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父母愤怒表达与儿童对立违抗障碍症状的关系

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

childoppositional defiant disorderanger expressionanger management

司飞飞、何婷、杨靓靓、赵梦婕、董敏、刘璐、蔺秀云

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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

北京师范大学心理学部,北京 100875

北京市海淀区花园路学区管理中心,北京 100080

儿童 对立违抗障碍 愤怒表达 愤怒管理

国家自然科学基金北京大学第六医院主治医师青年骨干项目青年长江科研项目(2021)

32071072BDLYYLZL2023-05

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
年,卷(期):2024.38(3)
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