中国临床心理学杂志

儿童期遭受多重侵害的高职高专学生生态学执行功能特征

单位：1. 山东大学护理学院山东济南 250012
2. 山东大学齐鲁医院山东济南 250012

关键词：多重侵害执行功能高职高专

分类号：R395.2

出版年,卷(期):页码：2012,20(6):809-812

摘要：

目的:探讨儿童期遭受多重侵害的高职高专学生的生态学执行功能特征。方法:采用青少年侵害问卷自评版和创伤后应激障碍症状清单平民版筛选出研究对象共270名,其中多重侵害有创伤后应激症状组54人,多重侵害无创伤后应激症状组69人,非多重侵害组68人,对照组74人,所有研究对象均完成一般信息问卷,执行功能行为评定量表成人版和瑞文标准推理测试。结果:四个组在执行功能的抑制、转换、情感控制、任务启动、工作记忆、计划、组织和任务监控八个因子上的差异均有统计学意义(P<0.01)。Scheffé检验显示多重侵害有创伤后应激症状组在抑制、转换、情感控制、任务启动、工作记忆、组织和任务监控七个因子上的得分均高于对照组,在抑制、转换、情感控制、任务启动、工作记忆五个因子上的得分高于非多重侵害组,多重侵害无创伤后应激症状组在抑制、情感控制、任务启动、计划和任务监控五个因子上的得分高于对照组,多重侵害无创伤后应激症状组在工作记忆因子上的得分高于非多重侵害组。多重侵害有创伤后应激症状组与多重侵害无创伤后应激症状组在生态学执行功能各因子上得分的差异无统计学意义,非多重侵害组和对照组在生态学执行功能各因子上得分的差异也无统计学意义(P>0.05)。结论:遭受多重侵害的高职高专学生生态学执行功能受损。

Objective: To explore the characteristics of executive function among childhood poly-victims in vocational college.Methods: Two hundred and seventy vocational college students were selected by two questionnaires(Juvenile Victimization Questionnaire and Posttraumatic Stress Disorder Checklist).There were fifty-four in poly-victimized with posttraumatic stress symptoms group(PV with PTSS),sixty-nine in poly-victimized without posttraumatic stress symptoms(PV without PTSS),sixty-eight in non poly-victimized group and seventy-four in control group.All of them completed basal information questions,Behavior Rating Inventory of Executive Function-self Report Version and Raven Standard Progressive Matrices.Results: There were significant difference among four groups in eight scales of executive function(P<0.01).Post hoc test(Scheffé test) showed that compared with control group,PV with PTSS group obtained high scores on seven scales of executive function and PV without PTSS group got high scores on five scales,compared with non poly-victimized group,PV with PTSS group obtained high scores on five scales of executive function and PV without PTSS group got high scores on one scale(P<0.05).There was no difference between PV with PTSS and PV without PTSS group,and also there was no difference between control group and non poly-victimized group(P>0.05).Conclusion: Poly-victimized students have a higher score on ecological executive function scale,and the ones who were more severely victimized have poorer executive function.

基金项目：

教育部人文社会科学研究青年基金项目(10YJCXLX001);山东省自然科学基金(ZR2009CM023)

作者简介：

参考文献：

1.Anderson P. Assessment and development of executive function(EF) during childhood[J].Child Neuropsychology,2002,(02):71-82.
2.Wilson BA. Ecological validity of neuropsychological assessment:Do neuropsychological indexes predict performance in everyday activities[J].Applied and Preventive Psychology,1993,(04):209-215.
3.Gioia GA,Isquith PK. Ecological assessment of executive function in traumatic brain injury[J].Developmental Neuropsychology,2004,(1-2):135-158.
4.DePrince AP,Weinzierl KM,Combs MD. Executive function performance and trauma exposure in a community sample of children[J].Child Abuse and neglect,2009,(06):353-361.
5.Navalta CP,Polcari A,Webster DM,Boghossian A Teicher MH. Effects of childhood sexual abuse on neuropsychological and cognitive function in college women[J].Journal of Neuropsychiatry and Clinical Neurosciences,2006,(01):45-53.
6.Kessler RC. Posttraumatic stress disorder:The burden to the individual and to society[J].Journal of Clinical Psychiatry,2000.4-12.
7.赵幸福,张亚林,李龙飞,周云飞. 中文版儿童期虐待问卷的信度和效度[J].中国临床康复杂志,2005,(20):105.
8.Finkelhor D,Ormrod RK,Turner HA,Hamby SL. Measuring poly-victimization using the Juvenile Victimization Questionnaire[J].Child Abuse and neglect,2005,(11):1297-1312.
9.Rodriguez N,Kemp HV,Foy DW. Posttraumatic stress disorder in survivors of childhood sexual and physical abuse:A critical review of the empirical research[J].Journal of Child Sexual Abuse,1998,(02):17-45.
10.Lang AJ,Laffaye C,Satz LE,McQuaid JR. Relationships among childhood maltreatment,PTSD,and health in female veterans in primary care[J].Child Abuse and neglect,2006,(11):1281-1292.
11.陈启山,温忠麟. 高职大学毕业生的应对方式与心理健康的关系[J].心理发展与教育,2005,(02):92-97.doi:10.3969/j.issn.1001-4918.2005.02.017.
12.边文颖. 关于高职生心理健康状况的调查研究[J].教育理论与实践C学科版,2011,(01):49-52.
13.Hamby SL,Finkelhor D,Ormrod R,Turner H. The juvenile victimization questionnaire(JVQ):Administration and scoring manual[M].Durham,NH:Crimes Against Children Research Center,2004.
14.程培霞,曹枫林,刘佳佳,陈倩倩. 青少年侵害问卷中文自评版用于中学生的信度和效度[J].中国临床心理学杂志,2010,(04):460-462.
15.杨晓云,杨宏爱,刘启贵,杨丽珠. 创伤后应激检查量表平民版的效度,信度及影响因素的研究[J].中国健康心理学杂志,2007,(01):6-9.
16.Gioia GA,Isquith PK,Guy SC,Kenworthy L. Behavior rating inventory of executive function[J].Child Neuropsychology,2000,(03):235-238.
17.杜巧新,钱英,王玉凤. 执行功能行为评定量表成人版自评问卷的信效度[J].中国心理卫生杂志,2010,(09):674-679.doi:10.3969/j.issn.1000-6729.2010.09.009.
18.张厚粲,王晓平. 瑞文标准推理测验手册(中国城市修订版)[M].北京:北京师范大学出版社,1985.
19.Gustafsson PE,Nilsson D,Svedin CG. Polytraumatization and psychological symptoms in children and adolescents[J].European Child and Adolescent Psychiatry,2009,(05):274-283.
20.Richmond JM,Elliott AN,Pierce TW,Aspelmeier JE. Polyvictimization,childhood victimization,and psychological distress in college women[J].Child Maltreatment,2009,(02):127-147.
21.Holt MK,Finkelhor D,Kantor GK. Multiple victimization experiences of urban elementary school students:Associations with psychosocial functioning and academic performance[J].Child Abuse and neglect,2007,(05):503-515.
22.陈倩倩,曹枫林,刘佳佳,程培霞. 多重侵害青少年情绪问题及其与心理弹性关系研究[J].中国实用儿科杂志,2010.628-630.
23.刘佳佳,曹枫林,陈倩倩,程培霞. 青少年行为问题与多重侵害的相关性研究[J].中国儿童保健杂志,2010,(06):487-489.
24.Airaksinen E,Larsson M,Forsell Y. Neuropsychological functions in anxiety disorders in population-based samples:Evidence of episodic memory dysfunction[J].Journal of Psychiatric Research,2005,(02):207-214.doi:10.1016/j.jpsychires.2004.06.001.
25.Wagner S,Doering B,Helmreich I. A meta-analysis of executive dysfunctions in unipolar major depressive disorder without psychotic symptoms and their changes during antidepressant treatment[J].Acta Psychiatrica Scandinavica,2011.281-292.
26.陶婷,段小菊,张兴利,汪艳. 汶川地震幸存儿童执行功能与创伤后应激症状关系[J].中国神经精神疾病杂志,2010.261-263.
27.Carrion VG,Garrett A,Menon V. Posttraumatic stress symptoms and brain function during a response-inhibition task:An fMRI study in youth[J].DePression and Anxiety,2008,(06):514-526.
28.Leskin LP,White PM. Attentional networks reveal executive function deficits in posttraumatic stress disorder[J].Neuropsychology,2007,(03):275.
29.Kanagaratnam P,Asbj(o)rnsen AE. Executive deficits in chronic PTSD related to political violence[J].Journal of Anxiety Disorders,2007,(04):510-525.

服务与反馈：

【文章下载】【加入收藏】