中国心理卫生杂志2024,Vol.38Issue(3) :254-259.DOI:10.3969/j.issn.1000-6729.2024.03.010

父母愤怒表达与儿童对立违抗障碍症状的关系

Relationship of parental anger expression and symptoms in children with oppositional defiant disorder

司飞飞 何婷 杨靓靓 赵梦婕 董敏 刘璐 蔺秀云
中国心理卫生杂志2024,Vol.38Issue(3) :254-259.DOI:10.3969/j.issn.1000-6729.2024.03.010

父母愤怒表达与儿童对立违抗障碍症状的关系

Relationship of parental anger expression and symptoms in children with oppositional defiant disorder

司飞飞 1何婷 2杨靓靓 3赵梦婕 1董敏 1刘璐 1蔺秀云2
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作者信息

  • 1. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
  • 2. 北京师范大学心理学部,北京 100875
  • 3. 北京市海淀区花园路学区管理中心,北京 100080
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摘要

目的:探讨父母愤怒表达与儿童对立违抗障碍(ODD)症状的关系.方法:选取符合美国精神障碍诊断与统计手册第5版(DSM-5)诊断标准的ODD儿童46例,及性别、年龄匹配的46例正常对照.用状态-特质愤怒表达量表评估父母的愤怒表达,用儿童情绪管理量表评估儿童的愤怒管理.结果:母亲愤怒指数(β=0.13,P<0.05)和愤怒向外表达(β=0.25,P<0.05)能直接预测ODD症状.儿童愤怒应对在母亲愤怒指数与儿童ODD症状间起中介效应,中介效应占总效应的13%;儿童愤怒应对和愤怒失调均在母亲愤怒向外表达和ODD症状间起中介效应,中介效应分别占总效应的29%和18%.结论:对立违抗障碍儿童愤怒应对和愤怒失调可能在母亲愤怒表达和ODD症状间起中介作用.

Abstract

Objective:This study is to investigate the relationship of parental anger expression and symptoms in children with oppositional defiant disorder(ODD).Methods:Forty-six children with ODD and 46 age-gender-matched normal children participated.The Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5),guided the diagnoses.Parental anger expression and children's anger management were assessed using the State-Trait Anger Expression Inventory-2 and Children Emotion Management Scales.Results:ODD symptoms were directly predicted by maternal anger index(AI)(β=0.13,P<0.05)and anger expression-out(AX-O)(β=0.25,P<0.05).Children's anger cope(AC)played a mediating function to maternal AI through ODD symptoms,occupying 13%of the total effect;their AC and anger dysregulation(AD)played a mediating function to maternal AX-Othrough ODD symptoms,accounting for 29%and 18%of the total effect,respectively.Conclusion:It sug-gests that anger cope and anger dysregulation in children with oppositional defiant disordermay may play a media-ting role between maternal anger expression and oppositional defiant disorder symptoms.

关键词

儿童/对立违抗障碍/愤怒表达/愤怒管理

Key words

child/oppositional defiant disorder/anger expression/anger management

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基金项目

国家自然科学基金(32071072)

北京大学第六医院主治医师青年骨干项目(BDLYYLZL2023-05)

青年长江科研项目(2021)()

出版年

2024
中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
参考文献量33
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