品行障碍儿童青少年的家庭功能及精神病态特质的初步研究

Family function and psychopathic traits in children and adolescents with conduct disorder

【目的】探讨品行障碍儿童青少年家庭功能与精神病态特质的特点,以及两者之间的关系。【方法】对99名品行障碍青少年和71名正常对照组青少年,进行病例对照研究,采用家庭功能评定问卷(Family Assessment Device,FAD)和反社会筛查量表(Antisocial Process Screening Device,APSD)进行评定,并对两者进行相关分析。【结果】品行障碍组在FAD家庭总功能和沟通、角色、情感介入、问题解决因子的得分高于正常组,差异有统计学意义(P<0.05);APSD量表的总分及冷漠无情、自恋和冲动因子分均高于正常组,差异有统计学意义(P<0.01)。冷漠无情特质与家庭功能之间的相关性不大,自恋特质与情感介入呈低水平正相关(P<0.05),冲动特质与情感介入、情感反应和行为控制呈低水平正相关(P<0.05)。【结论】品行障碍的儿童青少年有多方面的家庭功能不良和精神病态特质。家庭功能和精神病态特质在品行障碍的发病中共同起作用。

[Objectives] To explore the characters of family functional factors and psychopathic traits in children and adolescents with conduct disorder. [Methods] 99 adolescents with conduct disorder and 71 normal controls were enrolled in this case-control study. The Family Assessment Device（FAD）and Antisocial Process Screening Device（APSD）were used in the assessment. [Results] The score of general family function and factors＂ scores of communication,role playing,af- fection reaction,affection involvement,problem solving in FAD in children and adolescents with conduct disorder were sig- nificantly higher than those of normal controls （P〈 0.05）. The scores of callous-unemotional（CU）, narcissism （NA） impul- sivity（IM）were significantly higher than those in normal control group（P〈0.01）. Sperman correlation analysis demonstra- ted that narcissism was positively relative to affection involvement at low level; impulsivity was positively relative to affec- tion reaction,affection involvement and behavior control at low level. Callous-unemotional traits had no relationship with family factors. [Conclusions] The children and adolescents with conduct disorder has dysfunctional family factors and psychopathic traits. The family function and psychopathic traits both impact on the onset of conduct disorder.