青少年双相情感障碍发病与家庭环境和父母教养方式的关系分析

The correlation of the onset of bipolar disorder in adolescents with family environment and parenting style

目的 研究青少年双相情感障碍发病与家庭环境和父母教养方式的关系。方法 采用家庭环境量表中文版(FES-CV)和父母教养方式评价量表(EMBU)对67例双相情感障碍青少年(研究组)和67例健康青少年(对照组)进行问卷调查,比较2组青少年量表评分,并采用Logistic回归分析家庭环境、父母教养方式对青少年双相情感障碍的影响。结果 2组FES-CV评分比较显示,研究组亲密度、情感表达、独立性、娱乐性、评分低于正常组,矛盾性、控制性评分高于正常组,差异均有统计学意义(P<0.05)。2组EMBU评分比较显示,研究组父亲温暖理解评分低于正常组,惩罚严厉、拒绝否认得分高于正常组,母亲温暖理解评分低于正常组,过分干涉和拒绝否认评分高于正常组,差异均有统计学意义(P<0.05)。Logistic回归分析显示,FES-CV中亲密度、情感表达、独立性、娱乐性与青少年双相情感障碍的发生呈负相关(P<0.05),为保护因素,矛盾性、抑制性与双相情感障碍的发生呈正相关(P<0.05),为危险因素。EMBU中父亲和母亲情感温暖理解与双相情感障碍的发生呈负相关(P<0.05),为保护因素;父亲惩罚严厉、拒绝否认和母亲过分干涉、拒绝否认与双相情感障碍的发生呈正相关(P<0.05),为危险因素。结论 家庭成员的亲密度、情感表达、独立性、娱乐性以及父亲和母亲情感温暖理解、父亲惩罚严厉、拒绝否认和母亲过分干涉、拒绝否认与青少年双相情感障碍的发生具有相关性。

Objective To observe the correlation of the onset of bipolar disorder in adolescents with family environment and parenting style.Methods A total of 67 adolescents with bipolar disorder(study group)and 67 healthy adolescents(control group)were surveyed by the Family Environment Scale-Chinese Version(FES-CV),and the Egna Minnen Betraffande Uppfostran(EMBU)questionnaire.The scores were compared between groups.Logistic regression was used to analyze the influence of family environment and parenting style on adolescents with bipolar disorder.Results In the comparison of the FES-CV,the scores of interpersonal relationship,expressiveness,independence and active-recreational orientation were significantly lower in the study group than those in the control group,and scores of conflict and control were significantly higher(all P<0.05).In the comparison of the EMBU,the score of father’s domain of emotional warmth in the study group was significantly lower than that in the control group,and the scores of father’s domain of corporal punishment and rejection were significantly higher;the score of mother’s domain of emotional warmth in the study group was significantly lower than that in the control group,and scores of mother’s domain of interfere and rejection were significantly higher(all P<0.05).Logistic regression analysis showed that the interpersonal relationship,expressiveness,independence and active-recreational orientation in the FES-CV were negatively correlated with the occurrence of bipolar disorder in adolescents(P<0.05),serving as protective factors;conflict and control were positively correlated with the occurrence of bipolar disorder in adolescents(P<0.05),serving as risk factors.In the EMBU,father’s and mother’s domain of emotional warmth were negatively correlated with the occurrence of bipolar disorder in adolescents(P<0.05),serving as protective factors;father’s domain of corporal punishment and rejection and mother’s domain of interfere and rejection were positively correlated with the occurrence of bipolar disorder in adolescents(P<0.05),serving as risk factors.Conclusion The interpersonal relationship,expressiveness,independence,active-recreational orientation,father's and mother’s domain of emotional warmth,father’s domain of corporal punishment and rejection and mother’s domain of interfere and rejection are correlated with the onset of bipolar disorder in adolescents.