设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
功能性躯体症状的母系代际传递性:家庭教养方式的作用
作者:张斌1  汪新建2 
单位:1 上海体育学院运动科学学院 上海 200438 
2
  开大学社会心理学系 天津 300071 
关键词:功能性躯体症状|家庭教养方式|过度保护|代际传递 
分类号:R395.6
出版年,卷(期):页码:2013,21(4):641-645
摘要:

目的:考察功能性躯体症状(FSS)的母系代际传递性,家庭教养方式对儿童FSS的影响,以及家庭教养方式在代际传递过程中所起到的作用。方法:使用儿童躯体化量表、简式父母教养方式问卷和症状自评量表对539名青少年及其母亲进行问卷调查。结果:①本研究中青少年在过去3个月中躯体化症状的发生率为29.4%;②母亲过度保护、父亲拒绝对儿童FSS有正向预测作用,父亲的过度保护对儿童FSS有负向预测作用;③FSS的母系代际传递性显著;④母亲过度保护对FSS的母系代际传递具有部分中介作用;⑤父亲教养方式不能调节FSS的母系代际传递性。结论:儿童FSS存在母系代际传递性,不良的家庭教养方式会催化儿童FSS的发生,儿童FSS的母系传递部分通过母亲过度保护的教养方式实现。

Objective: To examine intergenerational transition of functional somatic symptoms(FSS) from mother to chil dren and the role of parental style on the transition. Methods: 539 adolescents and their mothers participated in crosssec tional research. The age of children ranged from 12-14. The children completed Children' s Somatization Inventory and sEMBU; mothers completed SCL-90. Results: ①The prevalence of somatization symptoms in adolescents in the past 3 months was 29.4%. ②Maternal overprotection and paternal refusal could predict more children' s FSS whereas paternal overprotection could predict less FSS. ③Maternal somatic symptoms were positively associated with children' s FSS when parenting style was controlled. ④Maternal over-protection partly mediated the maternal intergenerational transition of FSS. ⑤The moderating effect of paternal parenting style was not significant for moderating maternal FSS intergenerational transition. Conclusion: Children exposed to somatization mothers tend to report FSS; and maternal parenting style of overpro tection could mediate the maternal transition.

基金项目:
国家社会科学基金项目(09BSH044)
作者简介:
参考文献:

1 Dhossche D, Ferdinand R, Ende J, et al. Outcome of selfreported functional-somatic symptoms in a community sample of adolescents. Annual of Clinical Psychiatry, 2001, 13(4): 191-199
2 Craig K, Cox D, Klein K. Intergenerational transmission ofsomatization behaviour: A study of chronic somatizers andtheir children Psychological Medicine. Psychological Medicine, 2002, 32: 805-816
3 Husian K, Browne T, Chalder T. Review of psychologicalmodels and interventions for medically unexplained somaticsymptoms in children child and adolescent mental health. Child and Adolescent Mental Health, 2007, 12(1): 2-7
4 Silber TJ. Somatization disorders in children and adolesc-ents. Pediatrics in Review, 2011, 24(8): 255-264
5 Tamminen M, Bredenberg P, Escartin T, et al. Psychosoma-tic symptoms in preadolescent children. Psychother Psycho-som, 1991, 56(1-2): 70-77
6 Garralda M. Unexplained Physical Complaints. Child andAdolescent Psychiatric Clinics of North America, 2010, 19 (2): 199-209
7 Steinhausen C, Winkler C. Continuity of functional-somaticsymptoms from late childhood to young adulthood in a community sample. Journal of Child Psychology and Psychiatry,2007, 48(5): 508-513
8 孟宪璋. 躯体化障碍与童年期的创伤. 中国临床心理学杂志, 2002,10(3): 183-188
9 Bohman H, Jonsson U, Paaren A. et al. Prognostic significance of functional somatic symptoms in adolescence: A15-year community-based follow-up study of adolescentswith depression compared with healthy peers. BMC Psychiatry, 2012, 12(1): 90
10 Locke R, Zinsmeister R, Talley J, et al. Familial association in adults with functional gastrointestinal disorders. MayoClinic Proceedings, 2000, 75(9): 907-912
11 Putte E, M Doornen P, Engelbert H, et al. Mirrored symptoms in mother and child with chronic fatigue syndrome. Pediatrics, 2006, 117: 2074-2079
12 Kato K, Sullivan P, Evengard B, et al. A population-basedtwin study of functional somatic syndromes. PsychologicalMedicine, 2010, 39(3): 497
13 Walker L, Greene J. Psychosocial correlates of recurrentchildhood pain: A comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorder. Journal of Abnormal Child Psychology, 1993, 102(2):248-258
14 Schor, E. Family pediatrics: Report of the task force on thefamily. Pediatrics, 2003, 111: 1541-1571
15 Janssens K, Oldehinkel A, Rosmallen J. Parental overprotection predicts the development of functional somatic symptoms in young adolescents. Journal of Pediatrics, 2009,154(6): 918-923
16 Walker L, Williams S, Smith C, et al. Parent attention versus distraction:iImpact on symptom complaints by childrenwith and without chronic functional abdominal pain. Pain,2006, 122(1-2): 43-52
17 Fisher L, Chalder T. Childhood experiences of illness andparenting in adults with chronic fatigue syndrome. Journalof Psychosomatic Research, 2003, 54(5): 439-443
18 张朝辉, 宋景贵, 张亚林. 躯体化障碍患者的心理健康状况 、 社会支持及应对方式的研究. 中国临床心理学杂志 ,2011, 19(5): 639-640
19 Chambers C, Craig K, Bennett S. The impact of maternalbehavior on children' s pain experiences: An experimentalanalysis. Journal of Pediatric Psychology, 2002, 27(3): 293-301
20 Scalzo C, Williams P, Holmbeck G. Maternal self-assessedhealth and emotionality predict maternal response to childillness. Children' s Health Care, 2005, 34(1): 61-79
21 Garralda M, Rangel L. Childhood chronic fatigue syndrome. The American Journal of Psychiatry, 2001, 158(7): 1161-1161
22 Garralda M, Chalder T. Practitioner review: Chronic fatiguesyndrome in childhood. Journal of Child Psychology andPsychiatry, 2005, 46(11): 1143-1151
23 Walker LS, Beck JE, Garber J, Lambert W. Children' s somatization inventory: Psychometric properties of the revisedform(CSI-24). Journal of Pediatric Psychology, 2009, 34(4):11
24 Arrindell W, Sanavio E, Aguilar G. The development of ashort form of the EMBU: Its appraisal with students in Greece, Guatemala, Hungary and Italy. Personality and Individual Differences, 1999, 27: 613-628
25 蒋奖, 鲁峥嵘, 蒋苾菁, 等. 简式父母教养方式问卷中文版的初步修订. 心理发展与教育, 2010,1:94-99
26 中华医学会精神科分会编. 中国精神障碍分类与诊断标准(第三版)(CCMD-3). 济南:山东科学技术出版社, 2001
27 温忠麟, 张雷, 侯杰泰, 等. 中介效应检验程序及其应用. 心理学报, 2004,36(5): 614-620
28 Baron RM, Kenny DA. The moderator -mediator variabledistinction in social psychological research: Conceptual,strategic, and statistical considerations. Journal of Personality and Social Psychology, 1986, 51(6): 1173
29 Minuchin S, Baker L, Rosman B, et al. A Conceptual model of psychosomatic illness in children: Family organizationand family therapy. Archives of General Psychiatry, 1975,32(8): 1031-1038
30 Logan D, Scharff L. Relationships between family and parent characteristics and functional ability in children withrecurrent pain syndromes: an investigation of moderating effects on the pathway from pain to disability. Journal of Pediatric Psychology, 2002, 30(8): 698-707
31 Rangel L, Garralda M, Jeffs J, et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. Journalof American Academic Child and Adolescence Psychiatry,2005, 44: 150-158
32 程学超, 谷传华. 母亲行为与小学儿童自尊的关系. 心理发展与教育, 2001, 4: 23-27
33 Walker L, Claar R, Garber J. Social consequences of children' s pain: when do they encounrage symptom mainte nance? Journal of Pediatric Psychology, 2002, 27(8): 689-698
34 Amato P, Gilbreth J. Nonresident fathers and children' swell-being: A meta-analysis. Journal of Marriage and Family, 1999, 61(3): 557-57335 张朝辉, 陈佐明, 宋景贵. 躯体化障碍的人格特征与应对方式的研究, 中国临床心理学杂志, 2008,16(5): 524-525

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626