86例焦虑障碍青少年家庭三角关系特征研究

Parent-child triangulation relationship of adolescents with anxiety disorders

目的探讨青少年焦虑障碍患者的家庭三角关系特征。方法选取符合《国际疾病分类（第10版）》（ICD-10）诊断标准的焦虑障碍患者86例,年龄≤18岁,同时以性别、年龄相匹配选取正常对照120例。采用家庭三角关系问卷及一般人口学调查表进行调查。结果病例组的家庭三角关系问卷评分、因子＂替罪羊＂和＂跨代联盟＂评分高于对照组（P均〈0.05）。Logistic回归分析显示,好的家庭经济状况（OR=0.75,95%CI：0.42~0.90）是青少年焦虑障碍的保护性因素;而替罪羊（OR=1.112;95%CI：1.03-1.32）是诱发该障碍的危险性因素。结论焦虑障碍青少年群体具有不同于非焦虑障碍患者的家庭三角关系特征,家庭关系中父母对孩子负性的情感关注与青少年焦虑障碍相关。

Objective To explore the parent - child triangulation relationship characteristics,adolescents with anxiety disorder （AD）. Methods Totally 86 adolescents with AD and 120 controls without mental disorder matched by gender,age were assessed with the scales of triangle operation in parental quarrels（STOP）and demographic questionnaires. Results The scores of STOP and cross - generational coalition and scapegoating were higher in AD group than in controls（ P ＆lt; 0. 05）;Logistic regression analysis showed that better family economic condition（OR = 0. 75,95% CI：0. 42 - 0. 90）was protective e factors for AD. Scapegoating of fam-ily（OR = 1. 112;95% CI：1. 03 ~ 1. 32）was risk factor s for AD. Conclusion There is different patent - child relation character be-tween AD and controls,and the degree of parent give negative emotion focus toward children are likely associated with occurrence of AD in adolescents.