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目的探讨父母养育方式与精神分裂症患儿家庭动力学特征的关系及意义。方法分析2015年3月-2016年7月在天津市安定医院接受诊治的42例精神分裂症患儿(观察组)的临床资料,选取同期在本医院正常体检精神体格检查结果均显示为正常的42例健康儿童作为对照组;比较两组儿童的基线资料、系统家庭动力学自评量表(SSFD)评分及父母养育方式评价量表(EMBU)评分,相关性分析观察组家庭动力学特征与父母养育方式的关系。结果两组患儿的性别及年龄等基线资料差异无统计学意义(P>0.05)。观察组患儿的家庭气氛及系统逻辑分值明显较对照组高,F4因子、M5因子分数明显较对照组高,而M1因子分数明显较对照组低,差异均有统计学意义(P<0.05)。F1因子、M1因子与家庭氛围、个性化、疾病观念得分呈显著负相关性(P<0.05),F2因子、M2因子与家庭氛围、个性化、系统逻辑得分呈显著正相关性(P<0.05),F4因子与系统逻辑得分呈显著负相关性(P<0.05),M3因子与家庭氛围呈显著正相关性(P<0.05)。结论精神分裂症患儿家庭的父母养育方式不同于正常健康儿童,具有低情感温暖、理解及拒绝否认、过度保护或干涉等特点,可能与不良的家庭动力学特征相关。
Objective To investigate the relationship between parental rearing patterns and family dynamics in children with schizophrenia and its significance. Methods Clinical data of 42 children with schizophrenia (observation group) who received treatment at Tianjin Anding Hospital from March 2015 to July 2016 were selected. The physical examination results of normal physical examination in our hospital during the same period were all normal Forty-two healthy children served as the control group. Baseline data, SSFD and EMBU scores were compared between the two groups. Correlation analysis was conducted between the family dynamics and family dynamics Parental Rearing Patterns. Results There was no significant difference in baseline data of gender and age between the two groups (P> 0.05). The family atmosphere and system logic score of the observation group were significantly higher than those of the control group, F4 factor and M5 factor scores were significantly higher than those of the control group, while M1 factor scores were significantly lower than those of the control group (P <0.05 ). There was a significant negative correlation between F1 factor and M1 factor and family atmosphere, personality and disease concept score (P <0.05). F2 and M2 factors were positively correlated with family atmosphere, personality and system logic score (P <0.05) ), There was a significant negative correlation between F4 factor and system logic score (P <0.05). There was a significant positive correlation between M3 factor and family atmosphere (P <0.05). Conclusions Parental rearing patterns of children with schizophrenia are different from those of normal healthy children. They have the characteristics of low emotional warmth, understanding and refusing to deny, excessive protection or interference, which may be related to poor family dynamics.