中国临床心理学杂志

儿童精神分裂症患者依恋特征及相关因素

分类号：R749.3

出版年,卷(期):页码：2012,20(1):42-46

摘要：

目的:探讨儿童精神分裂症患者的依恋特征及相关因素。方法:71例南京脑科医院儿童门诊或病房儿童精神分裂症患者为病例组,普通中小学正常儿童及青少年128名为对照组。用亲密关系经历量表、青少年依恋问卷、家庭环境量表中文版和父母养育方式量表对儿童及其父母实施调查。结果:①病例组家庭依恋的依赖性分数(11.96±2.33)显著高于对照组(11.10±2.70);家庭依恋的焦虑性分数(9.28±2.72)非常显著高于对照组(8.48±2.54);朋友依恋的亲和性分数(14.75±3.49)非常显著低于对照组(15.83±2.80);朋友依恋的消极性分数(8.85±3.05)显著高于对照组(7.34±2.56)。②Logistic回归分析表明,家庭依恋的依赖性,朋友依恋的消极性、父亲的焦虑、家庭环境的控制性,父亲偏爱被试、父亲拒绝否认、母亲惩罚严厉为儿童精神分裂症的危险因素;家庭环境的亲密度是保护因素。结论:儿童精神分裂症患者依恋特征与正常人有差异,可能与家庭环境和父母养育方式有关。

Objective: To explore the features of attachment in patients with childhood schizophrenia and the related factors.Methods: Seventy-one patients with childhood schizophrenia from Nanjing Brain Hospital,128 normal controls and their parents were assessed using Experiences in Close Relationships(ECR),the Chinese Adolescent Attachment Inventory,the Chinese Version of Family Environment Scale(EFS-CV),Attachment Security Scale and Egma Minnen av Bardndosnauppforstran(EMBU).Results: Schizophrenic testees had higher scores on family dependence,family anxiety,friend negativity and lower scores on friend proximity than the normal controls(11.96±2.33 vs 11.10±2.70;9.28±2.72 vs 8.48±2.54;8.85±3.05 vs 7.34±2.56;14.75±3.49 vs 15.83±2.80).Logistic regression analysis indicated that family dependence,friend negativity,father's anxiety,controlling of family environment,preference or refusal of father and severe punishment of mother were risk factors and family intimacy was a protective factor for childhood schizophrenia.Conclusion: The attachment features of childhood schizophrenia may be different from those of normal ones,which may be associated with family environment and parents rearing styles.

基金项目：

国家科技支撑计划心理疾患防治研究与示范项目《我国家庭、婚姻、亲子关系问题的综合筛查评估与干预示范研究》(2009BAI77B05)

作者简介：

参考文献：

1 Mickelson KD, Kessler RC, Shaver PR. Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 1997, 73(5): 1092-1106
2 Fonagy P, Leigy T, Steele M, et al. The relation of attachment status psychiatric classification and response of psychotherapy.Journal of Consulting and Clinical Psychology,1996, 64(1): 22-31
3 Rosenstein DS, Horowitz HA. Adolescent attachment and psychopathology. Journal of Consulting and Clinical Psychology, 1996, 64(2): 244-253
4 Dozier M, Stovall KC, Albus KE. Attachment and psychopathology in adulthood. NewYork: Guil-ford Press, 1999．497-519
5 Nakash -Eisikovits, Dutra L, Westen D. Relationship between attachment patterns and personality pathology in adolescents. American Academy of Child and Adolescent Psychiatry, 2002, 41(9): 1111-1123
6 Lise A, McLewin Robert T, Muller. Attachment and social support in the prediction of psychopathology among young adults with and without a history of physical maltreatment. Child Abuse and Neglect, 2006, 30(2): 171-191
7 黄晶晶. 首发精神分裂症患者的成人亲附类型及其与临床类型的关系. 神经损伤与功能重建，2009，4(4)：265-267
8 Ponizovsky AM, Nechamkin Y, Rosca P. Attachment patterns are associated with symptomatology and course of schizophrenia in male inpatients. American Journal of Orthopsychiatry,2007, 77(2): 324-331
9 李辉. 精神分裂症患者的成人亲附类型与其防御机制的研究. 医学与社会，2007，20(12)： 41-43
10 李韵，夏顿，张缸静. 注意缺陷多动障碍儿童的依恋特点.中国心理卫生杂志，2007，21(9)：591-594
11 詹明心，陈一心，王民洁，等. 抽动障碍儿童亲子依恋特点的初步研究. 临床精神医学杂志，2010，20(10)：17-19
12 林云强. 自闭症儿童的依恋及其与发展障碍各功能领域关系的研究. 华东师范大学硕士论文，2009
13 Susan L, Warren MD, Lisa Huston MA, et al. Child and adolescent anxiety disorders and early attachment. Journal of the American Academy of Child and Adolescent Psychiatry,1997, 36(5): 637-644
14 Malysa Stratton Louk. Differentiating Reactive Attachment,ADHD and Conduct Disorder. (2010-10-28)[2011-04-22]http://www.suite101.com/content/differentiating-reactive-attachment-adhd-and-conduct-disorder-a301996
15 Batholomew K, Horowitz LM. Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 1991, 61: 226-244
16 赵力. 依恋类型的稳定性. 中国健康心理学杂志，2010，18(7)：893-896
17 Fraley RC, Spieker SJ. Are infant attachment patterns continuously or categorically distributed? A taxometric analysis of strange situation behavior. Developmental Psychology,2003, 39(3): 387-404
18 胡平，关瑜. 依恋行为与情绪反应和社会归因的相关研究. 心理发展与教育，2007，4：45-49
19 蓝滢，郑雪. 亲密关系经历量表中文版的修订. 中国健康心理学杂志，2011，19(3)：379-381
20 刘曦，张建新. 青少年依恋理论建构及问卷修订. 中国临床心理学杂志，2007，15(4)：339-341
21 费立鹏，郑延平，邹定辉. 家庭环境量表中文版(FES－CV).增刊. 中国心理卫生杂志，1999. 134-142
22 岳冬梅. 心理卫生评定量表手册. 增刊. 中国心理卫生杂志，1993. 122-129
23 王莹，李刚，李涛，等. 青少年精神分裂症患者家庭因素的研究. 临床精神医学杂志，2007，17(3)：168-170
24 赵旭东，许秀峰，杨昆，等. 系统家庭治疗前后精神障碍患者家庭动力学变化及其与疗效的关系. 中华精神科杂志，2000，33(2)：81-84
25 Muris P, Meesters C, Van den Berg S. Internalizing and externalizing problems as correlates of self -reported attachment style and perceived parental rearing in normal adolescents. Journal of Child and Family Studies, 2003, 12: 171-183
26 Annie B, Elizabeth M. A threshold approach to understanding the origins of attachment disorganization. Developmental Psychology, 2008, 44(4): 969-982
27 Derya Güng觟r, Marc HB. Culture-general and -specific associations of attachment avoidance and anxiety with perceived parental warmth and psychological control among Turk and Belgian adolescents. Journal of Adolescence,2010, 33: 593-602
28 Kochanska G, Philibert RA, Barry RA. Interplay of genes and early mother-child relationship in the development of self-regulation from toddler to preschool age. J Child Psychol Psychiatry in Press, 2009, 50(11): 1331-1338

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