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父母养育方式与对立违抗障碍患儿行为问题的关系

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目的 探讨父母养育方式与对立违抗障碍(Oppositional defiant disorder,ODD)患儿行为问题的关系.方法 本研究纳入53例ODD患儿以及53例正常儿童为观察对象,设为ODD组与对照组.比较两组患儿父母养育方式评价量表(Egma Minnen av Bardndosnauppforstran,EMBU)、家长用破坏性行为障碍评定量表(Disruptive behavior disorder rate scale,DBDRS)评分,分析ODD患儿EMBU评分与DBDRS评分的相关性.结果 ODD组EMBU量表父亲及母亲偏爱被试、情感温暖与理解、父亲惩罚严厉评分均显著低于对照组(P<0.05);ODD组DBDRS量表注意缺陷、多动冲动、对抗评分均显著高于对照组(P<0.05);ODD患儿EMBU量表父亲及母亲偏爱被试、情感温暖与理解、父亲惩罚严厉评分与DBDRS量表各项评分呈负相关关系(P<0.05).结论 ODD患儿具有明显的父亲及母亲偏爱被试、情感温暖与理解低下等不良养育方式,并且其与行为问题具有明显联系.
Relationship between parental rearing patterns and behavioral problems in children with oppositional defiance disorder
Objective To explore the relationship between parental rearing patterns and behavioral problems in children with opposition defiant disorder(ODD).Methods Fifty-three children with ODD and 53 normal children were selected as the study subjects,and divided into the ODD group and the normal group.The two groups of children's parental parenting style evaluation scales(Egma Minnen av Bardndosnauppforstran,EMBU)were compared.The correlation between EMBU score and DBDRS score in children with ODD were analyzed.Results The EMBU scores of father and mother prefer-ence,emotional warmth and understanding,and father punishment severity in the ODD group were significantly lower than those in the normal group(P<0.05).The DBDRS scores of the ODD group were significantly higher than those of the normal group in terms of ideographic defect,hyperactivity impulsivity,and confrontation(P<0.05).The EMBU scale for children with ODD showed a negative correlation between father and mother's preference for subjects,emotional warmth and under-standing,father's punishment severity score,and various scores on the DBDRS scale(P<0.05).Conclusion Children with ODD have obvious negative parenting habits such as father and mother's preference for subjects,emotional warmth and low understanding,and they are significantly associated with behavioral problems.

Parental rearing methodsOpposite defiance disorderBehavioral issues

曾丽、蒋志军、李廷碧、陈秀锦

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简阳市妇幼保健院(简阳,641400)

简阳市精神病院

父母养育方式 对立违抗障碍 行为问题

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
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