品行障碍青少年父母教养方式及家庭环境的研究

STUDY ON THE PARENTAL REARING PATTERNS AND FAMILY ENVIRONMENT IN PATIENTS WITH CONDUCT DISORDERS

目的:探讨品行障碍(conduct disorder,CD)患者父母养育方式及家庭环境的特点。方法:采用父母养育方式评定量表(EMBU)对35例住院品行障碍青少年及194例中学生进行评定;并对该35例品行障碍青少年及其父母进行访谈。结果:(1)CD组在父亲过度干涉、父亲拒绝及否认、父亲过度保护、母亲过度干涉和保护、母亲情感温暖与理解5因子上分值高于对照组,差异均具有统计学意义(P<0.05或P<0.01)。(2)访谈发现,亲子之间彼此接纳程度低,家庭气氛不和谐。结论:CD患者父母不恰当的养育方式及不和谐的家庭环境可能是导致CD疾患的重要因素之一。

Objective： To explore the characters of parental rearing patterns and family environment in patients with conduct disorder （CD）. Methods：An evaluation was conducted with EMBU in 194 middle school students （control group） and 35 adolescent patients with CD （CD group）. The CD group and their parents were followed by depth interviews. Results ： （ 1 ） The adolescents with CD had a quite different parental rearing patterns from the control group, especially in father＇ s over intervention, father＇ s refusal and deny, father＇ s over protection, mother＇ s over intervention and protection, mother＇ s warm and understanding,all of which showed significant difference （P 〈0. 05 or P 〈0. 01 ）. （2） Depth interview found that there was low level of acceptance between parents and adolescents and their family environment was disharmonious. Conclusion： Unjustified rearing patterns and disharmonious family environment may play an important role in the development of CD in adolescents.