癫痫患儿气质特征及其家庭背景因素研究

Study of Temperament Characteristic and Family Environment of Children with Epilepsy

目的探讨癫痫患儿气质特征、家庭环境及其父母教养方式,旨在为癫痫患儿实施心理干预措施提供依据。方法采用中国学龄儿童气质量表(CSTS)对58例癫痫患儿进行了测评,并将测评结果同中国常模组儿童比较。同时采用家庭环境量表中文版(FES-CV)及父母教养方式评价量表(EMBU)对58例癫痫患儿及58名正常儿童进行了测评。结果(1)癫痫组患儿与常模组儿童的气质类型构成间差别有显著性意义(P<0.05);(2)癫痫组患儿的活动水平、节律性、适应性、反应强度、心境及持久性气质维度得分与常模组儿童比较,差别有显著性意义(P<0.01);(3)癫痫组患儿的家庭亲密度、情感表达、矛盾性、独立性、成功性、知识性、娱乐性、组织性及控制性得分与对照组儿童间差别均有显著性意义(P<0.01);(4)癫痫组患儿与正常儿童的父母情感温暖、惩罚及拒绝因子得分间差别有显著性意义(P<0.05),父亲的过度保护因子及母亲的偏爱被试因子得分间差别亦有显著性意义(P<0.05)。结论癫痫组患儿的气质特征、家庭环境及其父母教养方式与正常儿童有着明显的不同,此为今后开展分析性心理治疗,实施心理干预措施提供了依据。

Objective To explore the temperament characteristic, family environment and parental rearing patterns of children with epilepsy. Methods Totally 58 children with epilepsy were assessed by using Chinese School Children Temperament Scale （CSTS）, and a comparison of data was made between the epilepsy group and normal group. At the same time, 58 children with epilepsy and 58 normal controls were assessed by using Family Environment Scale （FES -CV） and Egna Minnen av Barndoms Uppfostran （EMBU）. Results （ 1 ） There was a significant difference in constituent of temperament type between children in epilepsy group and those in normal group （ P 〈0. 05 ）. （2） There were significant differences in scales of factors of the activity level, rhythmicity, adaptability, reaction intense, mood and persistence between children in epilepsy group and those in normal group （ P 〈 0. 01 ）. （3） There were significant differences in scales of factors of family cohesion, contradictoriness, expressiveness, independence, achievement orientation, intellect orientation, entertainment, sense of organization and control between children in epilepsy group and those in normal group （ P 〈0. O1 ）. （4） There were significant differences in scores of factors of parental care, punishment and refusal （ P 〈 0. 05）, and in scores of factors of over protection by the father and partial love by the mother between children in epilepsy group and those in normal group （ P 〈0. 01 ）. Conclusion The temperament characteristic, family environment and parental rearing patterns of children with epilepsy were different from normal children, which provides evidence to psychological treatment and intervention.