中国临床心理学杂志

对立违抗障碍儿童心理特点分析:家庭系统观角度

单位：1. 北京航天航空大学人文社会科学学院心理系北京 100191
2. 北京师范大学心理学院发展心理研究所北京 100875
3. 山东省乐陵 253600
4. 北京市东城区史家小学分校北京 100007

分类号：R749.94

出版年,卷(期):页码：2014,22(4):610-614

摘要：

目的:从家庭系统观角度探讨不同性别对立违抗障碍(oppositional defiant disorder,ODD)儿童和非ODD儿童的心理特点。方法:选取符合DSM-IV中ODD诊断标准的儿童260人(ODD组)及非ODD组269人,应用来自整体水平的家庭亲密度和适应性量表、来自互动水平的夫妻适应量表、亲子冲突解决方式问卷和来自个体水平的父母情绪控制问卷、儿童情绪控制问卷进行测量。结果:1无论是在整体水平,互动水平还是在个体水平上,与非ODD组相比,ODD组有显著低的家庭亲密度和适应性(P<0.01)、父母婚姻质量(P<0.01),显著高的亲子冲突(P<0.01)和情绪控制异常(P<0.01);2对比不同性别ODD组和非ODD组中发现,ODD分组的主效应(P=0.000)显著,孩子性别的主效应和两者的交互效应均不显著。结论:ODD组与非ODD组相比,在三个水平上都显著较差;比较不同性别ODD组和非ODD组儿童,这种差异更多的是ODD与否的差异,而非性别差异。

Objective:To analysis psychological characteristics of children with oppositional defiant disorder(ODD)from a view of family systems theory.Methods: 260 children with clinical diagnosis of ODD and 269 non-ODD children participated in the study.Measures of FACESⅡ-CV, dyadic adjusting, conflict tactics, difficulty in Emotion Regulation,and children's emotion management from whole family level, family interaction level and individual level were completed by children and their parents.Results: ①Compared with healthy group, ODD group had significantly lower score in family cohesion and adaptability, marital quality and higher score in parent-child conflict and difficulties in emotion regulation(Ps0.01).②The gendere has no main effect and interactive effects with group on these scores.Conclusion: From the family system perspective, our findings suggest the ODD may be influenced by the family closeness, parental relationship and parent-child conflict.

基金项目：

2010教育部人文社会科学研究青年项目(10YJCXLX029);2012年度国家社会科学基金项目(12CSH014);2013年度北京市优秀人才培养资助个人项目(2013D009012000004)的资助

作者简介：

参考文献：

[1] Association AP. Diagnostic; and statistical manual of mental disorders: DSM-IV-TR. American Psychiatric Puh, 2000.
[2] 周淑新，梁剑虹对立违抗性障碍中国全科医学，2009,12(4):295-296.
[3] 马静，苏林雁对立违抗障碍研究进展临床儿科杂志,2009,9:35.
[4] Steiner H. Disruptive behaviors: Conduct and oppositional disorders in adolescents. Adolescent Medicine, 2006, 17:97-114.
[5] 韦臻，罗学荣中学生对立违抗性障碍的父母养育方式和家庭环境特征的初步研究中国临床心理学杂志，2006,14(2):175-177.
[6] Carlson CL, Tamm L, Gauh M. Gender differences in child-ren with ADHD, ODD, and co-occurring ADHD/ODD ident-ified in a school population. Journal of the American Acade-my of Child and Adolescent Psychiatry, 1997, 36(12): 1706-1714.
[7] 孙凌，苏林雁长沙市中小学生对立违抗性障碍的现况及对照研究中华精神科杂志，2001,34(4):208-211.
[8] 蔺秀云，李文琳，黎燕斌，等对立违抗障碍儿童家庭影响因素和家庭相关干预方案心理科学进展，2013,11:1983-1995.
[9] Olson DH, Mccuhhin HI, Barnes H, et al. Family inventories: Inventories used in a national survey of families across the family life cycle. University of Minnesota St. Paul, MN,1982.
[10] 费立鹏，沈其杰，郑延平，等“家庭亲密度和适应性量表”和“家庭环境量表”的初步评价—正常家庭与精神分裂症家庭成员对照研究中国心理卫生杂志，1991,5:198-202.
[11] 汪向东心理卫生评定量表手册中国心理卫生杂志社，1999.
[12] Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 1976, 38(1): 15-28.
[13] Chang L, Lansford JE, Schwartz D, et al. Marital quality, maternal depressed affect, harsh parenting, and child exter-nalising in Hong Kong Chinese families. International Jour-nal of Behavioral Development, 2004, 28(4): 311-318.
[14] Shek DT. Linkage between marital quality and parent-child relationship a longitudinal study in the Chinese culture. Journal of Family Issues, 1998, 19(6): 687-704.
[15] Shek DT. Parental marital quality and well-being, parent-child relational quality, and Chinese adolescent adjustment. American Journal of Family Therapy, 2000, 28(2): 147-162.
[16] Straus MA. Measuring intrafamily conflict and violence: The conflict tactics(CT) scales. Journal of Marriage and the Family, 1979, 41(1): 75-88.
[17] Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 2004, 26(1): 41-54.
[18] Zeman J, Shipman K, Penza-Clyve S. Development and initial validation of the Children s sadness management scale. Journal of Nonverbal Behavior, 2001, 25(3): 187-205.
[19] 陈雷音，罗学荣，韦臻，等对立违抗性障碍儿童的父母养育方式，子女教育心理控制源及家庭功能特点中国临床心理学杂志，2011，19(2):209-211.
[20] Satake H, Yamashita H, Yoshida K. The family psychosocial characteristics of children with attention-deficit hyperactivity disorder with or without oppositional or conduct problems in Japan. Child Psychiatry and Human Development. 2004, 34(3): 219-235.
[21] Lucia VC, Breslau N. Family cohesion and children s behavior problems: A longitudinal investigation. Psychiatry Research, 2006, 141(2): 141-149.
[22] 苏英，洪炜，崔轶目睹父母间冲突与儿童行为问题中国临床心理学杂志，2013, 21(3):486-489.
[23] 董会芹，刘倩，张文新幼儿说谎与问题行为、家庭功能的关系中国临床心理学杂志，2014,22(1):174-177.
[24] 王殿春，阂慧男家庭结构对儿童情绪状态的影响研究黑龙江教育学院学报，1999,1:99-103.
[25] 蒋小娟，赵利云，程灶火，等儿童和青少年心理障碍与家庭教养方式的关联研究中国临床心理学杂志，2013,21. (5): 800-803.
[26] 李燕，贺婷婷，俞凯，等父母对孩子消极情绪的反应方式及其与幼儿社会技能关系的研究心理科学，2010,2:452-455.

服务与反馈：

【文章下载】【加入收藏】