摘要
目的:了解双相情感障碍青少年患者病前家庭因素。方法:对50名双相障碍青少年家庭采用定性家庭访谈问卷,与50名正常青少年家庭对照。结果:患者组80.3%病前有人际关系困难、47.5%有早年负性生活事件(分离、虐待等)(P<0.05);患者组父母44.3%有心理障碍(P<0.05),在教养孩子方式上比对照组缺乏或过度关心、控制(P<0.01),63.9%患者家庭存在情感表达困难(P<0.01),54.1%患者父母教育态度不一致(P<0.05),后者与婚姻不良有关。结论:家庭在双相障碍青少年发病中起了重要作用,在制定预防及早期治疗策略时需考虑家庭危险因素与高危人群。
Objective ： To understand family risk factors for adolescent bipolar disorder. Methods ：50 ado - lescent bipolar disorder and parents were investigated by structure family interview questionnaire and were compared with that of normal adolescents and parents. Results： Patients showed more difficulty on interpersonal relationship （80.3 % ） and childhood negative life events （47.5 % , P 〈 0.05 ）. Parents in patients group had more mental problems （ 44.3 % , P 〈 0.05 ）. Parents of patients showed significant lack or over care and/or control compared with that of controls （P 〈 0.01 ） ,63.9% of parents in patient group had difficulty on emotion expression （ P 〈 0.01 ） ;54.1% of parents in patient group had disagreement on education attitude which was related to unhappy mar - riage （ P 〈 0.05 ）. Conclusions： Family took an important role for adolescent developing bipolar disorder,which should be considered when early intervention strategywas planned.
出处
《中国民康医学》
2009年第23期2999-3000,3002,共3页
Medical Journal of Chinese People’s Health
关键词
双相
青少年
家庭因素
Bipolar disorder
Adolescent
Family
