青少年强迫症的环境影响因素及应对方式

Environmental influence factors of adolescents with obsessive compulsive disorder and corresponding treatment

目的探讨青少年强迫症与环境影响因素及应对方式的关系。方法选取52例强迫症青少年作为病例组,50例正常青少年作为对照组。分别进行家庭环境量表、青少年生活事件量表、领悟社会支持量表和特质应对方式问卷的调查。结果病例组的亲密度、情感表达、娱乐性和控制性得分均低于对照组,矛盾性得分高于对照组,差异均有统计学意义(P<0.05)。病例组的人际关系、学习压力、受惩罚、健康适应、其他以及总分均高于对照组,差异有统计学意义(P<0.05)。病例组的家庭支持、朋友支持、其他支持以及总分均显著低于对照组,差异有统计学意义(P<0.05)。病例组的积极应对得分显著低于对照组,差异有统计学意义(P<0.05)。结论青少年强迫症与家庭环境、学习环境以及人际环境密切相关,积极的应对方式是预防强迫症的有利条件,应优化青少年成长的环境因素,培养其乐观积极应对问题的能力,从而促进青少年的健康成长。

Objective To explore the environmental influence factors of adolescents with obsessive compulsive disorder and corresponding treatment. Methods 52 adolescents with obsessive compulsive disorder were taken as the patients group,and another 50 normal ones as the control group. Both two groups were evaluated and compared with family environment scale（FES）,adolescents self-rating life events checklist（ASLEC）,perceived social support scale（PSSS）and trait coping style questionnaire（TCSQ）. Results The scores of intimacy,expression of emption,recreation and self-control ability in the patients group were all lower than those in the control group,except only the score of contradiction higher than that in the control group,and all the differences showed statistical significancebetween the two groups（P〈0.05）. Scores of interpersonal relationship,pressure from study,reactiveness to punishment,health,as well as the total score in the patients group were all shown to be higher than those in the control group,and the difference between the two groups was recorded to be statistically significant（P〈0.05）. Conclusion Obsessive-compulsive disorder in adolescents is closely related with the family environment,learning and interpersonal environment. Positive responses to such factors will prevent obsessive compulsive disorder,which includes optimizing the environment where adolescents grow and fostering their capability to respond to problems more actively,thus promote the healthy growth of adolescents.