【目的】 探讨品行障碍儿童青少年家庭功能与精神病态特质的特点,以及两者之间的关系。 【方法】 对99名品行障碍青少年和71名正常对照组青少年,进行病例对照研究,采用家庭功能评定问卷(Family Assessment Device,FAD)和反社会筛查量表(Antisocial Process Screening Device,APSD)进行评定,并对两者进行相关分析。 【结果】 品行障碍组在FAD家庭总功能和沟通、角色、情感介入、问题解决因子的得分高于正常组,差异有统计学意义(P<0.05);APSD量表的总分及冷漠无情、自恋和冲动因子分均高于正常组,差异有统计学意义(P<0.01)。冷漠无情特质与家庭功能之间的相关性不大,自恋特质与情感介入呈低水平正相关(P<0.05),冲动特质与情感介入、情感反应和行为控制呈低水平正相关(P<0.05)。 【结论】 品行障碍的儿童青少年有多方面的家庭功能不良和精神病态特质。家庭功能和精神病态特质在品行障碍的发病中共同起作用。
Abstract
【Objectives】 To explore the characters of family functional factors and psychopathic traits in children and adolescents with conduct disorder. 【Methods】 99 adolescents with conduct disorder and 71 normal controls were enrolled in this case-control study.The Family Assessment Device(FAD)and Antisocial Process Screening Device(APSD)were used in the assessment. 【Results】 The score of general family function and factors' scores of communication,role playing,affection reaction,affection involvement,problem solving in FAD in children and adolescents with conduct disorder were significantly higher than those of normal controls(P<0.05).The scores of callous-unemotional(CU),narcissism(NA)impulsivity(IM)were significantly higher than those in normal control group(P<0.01).Sperman correlation analysis demonstrated that narcissism was positively relative to affection involvement at low level; impulsivity was positively relative to affection reaction,affection involvement and behavior control at low level.Callous-unemotional traits had no relationship with family factors. 【Conclusions】 The children and adolescents with conduct disorder has dysfunctional family factors and psychopathic traits.The family function and psychopathic traits both impact on the onset of conduct disorder.
关键词
品行障碍 /
家庭功能 /
精神病态特质 /
儿童青少年
Key words
conduct disorder /
family function /
psychopathic traits /
children and adolescents
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基金
国家“十一五”科技支撑计划课题(2007BAI17B03)子课题资助;上海市科学技术委员会科研计划项目(10411966300)
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