8到12岁儿童躯体化的现状及其与述情障碍、儿童心理虐待和忽视的关系

发布时间：2018-11-22 08:43

【摘要】：目的：(1)了解小学儿童躯体化症状的流行情况,进一步分析不同性别和年级儿童的躯体化症状；(2)探索述情障碍对儿童躯体化的影响；(3)探索儿童心理虐待和忽视与其躯体化水平的关系,并构建儿童心理虐待和忽视、述情障碍及躯体化之间的关系模型。方法：本研究采用儿童躯体化量表、述情障碍问卷以及儿童心理虐待和忽视量表对长沙两所小学940名学生进行测试。使用SPSS17.0统计软件,采用t检验、方差分析、相关分析、回归分析等方法了解儿童躯体化的情况,并分析述情障碍与儿童躯体化水平之间的关系。采用AMOS18.0构建心理虐待和忽视-述情障碍-躯体化路径图。结果：(1)儿童躯体化量表在本样本中的平均分为(7.40±7.07)；27.3%的儿童报告了至少一个经常出现或程度明显的症状,其中最常出现的依次有口干、入睡困难或早醒、皮肤瘙痒；不同性别和不同年级的躯体化症状检出率有显著差异；(2)述情障碍总分与躯体化总分的相关系数为0.320；(3)述情障碍对儿童躯体化的直接效应为0.39,心理虐待和忽视对儿童躯体化的间接效应分别为0.09、0.13。结论：(1)本样本中儿童躯体化症状的检出率为27.3%,其中疼痛／虚弱症状表现最为普遍；(2)述情障碍与儿童躯体化水平之间存在低至中度相关；(3)述情障碍在儿童心理虐待和忽视与儿童躯体化之间起完全中介作用。
[Abstract]:Objective: (1) to understand the prevalence of somatization symptoms in primary school children, and to further analyze the somatization symptoms of children of different genders and grades, (2) to explore the influence of alexithymia on children's somatization. (3) to explore the relationship between children's psychological abuse and neglect and their somatization level, and to construct the model of children's psychological abuse and neglect, alexithymia and somatization. Methods: children somatization scale, alexithymia questionnaire and child psychological abuse and neglect scale were used to test 940 students in two primary schools in Changsha. Using SPSS17.0 statistical software, t test, variance analysis, correlation analysis and regression analysis were used to understand the somatization of children, and the relationship between alexithymia and children's somatization level was analyzed. AMOS18.0 was used to construct the path map of psychological abuse and neglect-alexithymia-somatization. Results: (1) the average score of somatization scale in this sample was (7.40 卤7.07); 27.3% of the children reported at least one symptom, including dry mouth, difficulty in falling asleep or waking up early, pruritus, and significant difference in the detection rate of somatization symptoms among different genders and grades, among which the most common symptoms were dryness of mouth, difficulty in falling asleep or waking up early. (2) the correlation coefficient between the total score of alexithymia and the total score of somatization was 0.320, (3) the direct effect of alexithymia on children's somatization was 0.39, and the indirect effects of psychological abuse and neglect on children's somatization were 0.09 ~ 0.13, respectively. Conclusion: (1) the detection rate of somatization symptoms in this sample was 27.3, and the symptoms of pain / weakness were the most common. (2) there was a low to moderate correlation between alexithymia and children's somatization level. (3) alexithymia acts as a complete mediator between child psychological abuse and neglect and child somatization.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：B844.2

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