多胎家庭中儿童青少年情绪障碍患者家庭环境调查

目的调查多胎家庭中儿童青少年情绪障碍患者的家庭环境特征,为优化家庭环境、改善其情绪问题提供参考。方法选取2015年8月-2017年8月在武汉市精神卫生中心住院的、符合《国际疾病分类(第10版)》(ICD-10)通常起病于童年与少年期的行为和情绪障碍诊断标准的36例患者为研究组,同时选取36例健康志愿者(研究组同一家庭内同父同母所生的健康同胞)为对照组。收集两组一般人口学资料,并采用家庭环境量表中文版(FES-CV)进行评定。结果研究组FES-CV中知识性因子[(3. 47±1. 36)分vs.(4. 69±2. 07)分,t=-2. 961,P=0. 004]、娱乐性因子[(2. 44±2. 03)分vs.(3. 83±2. 68)分,t=-2. 478,P=0. 016]和道德宗教观因子[(4. 22±1. 62)分vs.(5. 28±1. 78)分,t=-2. 627,P=0. 011]评分均低于对照组,而矛盾性因子评分高于对照组[(5. 25±1. 83)分vs.(3. 89±1. 69)分,t=3. 285,P=0. 002]。在有儿童青少年情绪障碍患者的多胎家庭中,家庭环境影响因素有:父母婚姻状况、家庭经济情况、母亲受教育程度、出生顺序、学历和年龄(P0. 05或0. 01)。结论在多胎家庭中,儿童青少年情绪障碍患者及其同胞所感受到的家庭环境各因素之间存在差异。

Survey of family environment on children and adolescents with emotional disorder in multiple-child families

Objective To investigate the family environment characteristics of children and adolescents with emotional disorders in multiple-child families, and to provide references for improving their family environment and emotional problems.Methods From August 2015 to August 2017, a total of 36 patients who met the diagnostic criteria of the International Classification of Diseases, tenth edition (ICD-10) about the behavioral problem or emotional disorder from Wuhan Mental Health Center were selected as the research group. At the same time, 36 healthy volunteers were selected as the control group. The general conditions of the two groups were collected, and the main results were assessed through the Family Environment Scale-Chinese Version (FES-CV).Results Compared with the control group, the knowledge factor [(3.47±1.36) vs. (4.69±2.07), t=-2.961, P=0.004], entertainment [(2.44±2.03) vs. (3.83±2.68), t=-2.478, P=0.016] and moral [(4.22±1.62) vs. (5.28±1.78), t=-2.627, P=0.011] of the study group were all lower, while the contradiction factor score was higher [(5.25±1.83) vs. (3.89±1.69), t=3.285, P=0.002]. In the multiple-child families of children and adolescents with emotional disorders, the related factors of family environment including parents'' marital status, family economic situation, mother''s education level, birth order, education background and age (P0.05 or 0.01).Conclusion In a multiple-child family, children or adolescents with emotional disorders may feel differently about the family environment compared to their siblings.