[1]张丽霞,刘文文,朱 妍,等.对立违抗障碍患儿家庭环境特征及其与患儿行为问题的关系[J].新乡医学院学报,2019,36(12):1145-1148.[doi:10.7683/xxyxyxb.2019.12.010]
 ZHANG Li-xia,LIU Wen-wen,ZHU Yan,et al.Family environment characteristics and their relationship with behavioral problems of children with oppositional defiant disorder[J].Journal of Xinxiang Medical University,2019,36(12):1145-1148.[doi:10.7683/xxyxyxb.2019.12.010]
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对立违抗障碍患儿家庭环境特征及其与患儿行为问题的关系
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年12
页码:
1145-1148
栏目:
临床研究
出版日期:
2019-12-12

文章信息/Info

Title:
Family environment characteristics and their relationship with behavioral problems of children with oppositional defiant disorder
作者:
张丽霞1刘文文2朱 妍1 张 琛3李 猛1王体宾1朱俊敬1杨世昌4
(1.郑州市第八人民医院青少年儿童心理科,河南 郑州 450006; 2.河南省人民医院心理科,河南 郑州 450006;3.郑州市第八人民医院医技科,河南 郑州 450006;4.新乡医学院第二附属医院,河南 新乡 453002)
Author(s):
ZHANG Li-xia1LIU Wen-wen2ZHU Yan1ZHANG Chen3LI Meng1WANG Ti-bin1ZHU Jun-jing1YANG Shi-chang4
(1.Department of Adolescent and Child Psychology,the Eighth People′s Hospital of Zhengzhou,Zhengzhou 450006,Henan Province,China; 2.Department of Psychology,Henan Provincial People′s Hospital,Zhengzhou 450006,Henan Province,China;3.Department of Medical Technology,the Eighth People′s Hospital of Zhengzhou,Zhengzhou 450006,Henan Province,China;4.The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan Province,China)
关键词:
对立违抗障碍儿童行为家庭环境
Keywords:
oppositional defiant disorder child behavior family environment
分类号:
R749.94
DOI:
10.7683/xxyxyxb.2019.12.010
文献标志码:
A
摘要:
目的 探讨对立违抗障碍(ODD)患儿的家庭环境特征及其与患儿行为问题的关系。方法 选择2016年8月至2017年1月于郑州市第八人民医院就诊的44例8~14岁ODD患儿为研究对象(ODD组),另按年级随机抽取郑州市某小学50名健康儿童作为对照组。采用Achenbach儿童行为量表(CBCL)、家庭环境量表(FES-CV)对2组受试者进行评估,分析ODD患儿家庭环境特征及其与行为问题的关系。结果 ODD组患儿分裂样、抑郁因子、交往不良、强迫性、社交退缩、多动、攻击性、违纪因子得分高于对照组(P<0.05),而体诉因子得分与对照组比较差异无统计学意义(P>0.05)。ODD组患儿知识性、娱乐性、道德宗教观因子得分低于对照组(P<0.05),而亲密度、情感表达、矛盾性、独立性、成功性、组织性、控制性因子得分与对照组比较差异无统计学意义(P>0.05)。相关分析显示,ODD组患儿FES-CV中的亲密度因子得分与CBCL中分裂样、抑郁、交往不良、强迫性、体诉、社交退缩、多动、攻击性及违纪因子得分均呈负相关(r=-0.339、-0.429、-0.352、-0.287、-0.333、-0.334、-0.331、-0.384、-0.253,P<0.05);情感表达因子得分与抑郁、强迫性及体诉因子得分均呈负相关(r=-0.222、-0.221、-0.254,P<0.05);矛盾性因子得分与分裂样、抑郁、体诉及攻击性因子得分均呈正相关(r=0.239、0.294、0.295、0.225,P<0.05、0.01);独立性及成功性因子得分与交往不良因子得分呈负相关(r=-0.211-0.209,P<0.05);知识性因子得分与分裂样、抑郁、交往不良、强迫性、体诉、社交退缩、多动、攻击性及违纪因子得分呈负相关(r=-0.292、-0.337、-0.352、-0.275、-0.277、-0.321、-0.381、-0.366、-0.286,P<0.01);娱乐性因子得分与抑郁及多动因子得分呈负相关(r=-0.222、-0.223,P<0.05);道德宗教因子得分与分裂样、抑郁、交往不良、强迫性、体诉、社交退缩、多动、攻击性及违纪因子得分均呈负相关(r=-0.349、-0.389、-0.401、-0.362、-0.391、-0.371、-0.289、-0.355、-0.308,P<0.01);组织性因子得分与抑郁及交往不良因子得分均呈负相关(r=-0.210、-0.247,P<0.05)。 结论 ODD患儿的家庭环境差,家庭环境与行为问题有关。
Abstract:
Objective To explore the family environment characteristics and their relationship with behavioral problems of children with oppositional defiant disorder (ODD).Methods A total of 44 ODD patients aged 8 to14 years old admitted to the Eighth People′s Hospital of Zhengzhou from August 2016 to January 2017 were selected as the study objects (ODD group),and 50 healthy children from a primary school in Zhengzhou city were randomly selected according to their grades as the control group.Achenbach child behavior checklist (CBCL) and family environment scale-Chinese version (FES-CV) were used to evaluate the children in the two groups and analyze their family environment characteristics and the relationship between family environment characteristics and behavioral problems.Results The scores of schizoid,depression,social problems,compulsion,social withdrawal,hyperactivity,aggressive behavior and rule-breaking in the ODD group were higher than those in the control group(P<0.05),but there was no significant difference in the score of somatic complaint between the ODD group and the control group(P>0.05).The scores of intellectual-cultural orientation,active-recreational orientation,moral-religious emphasis in the ODD group were lower than those in the control group(P<0.05),but there was no significant difference in the score of cohesion,emotional expression,conflict,independence,achievement,organization and controlling orientation between the ODD group and the control group(P>0.05).For the ODD group,the correlation analysis shows that the factor scores of cohesion in FES-CV were negatively correlated with those of schizoid,depression,social problems,compulsion,somatic complaint,social withdrawal,hyperactivity,aggressive behavior and rule-breaking in CBCL(r=-0.339,-0.429,-0.352,-0.287,-0.333,-0.334,-0.331,-0.384,-0.253;P<0.05).The factor scores of emotional expression were negatively correlated with depression,compulsion and somatic complaint (r=-0.222,-0.221,-0.254;P<0.05).The factor scores of conflict were positively correlated with schizoid,depression,somatic complaint and aggressive behavior (r=0.239,0.294,0.295,0.225;P<0.05).The factor scores of independence and achievement orientation were negatively correlated with social problems (r=-0.211,-0.209;P<0.05).The factor scores of intellectual-cultural orientation were negatively correlated with schizoid,depression,social problems,compulsion,somatic complaint,social withdrawal,hyperactivity,aggressive behavior and rule-breaking (r=-0.292,-0.337,-0.352,-0.275,-0.277,-0.321,-0.381,-0.366,-0.286;P<0.01).The factor scores of active-recreational orientation were negatively correlated with depression and hyperactivity (r=-0.222,-0.223;P<0.05).The factor scores of moral-religious emphasis were negatively correlated with schizoid,depression,social problems,compulsion,somatic complaint,social withdrawal,hyperactivity,aggressive behavior and rule-breaking (r=-0.349,-0.389,-0.401,-0.362,-0.391,-0.371,-0.289,-0.355,-0.308;P<0.01).The factor scores of organization were negatively correlated with depression and social problems (r=-0.210,-0.247;P<0.05).Conclusion The family environment of ODD children is undesirable.The family environment is related to behavioral problems.

参考文献/References:

[1] MASI G,MILONE A,PACIELLO M,et al.Efficacy of a multimodal treatment for disruptive behavior disorders in children and adolescents: focus on internalizing problems[J].Psychiatry Res,2014,219(3):617-624.
[2] CHEN Y L,CHEN W J,LIN K C,et al.Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings [J].Epidemiol Psychiatr Sci,2019,30,(1):1-9.
[3] EZPELETA L,NAVARRO J B,DE LA OSA N,et al.First incidence,age of onset outcomes and risk factors of onset of DSM-5 oppositional defiant disorder:a cohort study of Spanish children from ages 3 to 9[J].BMJ Open,2019,9(3):e022493.
[4] GHOSH A,MALHOTRA S,BASU D.Oppositional defiant disorder (ODD),the forerunner of alcohol dependence: a controlled study [J].Asian J Psychiatry,2014,11: 8-12
[5] 汪向东,王希林,马弘.心理卫生评价量表手册[M].北京:中国心理卫生杂志社,1999,45-141.
[6] 刘小琴,杨伟,孙艳,等.家庭环境与对立违抗性障碍儿童行为的相关性分析[J].医学临床研究,2008,25(3):401-403.
[7] 刘杨,李泽,蔺秀云,等.对立违抗障碍儿童的家庭教养方式及对其症状的影响一项质性研究分析[J].中国特殊教育,2015,9(1):55-62.
[8] BOOKER J A,CAPRIOLA-HALL N N,GREENE R W,et al.The parent-child relationship and posttreatment child outcomes across two treatments for oppositional defiant disorder[J].J Clin Child Adolesc Psychol,2019,7(2):1-15.
[9] LI I,CLARK D A,KLUMP K L,et al.Parental involvement as an etiological moderator of middle childhood oppositional defiant disorder[J].J Fam Psychol,2017,31(6):659-667.
[10] LEEMAN J,CRANDELL J L,LEE A,et al.Family functioning and the well-being of children with chronic conditions: a meta-analysis[J].Res Nurs Health,2016,39(4):229-243.
[11] 王长虹,冀紫阳,李晏.网络成瘾的病因及应对策略研究进展[J].新乡医学院学报,2018,35(12):1139-1142.
[12] 刘亚宁,甘凤夏,余灿清,等.儿童青少年期家庭抚养环境对成年期心理健康影响的分析[J].中华流行病学杂志,2018,39(5):600-603.
[13] LIN X,LI L,HEATH M A,et al.Multiple levels of family factors and oppositional defiant disorder symptoms among Chinese children[J].Fam Process,2018,57(1): 195-210.

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更新日期/Last Update: 2019-12-05