原发性癫痫患儿行为问题及其相关家庭因素的研究

Study on the relationship between family factors and psychological behavior in children with idiopathic epilepsy

目的调查原发性癫痫患儿心理行为问题及其相关家庭因素,为癫痫患儿的心理干预提供依据。方法以35例原发性癫痫患儿和35例正常儿童为研究对象,应用Achenbach儿童行为量表(Child Behavior Checklist,CBCL)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)、家庭环境量表中文版(Family Environment Scale-Chinese Version,FES-CV)和父母教养方式评价量表(Egma Minnen av Bardndosnauppforstran,EMBU)进行对照研究,并就家庭因素与癫痫患儿行为问题进行相关性分析。结果原发性癫痫患儿的行为异常检出率显著高于正常儿童(P<0.01);癫痫儿童父母的焦虑、抑郁情绪较正常儿童父母显著增高(P<0.05);家庭环境的亲密度、情感表达、娱乐性相比正常儿童家庭明显降低(P<0.05),而矛盾性和控制性则明显升高(P<0.05);父母教养方式结果显示癫痫组儿童的父母情感温暖得分显著低于正常儿童家庭组(P<0.05),而父母拒绝否认、母过份干涉与保护因子得分均显著升高(P<0.05);相关性分析显示父母抑郁情绪得分与癫痫患儿行为问题总分呈正相关(r=0.36,P<0.05)。结论原发性癫痫患儿存在一定的行为问题,相关家庭因素可能是导致其行为异常的诱因之一。

Objective To investigate the psychological behavior and related family factors in children with idiopathic epilepsy,and to explore the association between psychological behavior and related family factors. Methods A total of 35 epilepsy children and 35 health control children were included and evaluated with the Achenbach Child Behavior Checklist（CBCL）,Self-Rating Anxiety Scale（SAS）,Self-rating depression scale（SDS）,Family Environment Scale-Chinese Version（FES-CV）and Egma Minnen av Bardndosnauppforstran（EMBU）.Moreover,the associations between psychological behavior and family factors were analyzed. Results A significant higher ratio of abnormal behavior was found in children with epilepsy than health control（P〈0.01）.A significant increasing of parental anxiety and depression（P〈0.05）,decreased degree of intimacy,expressed emotion and entertainment,and increased family conflict and control were found in children with epilepsy.Moreover,parental rearing pattern showed that emotional warmth score was significantly lower in epilepsy children than health children（P〈0.05）.The correlation analysis showed that a positive association was found between parental depression score and total psychological behavior scores in children with epilepsy（r=0.36,P〈0.05）. ConclusionA significant higher risk of abnormal psychological behavior could be found in children with epilepsy,and the family factor could be one of the incentives.