青少年神经系统软体征发展特征及其与B族人格倾向、危险行为的关系

发布时间：2018-03-24 07:29

本文选题：青少年　切入点：神经系统软体征　出处：《中南大学》2013年博士论文

【摘要】：目的：(1)检测神经系统软体征在我国青少年人群中的表现特征；(2)了解青少年人群神经系统软体征和执行功能之间的关系；(3)了解不同类型B族人格倾向青少年的神经系统软体征发生状况；(4)研究神经系统软体征在青少年生活事件与健康相关危险行为关系中的调节作用。方法：采用剑桥神经检查表(Cambridge Neurological Inventory, CNI)-软体征检查分量表评估神经系统软体征,采用人格诊断问卷(Personality Diagnostic Questionnaire-4+, PDQ-4+)、Barratt冲动量表(Barratt Impulsiveness Scale, BIS-11)、青少年危险行为观测系统(Youth Risk Behavior Surveillance System, YRBSS)、青少年健康危险行为问卷(Adolescent Health-risk Behavior Inventory, AHRBI)与青少年生活事件量表(Adolescent Self-Rating Life Events Check List, ASLEC)分别测查青少年的人格倾向、冲动性、健康相关危险行为及生活事件。北京、上海等7个城市的3892名青少年完成了上述测查。同时,在每个城市中均随机抽取100人进行箭头测验(The Arrows Task, AT)和色词测验(Stroop Color-word Test, SCWT)。在完成首次测查后,对部分受试实施为期半年,每两个月进行一次的ASLEC和AHRBI追踪评估,最终有572人完成了追踪。结果：(1)在青少年中,不同类型的神经系统软体征的检出率在1.3%-24.6%之间,检出率较高的体征依次为：左手手指感觉障碍(24.6%)、右手手指感觉障碍(23.4%)、左右定位障碍(16.0%)、左手皮肤书写感障碍(13.3%)和右手拳-手-掌运动障碍(12.3%)。在神经系统软体征总分及3个因子的得分上,不同年龄组青少年间均存在显著差异(P0.01),低年龄组得分高于高年龄组。在14岁及15岁年龄组中,男生在感觉整合得分上显著高于女生(P0.01)；在14岁年龄组中,男生在脱抑制得分上显著高于女生(P0.01)；在14岁及15岁年龄组中,男生的软体征总分显著高于女生(P0.01),在大于15岁的青少年中,在神经系统软体征3个因子的得分及总分上无性别差异；(2)高神经系统软体征组在箭头测验中的反应时、干扰分及在色词测验中的反应时、干扰分均显著高于对照组(P0.05),高神经系统软体征组在箭头测验及色词测验中的正确率显著低于对照组(P0.01)；(3)有B族人格倾向的青少年的冲动性水平显著高于一般青少年的冲动性(P0.05)。边缘型人格倾向青少年及反社会人格倾向青少年的神经系统软体征症状的严重程度均显著高于对照组；(4)高神经系统软体征组打架斗殴、吸烟状况、目前吸烟状况、目前饮酒状况、有过性行为、不安全性行为的发生率均显著高于对照组(P0.05)。高神经系统软体征组的攻击暴力行为、自杀白残、吸烟饮酒行为、无保护性行为、不健康饮食-缺乏体力活动/健康妥协、破坏纪律行为的得分和健康相关危险行为总分均显著高于对照组(P0.05)。在对青少年健康相关危险行为的预测中,多层线性模型结果显示,神经系统软体征的主效应显著(b=1.23,F(1,563)=23.79,P0.001),神经系统软体征水平与生活事件水平的交互作用显著(b=0.02,F(1,2624)=7.56,P0.01)。结论：(1)青少年存在不同程度的神经系统软体征阳性症状；在15岁之前,男生比女生表现出更明显的神经系统软体征；随着年龄的增长,神经系统软体征的发生率和严重程度均呈下降趋势；(2)神经系统软体征可能与执行功能有关；(3)在青少年人群中,神经系统软体征可能是反社会型人格倾向青少年和边缘型人格倾向的一个特征性指标；(4)在青少年中,神经系统软体征与健康相关危险行为有关,且在生活事件和健康相关危险行为的关系中,神经系统软体征起调节作用。本研究包括图2幅,表30个,参考文献171篇。
[Abstract]:Objective: (1) features detection of soft neurological signs in Chinese adolescents; (2) young people understand the relationship between neurological soft signs and executive function between the nervous system; (3) software then different types of B personality of adolescent students family condition; (4) research on nervous system software sign of moderating role in the relationship between adolescent life events and health risk behavior.
Methods: the Cambridge neurological examination table (Cambridge Neurological Inventory, CNI) - soft sign check subscale assessment of neurological soft signs, using the Personality Diagnostic Questionnaire (Personality Diagnostic, Questionnaire-4+, PDQ-4+), Barratt (Barratt Impulsiveness Scale Impulsiveness Scale, BIS-11), adolescent risk behavior observation system (Youth Risk Behavior Surveillance System, YRBSS), adolescent health risk behaviors questionnaire (Adolescent Health-risk Behavior Inventory, AHRBI) and adolescent life events scale (Adolescent Self-Rating Life Events Check List, ASLEC) were measured to personality tendency, impulsivity, health risk behaviors and life events. Beijing, 3892 teenagers in Shanghai city's 7 completed the survey check. At the same time, in each city were randomly selected for 100 test (The Arrows Task, arrow AT) Stroop Color-word Test (SCWT). After completing the first test, some subjects were implemented for half a year, followed by ASLEC and AHRBI every two months. Finally, 572 people completed the tracking.
Results: (1) in adolescents, different types of neurological soft signs in the detection rate between 1.3%-24.6%, a higher detection rate of signs is as follows: the fingers of the left hand sensory disorder (24.6%), right hand finger sensory disorder (23.4%), (16%), left and right position left hand skin disorders (13.3%) and writing feeling right the fist hand palm movement disorder (12.3%). The total score of neurological soft signs and 3 factor scores, there were significant differences between different age groups of adolescents (P0.01), the low age group scored higher than the high age group. At the age of 14 and 15 years old age group, boys scored significantly in sensory integration higher than girls (P0.01); in the 14 age group, boys in antisuppression score significantly higher than female (P0.01); in the 14 year old and 15 year old age group, the scores of boys were significantly higher than those of girls soft signs (P0.01), in more than 15 year olds, in 3 because of neurological soft signs No gender differences and the scores on the child; (2) high soft neurological signs in the test group in the arrow reaction, and interference in color word test response, interference points were significantly higher than control group (P0.05), high NSS group in the test and measurement of color words right arrow the inspection rate was significantly lower than the control group (P0.01); (3) B group personality of adolescent impulsivity level was significantly higher than that of impulsive ordinary adolescents (P0.05). The severity of symptoms of neurological soft borderline personality tendency of adolescent and adolescent antisocial personality disorder syndrome were significantly higher than those in control group (4; high) neurological soft signs group fights, smoking status, current smoking, current drinking status, have had sex, the incidence of unsafe sex were significantly higher than control group (P0.05). Violence against the high group of neurological soft signs, since Kill the white residue, smoking and drinking behavior, unprotected sex, unhealthy diet - lack of healthy physical activity / compromise, scores and health risk behaviors related to breach of discipline behavior were significantly higher than control group (P0.05). In the prediction of adolescent health risk behavior in the hierarchical linear model results show that the main effect of nerve neurological signs significantly (b=1.23, F (1563) =23.79, P0.001), the interaction of neurological soft signs level and the level of life events significantly (b=0.02, F (12624) =7.56, P0.01).
Conclusion: (1) young people have the software at different levels of the nervous system syndrome positive symptoms; before the age of 15, boys than girls showed significantly more soft neurological syndrome; with the increase of age, the incidence of neurological soft signs and severity decreased; (2) neurological soft signs and may executive function; (3) in adolescents, neurological soft signs may be antisocial personality of adolescents and borderline personality tendency of a characteristic index; (4) in adolescents, neurological soft signs associated with health risk behaviors, and the relationship between life events and health related risk behaviors in the soft neurological signs play an important role in the regulation. This study includes 2 charts, 30 tables, 171 references.

【学位授予单位】：中南大学
【学位级别】：博士
【学位授予年份】：2013
【分类号】：R749.91

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