儿童精神分裂症症状特征与家庭功能状况的相关性研究
发布时间：2019-07-06 18:21
【摘要】：背景儿童精神分裂症是一种起病于16岁以前的儿童精神疾病,与成人精神分裂症相比,儿童精神分裂症复发率、致残率更高。主要病因有遗传因素、器质性因素和心理社会因素等。在心理社会因素中儿童受到生活和家庭事件诱发精神分裂症较为常见。国内外研究认为家庭环境和父母教养方式在内的家庭功能因素对子女智力的发展、人格形成及心理健康都具有重要作用,家庭中负性情绪的表达,不仅可使精神分裂症发作或症状加重,也可影响复发频率和次数,同时发现精神分裂症患者的父母具有明显不当的教养方式。本研究拟探讨儿童精神分裂症患者症状特征与家庭环境、父母教养方式及家庭亲密度和适应性之间的关系。目的探讨儿童精神分裂症患者症状特征与家庭环境、父母教养方式及家庭亲密度和适应性之间的关系,为家庭干预计划的制订,实施家庭健康教育措施提供理论依据。方法1.采用方便抽样法选取来自2014年12月至2015年9月在某医院儿童少年精神科住院的120例儿童精神分裂症患者及其父母作为研究对象,其中男56例,女64例,年龄分布6～16岁。2.通过量表调查的方法收集数据,采用阳性和阴性症状量表(PANSS)评估患儿的精神分裂症症状的有无和严重程度；采用简易精神状态检查量表(MMSE)评估患儿的认知功能障碍；采用家庭环境量表(FES)评价家庭环境；采用父母教养方式评价量表(EMBU)评价家庭教养方式；采用家庭亲密度和适应性量表(FACES Ⅱ-CV)评价家庭亲密度和适应性。根据PANSS和MMSE得分进行分组,研究组间FES、EMBU及FACES Ⅱ-CV得分的均值和差异性。3.采用SPSS 21.0统计软件进行分析,计量资料以(x±s)表示,组间比较用独立样本的t检验。结果1.有动作迟缓症状的儿童精神分裂症患者家庭环境的矛盾性得分明显高于无症状组(5.75±0.957 vs 3.31±2.510,P=0.004),娱乐性得分明显低于无症状组(2.75±1.258 vs5.04±2.645,P=0.023)。2.有冲动控制缺乏症状的儿童精神分裂症患者家庭环境的亲密度得分明显低于无症状组(7.28±3.035 vs 9.00±0.00,P=0.009)。3.有意志障碍症状的儿童精神分裂症患者母亲的情感温暖、理解得分明显低于无症状组(56.81±6.025 vs 65.75±10.532,P=0.034),而父亲的情感温暖、理解得分无统计学差异(55.17±12.123 vs 65.5±5.26,P=0.152)。4.有短程记忆障碍症状的儿童精神分裂症患者父亲的惩罚、严厉(25.20±3.347 vs20.00±1.871,P=0.016)和过分干涉(51.40±4.393 vs 44.20±3.633,P=0.022)得分明显高于无症状组,而母亲的惩罚、严厉和过分干涉得分无统计学差异(22.45±8.238 vs22.56±8.618,P=0.979)。5.有幻觉行为症状的儿童精神分裂症患者父亲的偏爱被试得分明显高于无症状组(9.71±1.113 vs 7.33±2.082,P=0.041),而母亲的偏爱被试得分无统计学差异(8.75±2.050 vs 9.50±2.878,P=0.503)。6.有语言即刻记忆(5.08±1.084 vs 5.94±0.938,P=0.028)和语言表达(5.28±1.018 vs6.08±0.996,P=0.041)障碍症状的儿童精神分裂症患者家庭环境中的独立性得分明显低于无症状组。结论儿童精神分裂症患者在动作迟缓、冲动、语言障碍方面与家庭环境量表中的矛盾性、娱乐性、独立性和亲密度之间具有明显的相关性,在意志障碍、语言障碍、幻觉行为方面与父母教养方式量表中母亲的情感温暖和理解、父亲的惩罚、严厉、过分干涉和偏爱被试之间具有明显的相关性。
[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.
【学位授予单位】：新乡医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：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.
【学位授予单位】：新乡医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.74
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