青少年精神分裂症患者家庭因素的影响研究

Study of family factors in teenage schizophrenia

目的:探讨青少年精神分裂症患者的发病和家庭因素的相关性。方法:采用父母养育方式评价量表(EMBU)及家庭环境量表中文版(EFS-CV)对60名青少年精神分裂症患者进行测评并与60名健康青少年进行对照及相关分析。结果:青少年精神分裂症患者父母养育方式与正常组对照显示:其父亲惩罚严厉、拒绝否认因子分显著高于对照组,情感温暖、理解因子分显著低于对照组(P<0.05或P<0.01);其母亲过分干涉、过度保护、偏爱被试因子分显著高于对照组;母亲的情感温暖理解、过度保护、偏爱被试因子分高于父亲(P<0.05或P<0.01)。家庭环境的亲密度、情感表达、文化性、娱乐性的因子分低于对照组,矛盾性和控制均高于对照组(P<0.05或P<0.01)。相关分析显示:父亲过度保护与母亲拒绝否认,及母亲过度保护与父亲拒绝否认因子之间呈负相关(r≥0.6)。结论:不良的家庭环境和父母养育方式对青少年精神分裂症的发病起一定作用,具有相关性。

Objective ：To explore the relationship between occurrence of disease and family factors in teenage schizophrenia. Methods：Sixty teenage patients with schizophrenia and sixty normal controls were evaluated with egnaminnen borndoms uppfostran （ EMBU ） and family environment scale Chinese version （ FES - CV） , then the data were used to analyze. Results ： Compared with the normal controls in EMBU, the scores of some factors were higher significantly in teenage schizophrenia, including strict punishment, rejection and denying, mother＇s over- interference and over- protection, family conflict and control （P 〈 0. 05 or P 〈0. O0 ）. But the scores of other factors, such as sentiment warmth and comprehension, family intimacy and emotion expression, family culture and entertainment, were lower significantly in teenage schizophrenia （ P 〈 O. 05 or P 〈 0. 01 ）. Correlation analysis showed that there were negative corrctations between father＇s over- protection and mother＇s rejection and denying, mother＇s over- protection and father＇s rejection and denying （r≥0. 8 ）. The scores of the same factors of EMBU between father＇s and mother＇s were correlative （r≥0. 6）. Conclusions： It is suggested that inappropriate family environment and fostering model have effect on the occurrence of schizophrenia.