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1.
青少年心理门诊患者家庭功能与心理健康的关系   总被引:1,自引:0,他引:1  
目的了解青少年心理门诊就诊患者的家庭功能对其心理健康的影响。方法采用家庭功能评定量表(FAD)及症状自评量表(SCL-90)对62例青少年心理门诊就诊者(研究组)和62名正常中学生(对照组)进行测评分析。结果研究组FAD、SCL-90评分均显著高于对照组(P〈0.05或P〈0.01),FAD各因子、SCL-90总分及各因子分均呈显著正相关(P〈0.05或P〈0.01)。结论家庭功能与心理健康的关系密切。  相似文献
2.
This study assesses family stress, family functioning and emotional/behavioural problems in a sample of 80 formerly daytreated or residentially treated boys after a mean discharge period of four years. Family stress was assessed with a Questionnaire of Life Events (QLE) and family functioning with the Family Adaptability and Cohesion Evaluation Scales (FACES). Emotional/behavioural problems were measured with the Child Behavior Checklist (CBCL). The results showed that there were significant relationships between the QLE, FACES and CBCL scores. In particular, experiencing less negative life events and a more rigid type of family functioning appeared favourable with respect to several types of behavioural problems. When the interrelationships between the family factors and other factors such as age and socio-economic status were taken into account statistically, the number of negative life events appeared the most influential family factor.
Zusammenfassung In dieser Studie werden familiärer Streß, die familiäre Funktionsfähigkeit und emotionale bzw. Verhaltensauffälligkeiten in einer Stichprobe von 80 ehemals tagesklinisch oder ambulant behandelten Jungen untersucht, die im Mittel vor 4 Jahren aus der Therapie entlassen worden waren. Familiärer Streß wurde mit dem Questionnaire of Life Events (QLE) und die Funktionsfähigkeit der Familie mit den Family Adaptability and Cohesion Evaluation Scales (FACES) untersucht. Die emotionalen bzw. Verhaltensauffälligkeiten wurden mit der Child Behavior Checklist (CBCL) erhoben. Die Ergebnisse zeigten, daß signifikante Beziehungen zwischen den QLE-, FACES- und CBCL-Werten bestanden. Zu betonen ist, daß das Erleben einer geringeren Anzahl von ungünstigen Lebensereignissen und einer eher rigiden Form der Funktionsfähigkeit der Familie eine günstige Auswirkung im Hinblick auf verschiedene Arten von Verhaltensauffälligkeiten zeigte. Unter statistischer Berücksichtigung der Wechselbeziehungen zwischen den familiären Faktoren und anderen Faktoren, wie z. B. Alter und sozioökonomischer Status, war die Anzahl der ungünstigen Lebensereignisse der Familienfaktor mit dem größten Einfluß.

Résumé Cette étude évalue le stress familial, le fonctionnement familial et les problèmes affectifs et comportementaux d'un échantillon de 80 garçons précédemment traités de jour ou en internat après une période moyenne de 4 ans après la fin du traitement. Le stress familial fut évalué avec un questionnaire d'événement de vie (QLE) et le fonctionnement familial avec les échelles d'évaluation familiale, de l'adaptabilité et de la cohésion (FACES). Les problèmes affectivs et comportementaux furent mesurés avec la Child Behavior Checklist (CBCL) les résultats ont montré qu'il y avait des relations significatives entre scores à la QLE, FACES et CBCL. En particulier, le fait d'avoir vécu des événements de vie moins négatifs et un type de fonctionnement familial plus rigide sont apparus favorables par rapport aux différents types de problèmes comportementaux. Quand les interrelations entre les facteurs familiaux et les autres facteurs, tels que l'âge et SES étaient pris en compte statistiquement, le nombre d'événements de vie négatifs apparaissait le facteur familial ayant le plus d'influence.
  相似文献
3.
This study examined the impact of financial, cultural, and family variables on the incidence of behavioral and emotional problems in a group of two- and three-year-old Latino children. The vulnerability of these children to mental health problems stems from the many challenges faced by their families, especially those associated with acculturation and poverty. Results indicate that most problems experienced by the children were related to depression and social withdrawal. Children were at greatest risk whose parents had immigrated from Central America, whose families relied more extensively on internal coping strategies such as passive resignation, and whose parents were dissatisfied with their family's interactions.  相似文献
4.
Families of two subgroups of adolescents in the community, at high and low risk for major depressive disorder, were compared on the McMaster Family Assessment Device (FAD) and the General Health Questionnaire (GHQ). Families of high-risk adolescents who became depressed by follow-up at one year were comared with other families of high-risk subjects. The only significant difference on FAD ratings for high- and low-risk groups was on the sub-scale Roles as reported by mothers. FAD ratings showed that, compared with mothers, fathers of high-risk adolescents held significantly worse views of their families' functioning on the sub-scales Problem Solving. Affective Responsiveness and Behaviour Control. There were no such differences between low-risk parents. Both mothers and fathers of high-risk adolescents reported their own mental health as significantly poorer than mothers and fathers of low-risks. The mental health of mothers in the high-risk group only was significantly associated with their FAD ratings. Adolescents rated their families as significantly worse on the FAD than their parents and the lower their mood and self-esteem, the worse they rated their families on the FAD. Subsequent MDD in adolescents by follow-up at one year was not associated with the FAD scores of any family member, nor with either parent's mental health. Accepted: 26 January 2001  相似文献
5.
This study examines possible risk factors associated with child adjustment in a sample of children with alcohol abusing fathers in Norway (N = 37). Factors included are socio-economic status, severity of the fathers' alcohol abuse, parental psychological problems, and family functioning. Children of alcohol abusing fathers were found to have more adjustment problems assessed by CBCL compared to a general population sample. The findings further suggest that child adjustment in families with paternal alcohol abuse is the result of an accumulation of risk factors rather than the effects of the paternal alcohol abuse alone. Both general environmental risk factors (psychological problems in the fathers, family climate, family health and conflicts) and environmental factors related to the parental alcohol abuse (severity of the alcohol abuse, the child's level of exposure to the alcohol abuse, changes in routines and rituals due to drinking) were related to child adjustment. The results indicate the need to obtain both parents' assessments of child adjustment, as the fathers' assessment was associated with different risk factors compared to the mothers'.  相似文献
6.
This study examined the relation among maternal judgment of intentionality and variables relevant to families of children with autism. Thirty-six mothers of children with autism rated segments of home videotape of behavior from very young children later diagnosed with autism. Mothers were randomly assigned to either a diagnostic or a no diagnostic information group. No significant difference was found on overall ratings of intentionality. Maternal stress was not correlated with overall ratings of intentionality for either group. Mothers in the diagnostic information group rated stereotyped behavior as less intentional. Post hoc analyses showed no differences on maternal ratings of intentionality when the child was in a social setting or interacting with an object, but there were significant differences between ratings when the child was alone. The results are discussed in relation to early development and identification issues in autism.  相似文献
7.
The aim of this study was to clarify the difference in the perception of family functioning measured on the Family Assessment Device (FAD) by Diagnostic and Statistical Manual-IV diagnoses (i.e. schizophrenia, major depressive disorder and bipolar disorder) and by raters (patients and family members). The subjects were 70 psychiatric outpatients paired with their family members (i.e. principal caretaker), divided into three groups based on the patient's diagnosis of schizophrenia (24 pairs), major depressive disorder (28 pairs) or bipolar disorder (18 pairs). They rated their perceived family functioning on the FAD. There was no significant difference in perceptions of family functioning between the three groups of family members, while there were differences between the patient groups in some FAD dimensions. Perceptions of family functioning were not significantly correlated between the schizophrenic patients and their family members. The perceptions of family functioning were correlated more strongly between patients and their family members in the bipolar group than between patients and family members in the other two diagnostic groups. As for the FAD Problem Solving dimension, the schizophrenia patients saw it more negatively than did their family members, whereas the depressive patients saw it more positively than did their family members. These results might reflect psychopathological characteristics of each disorder. When clinicians evaluate the family functioning of psychiatric patients, it is important to consider the diagnoses of patients as well as who assesses it.  相似文献
8.
Abstract Background Suicide and suicide attempts are important public health concerns, and recent decades have witnessed a rising rate of suicide among African Americans. A history of prior attempts is a leading risk factor for completed suicide. Further research is needed into the social environment risk factors for suicide attempt among African Americans. This study focused on two important dimensions of the social environment, family relationships and social support, as well as an important person-level risk factor—depressive symptoms. Method Data were obtained from a case-control study of 200 African American men and women aged 18–64 years, who sought services at a large, urban, public hospital. Odds ratios adjusted for significant sociodemographic differences between groups (aORs) were calculated for environment risk factors for suicide attempt among the cases and controls. The role of depressive symptoms was also studied. Results Lower levels of family adaptability and family cohesion increased the relative rate of suicide attempt in the sample. The aOR associated with the lowest quartile of family adaptability was 3.90, and the aORs associated with the first and second quartiles of family cohesion were 8.91 and 5.51, respectively. Lower levels of social embeddedness and social support increased the relative rate of suicide attempt in our sample. The aOR associated with the first and second quartiles of social embeddedness were 5.67 and 4.93, respectively, and the aOR associated with the lowest quartile of social support was 6.29. A mediating role of depression was discovered when depressive symptoms were entered into the logistic regression models. Conclusions Our findings indicate that social environment factors including deficits in family functioning and social support are associated strongly with suicide attempts among low-income African American men and women seeking treatment in a large, urban hospital. Thus, better family functioning and social supports can be considered protective factors in this population. The presence of depressive symptoms, a well-known risk factor for suicide attempts and suicide, appears to mediate the association between social environment factors and suicide attempt.  相似文献
9.

Background

The study investigates whether adolescents referred to specialty mental health services from local services differ from adolescents who only have received help for psychiatric problems locally. If so, which factors associate strongest with referral?

Method

Adolescents (n = 76) from an adolescent population sample (N = 2,538) who had received help during the last year for mental problems from local services were compared to a clinical sample of adolescents (N = 129) referred to specialty mental health services from such local services. Comparisons were made according to scores on the Youth Self-Report (YSR); depressive symptoms; family functioning; attachment to parents; self-concept; coping styles; response styles; dysfunctional attitudes; negative life events; daily hassles; socio-demographics.

Results

As compared to adolescents receiving help locally, adolescents in specialty mental health care scored higher on YSR internalising syndrome; YSR attention problems; YSR thought problems; suicidality; psychosocial stressors; knowing someone who had attempted suicide; parental divorce; substance use; recent moves; living in lodgings; lost a pal or boy/girlfriend; and lower on attachment to parents. Multivariate logistic regression analysis identified four factors associated with receiving specialty mental health care: low family functioning; moved previous year; knowing someone who had attempted suicide; own suicidality.

Conclusions

Family functioning as reported by the adolescents, and not mental health problems except for suicidality, was found to be the strongest associated with referral to specialty mental health services. Contrary to findings from many other studies, referral was associated with internalising problems, not externalising ones.  相似文献
10.
目的 探讨脑梗死病人社会支持及家庭功能对治疗依从性的影响.方法 选取2013年1月至2015年1月收治的脑梗死病人116例,采用Morisky服药依从性量表-8(MMAS-8)评估病人的治疗依从性,采用社会支持评定量表(SSRS)评估病人的社会支持情况,采用APGAR家庭功能评估表评估病人的家庭功能情况.采用多元线性回归分析评价社会支持及家庭功能对脑梗死病人治疗依从性的影响.结果 所有病人均能完成调查,MMAS-8评分(7.1±1.0)分,其中依从性良好56例(48.3%),依从性一般32例(27.6%),依从性差28例(24.1%);多元线性回归分析结果显示,家庭人均月收入、病程、主观支持、情感度、亲密度、合作度是影响病人治疗依从性的重要因素.结论 脑梗死病人的治疗依从性与社会支持度和家庭功能状况息息相关,护理人员应当做好相关干预,提高病人的家庭、社会支持度,改善病人治疗依从性,进而改善病人预后和生活质量.  相似文献
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