儿童青少年双相情感障碍与父母教养方式及家庭环境的关系

The relationship between children and adolescents with bipolar disorder and parenting style and family environment

目的 探讨儿童青少年双相情感障碍与父母教养方式及家庭环境的关系。方法 回顾性分析2021年7月~2023年7月我院收治的56例双相情感障碍患者的临床资料,将其纳入观察组,另外选择同期56名健康儿童和青少年纳入对照组。采用父母教养方式量表(Egna Minnen av Barndoms Uppforstran,EMBU)、家庭环境量表(Family Environment Scale,FES)评估两组父母教养方式及家庭环境;采用多因素Logistic回归分析儿童青少年双相情感障碍发病的影响因素。结果 观察组父亲惩罚严厉、过分干涉、拒绝否认及母亲过分干涉保护、惩戒严厉评分显著高于对照组,母亲情感温暖理解评分显著低于对照组(P<0.05);观察组亲密度显著低于对照组,矛盾性、控制性评分显著高于对照组(P<0.05);多因素Logistic回归性分析显示,父亲惩罚严厉、拒绝否认、矛盾性、控制性是儿童青少年双相情感障碍发病的危险因素,母亲情感温暖理解、亲密度是儿童青少年双相情感障碍发病的保护因素(P<0.05)。结论 儿童青少年双相情感障碍与父母教养方式及家庭环境密切相关。

Objective To explore the relationship between children and adolescents with bipolar disorder and parenting style and family environment.Methods The clinical data of 56 patients with bipolar disorder admitted to our hospital from July 2021 to July 2023 were retrospectively analyzed,and they were included in the observation group,and 56 healthy children and adolescents were included in the control group during the same period.Egna Minnen av Barndoms Uppforstran(EMBU)and Family Environment Scale(FES)were used to evaluate the parenting style and family environment of the two groups.Multivariate logistic regression was used to analyze the factors affecting the incidence of bipolar disorder in children and adolescents.Results The scores of father's severe punishment,excessive interference,refusal to deny and mother's excessive interference protection and harsh punishment in observation group were significantly higher than those in control group,and the scores of mother's understanding of emotional warmth were significantly lower than those in control group(P<0.05).The intimacy of the observation group was significantly lower than that of the control group,and the scores of contradictions and control were significantly higher than those of the control group(P<0.05).Multivariate logistic regression analysis showed that father's severe punishment,denial,contradiction and control were risk factors for the onset of bipolar disorder in children and adolescents,and mother's emotional warmth,understanding and closeness were protective factors for the onset of bipolar disorder in children and adolescents(P<0.05).Conclusion The bipolar disorder in children and adolescents is closely related to the parenting style and family environment.