兒童精神分裂癥癥狀特征與家庭功能狀況的相關(guān)性研究
發(fā)布時(shí)間：2019-07-06 18:21
【摘要】：背景兒童精神分裂癥是一種起病于16歲以前的兒童精神疾病,與成人精神分裂癥相比,兒童精神分裂癥復(fù)發(fā)率、致殘率更高。主要病因有遺傳因素、器質(zhì)性因素和心理社會(huì)因素等。在心理社會(huì)因素中兒童受到生活和家庭事件誘發(fā)精神分裂癥較為常見(jiàn)。國(guó)內(nèi)外研究認(rèn)為家庭環(huán)境和父母教養(yǎng)方式在內(nèi)的家庭功能因素對(duì)子女智力的發(fā)展、人格形成及心理健康都具有重要作用,家庭中負(fù)性情緒的表達(dá),不僅可使精神分裂癥發(fā)作或癥狀加重,也可影響復(fù)發(fā)頻率和次數(shù),同時(shí)發(fā)現(xiàn)精神分裂癥患者的父母具有明顯不當(dāng)?shù)慕甜B(yǎng)方式。本研究擬探討兒童精神分裂癥患者癥狀特征與家庭環(huán)境、父母教養(yǎng)方式及家庭親密度和適應(yīng)性之間的關(guān)系。目的探討兒童精神分裂癥患者癥狀特征與家庭環(huán)境、父母教養(yǎng)方式及家庭親密度和適應(yīng)性之間的關(guān)系,為家庭干預(yù)計(jì)劃的制訂,實(shí)施家庭健康教育措施提供理論依據(jù)。方法1.采用方便抽樣法選取來(lái)自2014年12月至2015年9月在某醫(yī)院兒童少年精神科住院的120例兒童精神分裂癥患者及其父母作為研究對(duì)象,其中男56例,女64例,年齡分布6～16歲。2.通過(guò)量表調(diào)查的方法收集數(shù)據(jù),采用陽(yáng)性和陰性癥狀量表(PANSS)評(píng)估患兒的精神分裂癥癥狀的有無(wú)和嚴(yán)重程度；采用簡(jiǎn)易精神狀態(tài)檢查量表(MMSE)評(píng)估患兒的認(rèn)知功能障礙；采用家庭環(huán)境量表(FES)評(píng)價(jià)家庭環(huán)境；采用父母教養(yǎng)方式評(píng)價(jià)量表(EMBU)評(píng)價(jià)家庭教養(yǎng)方式；采用家庭親密度和適應(yīng)性量表(FACES Ⅱ-CV)評(píng)價(jià)家庭親密度和適應(yīng)性。根據(jù)PANSS和MMSE得分進(jìn)行分組,研究組間FES、EMBU及FACES Ⅱ-CV得分的均值和差異性。3.采用SPSS 21.0統(tǒng)計(jì)軟件進(jìn)行分析,計(jì)量資料以(x±s)表示,組間比較用獨(dú)立樣本的t檢驗(yàn)。結(jié)果1.有動(dòng)作遲緩癥狀的兒童精神分裂癥患者家庭環(huán)境的矛盾性得分明顯高于無(wú)癥狀組(5.75±0.957 vs 3.31±2.510,P=0.004),娛樂(lè)性得分明顯低于無(wú)癥狀組(2.75±1.258 vs5.04±2.645,P=0.023)。2.有沖動(dòng)控制缺乏癥狀的兒童精神分裂癥患者家庭環(huán)境的親密度得分明顯低于無(wú)癥狀組(7.28±3.035 vs 9.00±0.00,P=0.009)。3.有意志障礙癥狀的兒童精神分裂癥患者母親的情感溫暖、理解得分明顯低于無(wú)癥狀組(56.81±6.025 vs 65.75±10.532,P=0.034),而父親的情感溫暖、理解得分無(wú)統(tǒng)計(jì)學(xué)差異(55.17±12.123 vs 65.5±5.26,P=0.152)。4.有短程記憶障礙癥狀的兒童精神分裂癥患者父親的懲罰、嚴(yán)厲(25.20±3.347 vs20.00±1.871,P=0.016)和過(guò)分干涉(51.40±4.393 vs 44.20±3.633,P=0.022)得分明顯高于無(wú)癥狀組,而母親的懲罰、嚴(yán)厲和過(guò)分干涉得分無(wú)統(tǒng)計(jì)學(xué)差異(22.45±8.238 vs22.56±8.618,P=0.979)。5.有幻覺(jué)行為癥狀的兒童精神分裂癥患者父親的偏愛(ài)被試得分明顯高于無(wú)癥狀組(9.71±1.113 vs 7.33±2.082,P=0.041),而母親的偏愛(ài)被試得分無(wú)統(tǒng)計(jì)學(xué)差異(8.75±2.050 vs 9.50±2.878,P=0.503)。6.有語(yǔ)言即刻記憶(5.08±1.084 vs 5.94±0.938,P=0.028)和語(yǔ)言表達(dá)(5.28±1.018 vs6.08±0.996,P=0.041)障礙癥狀的兒童精神分裂癥患者家庭環(huán)境中的獨(dú)立性得分明顯低于無(wú)癥狀組。結(jié)論兒童精神分裂癥患者在動(dòng)作遲緩、沖動(dòng)、語(yǔ)言障礙方面與家庭環(huán)境量表中的矛盾性、娛樂(lè)性、獨(dú)立性和親密度之間具有明顯的相關(guān)性,在意志障礙、語(yǔ)言障礙、幻覺(jué)行為方面與父母教養(yǎng)方式量表中母親的情感溫暖和理解、父親的懲罰、嚴(yán)厲、過(guò)分干涉和偏愛(ài)被試之間具有明顯的相關(guān)性。
[Abstract]:Background: Schizophrenia is a child's mental illness, which is a disease of the age of 16, and the rate of relapse and disability of the child with schizophrenia is higher than that of the adult. The main causes are genetic factors, organic factors and psychosocial factors. In the psychosocial factors, children are more common in the life and family event-induced schizophrenia. At home and abroad, family function factors, including family environment and parental rearing style, have an important role in the development of children's intelligence, the formation of personality and mental health, and the expression of negative emotion in the family not only can aggravate the onset or symptoms of schizophrenia, The frequency and frequency of recurrence can also be affected, and the parents of the patients with schizophrenia are found to have a significantly inappropriate upbringing. This study is to explore the relationship between the symptoms and the family environment, the parenting style and the family affinity and the adaptability of the children with schizophrenia. Objective To study the relationship between symptoms and family environment, parental rearing patterns and family affinity and adaptability of children with schizophrenia, and to provide a theoretical basis for the development of family intervention plan and the implementation of family health education. Method 1. 120 children with schizophrenia and their parents from December 2014 to September 2015 were selected as the subject of the study by means of a convenient sampling method, of which 56 were male and 64 were female, and the age was 6 to 16 years. The data were collected by the method of the scale survey, and the presence and severity of the symptoms of the schizophrenia were assessed by the positive and negative symptom scale (PANSS), and the cognitive function of the child was assessed by using the Simple Mental State Examination Scale (MMSE). The family environment was evaluated by the Family Environment Scale (FES); the parental rearing pattern was evaluated by the parental rearing pattern evaluation scale (EMBU); the family affinity and adaptability were evaluated by the family affinity and fitness scale (FACES II-CV). The mean and difference of the scores of FES, EMBU and FACES II-CV between the study groups were measured according to PANSS and MMSE scores. The statistical software of SPSS 21.0 was used for analysis, and the measurement data was expressed as (x% s), and the t-test of the independent samples was used between the groups. Results 1. The contradictory scores of family environment in children with delayed symptoms were significantly higher in the family environment than in the asymptomatic group (5.75, 0.957 vs. 3.31, 2.510, P = 0.004), and the recreational score was significantly lower than that of the asymptomatic group (2.75% 1.258 vs5.04, 2.645, P = 0.023). The average family environment was significantly lower in the family environment than in the asymptomatic group (7.28, 3.35 vs. 9.00, 0.00, P = 0.009). The emotional warmth of the mother of the child with the symptoms of the will disorder was significantly lower than that of the asymptomatic group (56.81, 6.025 vs. 65.75, 10.532, P = 0.034), while the father's emotional warmth and the understanding of the score were not statistically different (55.17, 12.123 vs 65.5, 5.26, P = 0.152). The father of a child with short-range memory disorder was punished with severe (25.20-3.347 vs20.00-1.871, P = 0.016) and excessive interference (51.40-4.393 vs. 44.20-3.633, P = 0.022), and the mother's punishment, There was no statistical difference between severe and excessive interference (22.45, 8.238 vs22.56, 8.618, P = 0.979). The father's preference was significantly higher in children with hallucination behavior than in the asymptomatic group (9.71, 1.113 vs. 7.33, 2.082, P = 0.041), while the mother's preference was not statistically different (8.75, 2.050 vs. 9.50, 2.878, P = 0.503). The scores of independence in the family environment of children with schizophrenia with immediate memory (5.08-1.084 vs 5.94-0.938, P = 0.028) and language expression (5.28-1.018 vs6.08-0.996, P = 0.041) were significantly lower than those in the asymptomatic group. Conclusion Children with schizophrenia have a clear correlation with the contradiction, the entertainment, the independence and the relative density in the family environment scale in the aspects of delay, impulse, language barrier and family environment, and in the form of the will disorder, the language barrier, The relationship between the hallucination behavior and the mother's emotional warmth and understanding, the father's punishment, the severe, the excessive interference and the preference of the subjects has a clear correlation.
【學(xué)位授予單位】：新鄉(xiāng)醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.74
[Abstract]:Background: Schizophrenia is a child's mental illness, which is a disease of the age of 16, and the rate of relapse and disability of the child with schizophrenia is higher than that of the adult. The main causes are genetic factors, organic factors and psychosocial factors. In the psychosocial factors, children are more common in the life and family event-induced schizophrenia. At home and abroad, family function factors, including family environment and parental rearing style, have an important role in the development of children's intelligence, the formation of personality and mental health, and the expression of negative emotion in the family not only can aggravate the onset or symptoms of schizophrenia, The frequency and frequency of recurrence can also be affected, and the parents of the patients with schizophrenia are found to have a significantly inappropriate upbringing. This study is to explore the relationship between the symptoms and the family environment, the parenting style and the family affinity and the adaptability of the children with schizophrenia. Objective To study the relationship between symptoms and family environment, parental rearing patterns and family affinity and adaptability of children with schizophrenia, and to provide a theoretical basis for the development of family intervention plan and the implementation of family health education. Method 1. 120 children with schizophrenia and their parents from December 2014 to September 2015 were selected as the subject of the study by means of a convenient sampling method, of which 56 were male and 64 were female, and the age was 6 to 16 years. The data were collected by the method of the scale survey, and the presence and severity of the symptoms of the schizophrenia were assessed by the positive and negative symptom scale (PANSS), and the cognitive function of the child was assessed by using the Simple Mental State Examination Scale (MMSE). The family environment was evaluated by the Family Environment Scale (FES); the parental rearing pattern was evaluated by the parental rearing pattern evaluation scale (EMBU); the family affinity and adaptability were evaluated by the family affinity and fitness scale (FACES II-CV). The mean and difference of the scores of FES, EMBU and FACES II-CV between the study groups were measured according to PANSS and MMSE scores. The statistical software of SPSS 21.0 was used for analysis, and the measurement data was expressed as (x% s), and the t-test of the independent samples was used between the groups. Results 1. The contradictory scores of family environment in children with delayed symptoms were significantly higher in the family environment than in the asymptomatic group (5.75, 0.957 vs. 3.31, 2.510, P = 0.004), and the recreational score was significantly lower than that of the asymptomatic group (2.75% 1.258 vs5.04, 2.645, P = 0.023). The average family environment was significantly lower in the family environment than in the asymptomatic group (7.28, 3.35 vs. 9.00, 0.00, P = 0.009). The emotional warmth of the mother of the child with the symptoms of the will disorder was significantly lower than that of the asymptomatic group (56.81, 6.025 vs. 65.75, 10.532, P = 0.034), while the father's emotional warmth and the understanding of the score were not statistically different (55.17, 12.123 vs 65.5, 5.26, P = 0.152). The father of a child with short-range memory disorder was punished with severe (25.20-3.347 vs20.00-1.871, P = 0.016) and excessive interference (51.40-4.393 vs. 44.20-3.633, P = 0.022), and the mother's punishment, There was no statistical difference between severe and excessive interference (22.45, 8.238 vs22.56, 8.618, P = 0.979). The father's preference was significantly higher in children with hallucination behavior than in the asymptomatic group (9.71, 1.113 vs. 7.33, 2.082, P = 0.041), while the mother's preference was not statistically different (8.75, 2.050 vs. 9.50, 2.878, P = 0.503). The scores of independence in the family environment of children with schizophrenia with immediate memory (5.08-1.084 vs 5.94-0.938, P = 0.028) and language expression (5.28-1.018 vs6.08-0.996, P = 0.041) were significantly lower than those in the asymptomatic group. Conclusion Children with schizophrenia have a clear correlation with the contradiction, the entertainment, the independence and the relative density in the family environment scale in the aspects of delay, impulse, language barrier and family environment, and in the form of the will disorder, the language barrier, The relationship between the hallucination behavior and the mother's emotional warmth and understanding, the father's punishment, the severe, the excessive interference and the preference of the subjects has a clear correlation.
【學(xué)位授予單位】：新鄉(xiāng)醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.74
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