported in the anxiety disorders group compared with the normal controls(10.3％),and the attachment type of two groups had statistical significance(x2 =42.28,P＜0.01).② The attachment of anxiety disorders,emotional autonomy,childhood trauma and the way of parenting was related to different degree.Attachment,childhood trauma and parenting were significantly increased in the anxiety disorders group compared with the normal controls(P＜0.05).The mother attachment factors were significantly correlated with individualized (r=0.405,P＜0.405),mother love (r=0.358,P＜0.358),mother control (r=0.467,P＜0.467),father control (r=0.460,P＜0.01),emotional abuse (r=0.473,P＜0.473) and sexual abuse (r=0.494,P＜0.01).The father attachment factors were significantly correlated with individualized (r=0.520,P＜0.01),emotional abuse (r=0.339,P＜0.339) and sexual abuse (r=0.378,P＜0.05).And individualized,mother love,parental control,emotional and physical abuse could be employed to predict attachment factor.Conclusion The attachment pattern is insecure in the anxiety disorders.Emotional autonomy,childhood trauma and parenting have a significant influence on attachment patterns of anxiety disorders.
