Family Environment Scale-Chinese Version Research Articles

The impact of the coronavirus disease 2019 pandemic on abortion access and pre-abortion mental health in Shanghai.

To understand the barriers to abortion in Shanghai during the COVID-19 pandemic, and to compare pre-abortion mental health status before and during the crisis. In this case-control study, two groups of women seeking abortion (age ≥18 years, pregnancy duration <98 days) were recruited from March to September, 2021 (n= 1070) and from February to April 2022 (n= 625). The evaluation included COVID-19-related abortion stress questions, the Symptom Checklist-90 Revised questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Family Environment Scale Chinese version. The researchers conducted interviews and collected questionnaires. The median pregnancy duration at abortion among women during the pandemic was 65 days, compared with 51 days in the pre-pandemic group (P< 0.001). Anxiety and depression symptoms increased during the crisis (P< 0.001). Sleep disturbances were more common. Higher PSQI scores were related to increased anxiety and depression symptoms. A more negative family climate was described during the pandemic. During the COVID-19 pandemic, abortion access was delayed and pre-abortion mental disorders increased. More attention should be paid to the mental health of women seeking abortions, and innovations should be promoted to ensure abortion services without delay.

The impact of family environment on the life satisfaction among young adults with personality as a mediator

• The family environment has a predictive effect on life satisfaction. • Personality is an intermediary between family environment and life satisfaction. • The family environment cultivates an adolescent’s personality. The study aimed to investigate the effects of family environment and personality on the life satisfaction of young adults. The Satisfaction with Life Scale (SWLS), the Eysenck Personality Questionnaire (EPQ), and the Family Environment Scale Chinese Version (FES-CV-SV) were completed by 1749 Chinese young adults (M age = 19.88 years, SD = 1.63). The survey results showed that family cohesion had a positive effect on life satisfaction, and family conflict had a negative effect on life satisfaction. Family cohesion and conflict had a significant indirect effect on life satisfaction through the two dimensions of personality extraversion and neuroticism. Therefore, improving the family environment and the relationship between members can improve young adults’ life satisfaction and enhance their happiness experience.

Impact of the Family Environment on the Emotional State of Medical Staff During the COVID-19 Outbreak: The Mediating Effect of Self-Efficacy.

During the outbreak of the coronavirus disease 2019 (COVID-19), the medical staff was facing severe work pressure, which led to a negative emotional state. The purpose of this study was to explore the relationship between the family environment and the emotional state of the medical staff members during the COVID-19 outbreak. Due to the importance of self-efficacy in regulating mental health, the mediating role of self-efficacy in the association between family environment and emotional state was also explored. A cross-sectional survey was performed, using an online questionnaire, on 645 medical staff who participated in the epidemic prevention and control tasks during the COVID-19 outbreak in Beijing. Family environment, self-efficacy, anxiety, and depressive symptoms were measured by the Family Environment Scale-Chinese Version (FES-CV), the General Self-Efficacy Scale (GSES), the Generalized Anxiety Disorder Scale-7 (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9), respectively. Correlation analysis and mediating effect analysis were used to explore the relationships between them. First, a higher prevalence of anxiety (39%) and depressive (33%) symptoms were confirmed among the medical staff. Second, the symptoms of anxiety and depression were negatively correlated with the dimensions of cohesion and expressiveness and positively correlated with the dimensions of conflict in the FES-CV scale. Third, self-efficacy significantly mediated the association between the family environment and anxiety symptoms (P < 0.001) as well as the family environment and depressive symptoms (P < 0.001). These findings show that a negative family environment was the main predictor of symptoms of anxiety and depression in the medical staff during the COVID-19 outbreak. Furthermore, we found that self-efficacy played a critical mediating role between the family environment and the symptoms of anxiety and depression. Our study also indicates that improvements in the family environment benefit the mental health care of the medical staff, and high self-efficacy enhances this effect.

Psychiatric referral is required in children with vaginal foreign body injury: A case-control study from China

PurposeThe rate of vaginal foreign body (VFB) injury has been increasing in recent years. VFB will cause vaginal inflammation, injury and negative psychological impacts in girls. Our study aimed to elucidate the need of psychological referral in children with VFB. Design and methodsA case-control study was performed. A total of 67 girls who visited the clinic due to vaginal foreign bodies were recruited. A questionnaire and Family environment scale-Chinese version (FES-CV) and social anxiety scale for children-Chinese version (SASC-CV) were completed by parents and children. Demographic information, parenting pattern, girls' social anxiety status, and their daily life trajectory and outdoor activities were collected. ResultsThe mean age of the 67 girls with VFB was 6.6 ± 2.1 years with a range of 2 years10 months-13 years. The 72 girls of the control group were age-matched with the patients. Scorings in two subscales of FES-CV including family cohesion, emotion expression were significantly lower in the VFB group than those in the control group (7.2 ± 2.4 vs. 7.9 ± 1.7, p < 0.05; 5.2 ± 1.6 vs. 6.5 ± 1.3, p < 0.001). Social anxiety level was higher in the VFB group comparing with the control group. Shorter time of outdoor activities (t = 3.205, p = 0.002) and significantly longer screen time were in the VFB group (t = 5.74, p < 0.001). Conclusions and implicationsThe occurrence of VFB was associated with parenting patterns and social anxiety level. Psychiatric referral is required in children with VFB.

The mediating role of family cohesion between family expressiveness and preschool children's behavior

Objective To explore the mediating role of family cohesion between family expressiveness and preschool children's behavior. Methods Using the method of stratified cluster random sampling, the parents of 1 213 children in Shenzhen kindergartens were assessed by the Achenbach child behavior checklist (parent questionnaire) (CBCL, 4-16 years) and family environment scale-Chinese version (FES-CV). After the survey, SPSS 24.0 was used to conduct the data analysis and the Bootstrap method was used to test the mediation effect. Results (1)The total score of children's behavior 147.0(135.0, 163.0) was found to be significantly negatively correlated with family expressiveness score 6.0 (5.0, 7.0) and family cohesion score 8.0 (6.0, 9.0), and the correlation coefficients were -0.145 and -0.187(both P<0.01). (2) Family expressiveness score was positively related to family cohesion score (r=0.443, P<0.01). (3)The direct effect of family expressiveness on children's behavior was -0.072, and the 95% confidence interval was (-0.133, -0.010). Family cohesion had a mediating effect between family expressiveness and children's behavior, 95% confidence interval was (-0.129, -0.058), and the mediating effect accounted for 56.4% of the total effect. Conclusion Family cohesion plays a partial mediating role between family expressiveness and children's behavior. Key words: Preschool children’s behavior; Family expressiveness; Family cohesion; Mediating role

Behavioral problems, self-awareness and family factors in children with simple obese

Objective To investigate the the association between psychological behavior and self-awareness of obese children and family factors, in order to provide scientific basis for clinical intervention in obese children. Methods Fifty children with obesity(obesity group) and fifty healthy children(control group) were included in the study.All children were evaluated with the Achenbach Child Behavior Checklist(CBCL), Piers-Harris Child's self-concept Scale(PHCSS), Family Environment Scale-Chinese Version (FES-CV) and Egma Minnen av Bardndosnauppforstran(EMBU). Moreover, correlation analysis was applied in the study to explore family factors affecting behavioral problems and self-awareness of obese children. Results Compared with control group, significant higher ratio of abnormal behaviors was found in children with obesity (P<0.05). FES-CV showed that the degree of expressiveness((3.16±1.93), (4.65±1.02)), intellectual-cultural orientation((5.31±1.28), (6.10±1.83)) and active-recreational((2.78±1.36), (4.84±1.72)) were lower than control group, and the degree of family conflict((4.11±1.45), (3.32±1.27)) and control((6.42±1.37), (5.09±1.65)) were higher in children with obesity (P<0.05). Moreover, EMBU showed that emotional warmth score was significantly lower in obese group than that in control group(P<0.01), and the scores of parent's rejection, father's severity, parent's over-interference, and mother's over-protection were significantly higher than the scores in control group(P<0.05). In obese group, the correlation analyses showed a negative association between social withdrawal in children's behavioral problems and family expressiveness (r=-0.62, P<0.01), and a positive association between aggressivity and family conflict (r=0.39, P<0.05). There was a positive correlation between internalizing behavioral problems and mother's over-protection and over-interference(r=0.60, P<0.01). Low self-awareness was positive associated with parent's rejection and father's severity(r=0.46, 0.51, 0.44 respectively, P<0.05). Conclusion A significant higher risk of abnormal psychological behaviors and low self-concept can be found in children with obesity, which can closely related to family factors. Key words: Children; Obesity; Psychological behavior; Self-awareness; Family factors.

Influence of home environment and social characteristics on breast feeding selection among hepatitis B virus carrying pregnant women

Objective To investigate the home environment and social characteristics among hepatitis B virus (HBV) carrying pregnant women and to analyze their influence on breast feeding selection. Methods From January 2016 to December 2016, we selected 77 HBV carrying delivery women with hospital delivery of the First Affiliated Hospital of Zhengzhou University by convenient chester sampling. All of them were divided into the group of breast feeding (n=31) and the group of non-breast feeding (n=46) according to whether to select breast feeding after delivery. Home environment and social characteristics of delivery women were assessed with the Family Environment Scale-Chinese Version (FES-CV) and we analyzed the influence factors of breast feeding. Results Among HBV carrying pregnant women, the scores of 10 aspects of FES-CV ranged from low to high including achievement orientation (3.16±1.14) , active-recreational orientation (3.29±1.19) , intellectual-cultural orientation (3.72±1.16) , conflict (4.47±1.45) , expressiveness (4.94±1.59) , cohesion (5.11±1.49) , independence (5.17±1.73) , organization (5.47±1.76) , control (5.92±2.05) , ethics (6.70±2.18) . The scores of cohesion, independence, achievement orientation, intellectual-cultural orientation and active-recreational orientation of group of breast feeding were higher than those of group of non-breast feeding (t=7.066, 6.193, 8.342, 7.302, 8.903; P 0.05) . Conclusions HBV carrying pregnant women still face with the high level of family and social pressure. HBV carrying pregnant women without breast feeding are with the low level of cohesion, independence, achievement orientation, intellectual-cultural orientation, active-recreational orientation and high conflict of home environment and social characteristics. Key words: Hepatitis B virus; Pregnant women; Home environment; Social characteristics; Breast feeding

Effect of family environment in childhood and adolescence on mental health in adulthood

Objective: To explore the relationship of family environment in childhood and adolescence and mental health in adulthood. Methods: A total of 791 subjects aged ≥25 years were selected through the Chinese National Twin Registry (CNTR). The short-form of Family Environment Scale-Chinese Version (FES-CV) was used to evaluate the family environment during childhood and adolescence in three dimensions: relationship, system maintenance and personal growth. The mental health status in adulthood was assessed with the Chinese version of 6-item Kessler Psychological Distress Scale (K6). The generalized linear mixed model was used to examine their relationship. Results: About 4.6% of the subjects reported general or worse mental health status. Compared with the subjects with good mental status, statistical difference was observed only in parenting way among twins (living together or not). After adjusting the potential confounders, such as age, sex, zygosity, education and lifestyle (smoking, drinking and physical activity), good family relationship and system maintenance had a positive effect on mental health, with the OR (95%CI) of 0.66 (0.51-0.87) and 0.70 (0.50-0.98) respectively. Furthermore, parenting way did not modify the effect of family environment on mental health status in adulthood (interaction: P>0.05). In each scale, scores of cohesion and organization were positively correlated with mental health, while the score of conflict was negatively correlated with the mental health. Conclusion: Good family relationship and system maintenance in childhood and adolescence had a positive impact on mental health in adulthood.

The roles of family environment, parental rearing styles and personality traits in the development of delinquency in Chinese youth

Background: Youth delinquency is a major public health problem worldwide. The family environment, parental rearing styles, and personality traits have been demonstrated to be important factors in juvenile delinquency. This study investigated the family environment, parental rearing styles, and personality traits in Chinese juvenile offenders.Methods: A total of 290 juvenile offenders and 188 juvenile controls, who had no delinquency record, between 12 and 25 years of age completed: a Family Environment Scale-Chinese Version (FES-CV), a Family Upbringing Styles questionnaire (FUSQ), a Big Five-factor Inventory (FFI-R), and, a Barrett Impulsiveness Scale (BIS-11).Results: Cohesion, expressiveness, and active-recreational orientation scores were significantly higher, and conflict, achievement orientation, and moral-religious emphasis scores were significantly lower in offenders than in controls (p < 0.05, p < 0.01, p < 0.001). Scores along all 10 FUSQ dimensions were significantly lower in offenders than that in controls (p < 0.001). Openness and agreeableness scores were significantly lower, while impulsivity scores were significantly higher in offenders than that in controls (p < 0.001).Conclusion: Family environments, parental rearing styles, and personality traits affected the development of young delinquency.

The Role of Family Environment in Depressive Symptoms among University Students: A Large Sample Survey in China

ObjectiveTo explore the relationship between family environment and depressive symptoms and to evaluate the influence of hard and soft family environmental factors on depression levels in a large sample of university students in China.MethodsA multi-stage stratified sampling procedure was used to select 6,000 participants. The response rate was 88.8%, with 5,329 students completing the Beck Depression Inventory (BDI) and the Family Environment Scale Chinese Version (FES-CV), which was adapted for the Chinese population. Differences between the groups were tested for significance by the Student’s t-test; ANOVA was used to test continuous variables. The relationship between soft family environmental factors and BDI were tested by Pearson correlation analysis. Hierarchical linear regression analysis was conducted to model the effects of hard environmental factors and soft environmental factors on depression in university students.ResultsA total of 11.8% of students scored above the threshold of moderate depression(BDI≧14). Hard family environmental factors such as parent relationship, family economic status, level of parental literacy and non-intact family structure were associated with depressive symptoms. The soft family environmental factors—conflict and control—were positively associated with depression, while cohesion was negatively related to depressive symptom after controlling for other important associates of depression. Hierarchical regression analysis indicated that the soft family environment correlates more strongly with depression than the hard family environment.ConclusionsSoft family environmental factors—especially cohesion, conflict and control—appeared to play an important role in the occurrence of depressive symptoms. These findings underline the significance of the family environment as a source of risk factors for depression among university students in China and suggest that family-based interventions and improvement are very important to reduce depression among university students.

Comparisons of family environment between homeless and non-homeless individuals with schizophrenia in Xiangtan, Hunan.

BackgroundHomelessness is an increasingly important problem for individuals with serious mental illness in China.AimIdentify the characteristics of families that are associated with homelessness among individuals with schizophrenia.MethodsParticipants were 1856 homeless individuals with schizophrenia (defined as those who had no place of residence or involved caregivers for 7 consecutive days) and 1728 non-homeless individuals with schizophrenia from Xiangtan, Hunan. The self-completion Family Environment Scale-Chinese Version (FES-CV) was administered to these participants after their acute psychotic symptoms resolved.ResultsCompared to individuals in the non-homeless group, those in the homeless group were older and more likely to be non-locals (i.e., from outside of Xiangtan), be residents of rural (versus urban) communities, have temporary (versus permanent) jobs, be married, and have a low level of education. After controlling for demographic differences using multivariate logistic regression models, homelessness was independently associated higher scores in the FES-CV intellectual-cultural orientation, organization, achievement orientation, and control subscales and with lower scores in the FES-CV cohesion, moralreligious emphasis, independence, and active-recreational orientation subscales.ConclusionAfter controlling for sociodemographic factors, certain aspects of the family environment areassociated with being homeless among patients with schizophrenia in China. Further work is needed to identify interventions that can reduce the risk of homelessness in high-risk individuals.

Comparative Analysis on Family Environment Factors in Children with Asthma and Healthy Children

The impact of family environmental factors on children with asthma was studied by comparatively analyzing effects of family environmental factors on children with asthma and healthy children to provide a feasible basis for the psychological care. Family Environment Scale Chinese Version (FES-CV) was used conduct a questionnaire on the family environment of 40 children with asthma and 40 healthy children. Scores of the cohesion, emotional expression, successness, entertainment and organization of children in the asthma group were significantly lower than those in the control group, while scores of contradiction were higher than those in the control group. A relatively poor family environment could affect more in children with asthma compared with healthy children, suggesting that that more attention should be paid to the improvement of children’s families and a proper targeted psychological intervention should be given to the children.

Parental emotional warmth and career decision-making difficulties: A model of intellectual-cultural orientation and conscientiousness

We used a mediation model and an integrated, moderated mediation model to examine the effects of parental emotional warmth, intellectual-cultural orientation in family factors, and conscientiousness on the career decision-making difficulties of Chinese college students. We tested 1,196 undergraduate students by employing the conscientiousness subscale of the Chinese version of the Revised NEO Personality Inventory (NEO-PI-R), the Career Decision-making Difficulties Questionnaire (CDDQ), the revised Chinese version of the Egna Minnen av Barndoms Uppfostran scale (EMBU), and the Family Environment Scale–Chinese Version (FES-CV). Our results showed that, in the mediation model, parental emotional warmth had an indirect effect on college students' career decision-making difficulties through the mediation of conscientiousness. In the integrated model, this indirect effect was moderated by an intellectual-cultural orientated family environment.

Influence of narrative therapy on the family environment and values in adolescents with emotional disorder

Objective To explore the effect of narrative therapy on family environment and values in adolescents with emotional disorder. Methods 35 adolescents with emotional disorder and their parents from Affiliated Brain Hospital, Nanjing Medical University were enrolled and treated by narrative therapy. Family environment was assessed using Family Environment Scale-Chinese Version (FES-CV)and was compared between pre-and post-therapy. Results 28 adolescents with emotional disorder and their parents completed therapy . The cohesion, independence, intellectual orientation, active-recreation orientation and organization in FES-CV showed higher scores at post-therapy than at pre-therapy((6.89±2.56)vs.(4.21±3.21); (5.54±1.35)vs.(4.68±1.51); (4.75±2.07)vs.(3.50±2.12); (4.07±2.65)vs.(2.50±2.32); (3.68±1.77)vs. (2.50±1.62)respectively). The contradict in FES-CV showed lower scores at post-therapy than at pre-therapy((2.75±2.44) vs (5.25±2.50)). The values of adolescents with emotional disorder and their parents had a positive change after narrative therapy. Conclusion Narrative therapy is effective on the positive change of FES-CV and values of adolescents with emotional disorder and their parents. Key words: Narrative therapy; Emotional disorder; Adolescents; Family environment; Value

Influencing factorial analysis of the relapse of alcohol dependence

Objective To investigate environmental factors of the relapse of alcohol dependence. Methods One hundred and seventeen in-patients with alcohol dependence were assessed with a home-designed questionnaire, Family Environment Scale Chinese Version (FES-CV), Clinic Institute Alcohol Withdrawal Syndrome Scale Chinese Version(CIWA-Ar) and the Scale of Personality Change Post-Traumatic Brain Injury(SPCPTBI). One hundred and five patients reassessed with alcohol dependence syndrome diagnostic criteria 1 year after hospitalization.t-test, chi-square and logistic regression were used for analysis. Results 57 of 105 were relapse and 48 of them were not relapse. The results showed that relapse group had a higher divorce or separated or remarried rate(21/36) than the no-relapse one (7/41) ( chi-square = 6.60, P=0.010); a less number of years of education(5.2±1.8 vs 7.2±1.7, t=5.64, P=0.000); a bigger daily drinking((512 ±186)ml vs (396 ±109)ml, t=3.93, P=0.000); a higher drinking frequency in relapse group((2.6±0.9) vs (1.8±0.6)times, t=5.38, P=0.000); a higher rates in personality change(47/57 vs 15/48), brain damages (27/57 vs 13/48) and mood disorders (35/57 vs 17/48), They also showed that relapse group had more problems on intimate degree (5.66±1.40 vs 6.20±1.20) , emotional expression (4.59±1.54 vs 5.41±1.26, independence(3.61±1.29 vs 4.64±1.49), organization(4.26±1.56 vs 5.22±1.18), and self-controlling(4.21±1.43 vs 5.12±1.12), the differences were significant (P<0.05); a higher contradiction score(4.35±1.73 vs 3.64±1.22, t=2.42, P=0.017). Logistic regression analysis showed that the number of daily drinking , intelligent damaged, emotional problems, and dependence were the risk factors for the alcoholic relapse(OR=7.44, 3.99, 3.92, 2.96); Self-controlling was the protective factors for the alcoholic relapse (OR=0.19). Conclusion Problem marital status, less education , and heavy drinking , and the number of drinking times, personality change, intellectual impairment and mood change, and poor family environment were the risk factors for the relapse of alcohol dependence. Key words: Alcohol dependence; Abstinence; Relapse rate; Risk factor

Study of integrated intervention on adolescents with learning difficulties

Objective To establish an integrated intervention model by individual,group,and family counselling in order to better help those with learning difficulties by analyzing a group of sample students who came to the adolescent counseling center with learning difficulties as their chief complaints.Methods 158 adolescents who met the diagnosing criteria of LD participated a 6 months integrated intervention program.Before and after the intervention program,Family Environment Scale Chinese version(FES-CV),Symptom Check-hst(SCL-90),YG Personality Scale,AAT and academic performance were used to assess.Results After integrated ihtervention,students' academic performance improved in Chinese,mathematics,English;12% students significantly improved since by 7%～12%,69% improved since by 1%～6%,self-rating scale measuring psychological statues depression scores decreased from(2.25±0.72)to(1.94±0.67)(t=4.22,P＜0.001),anxiety scores from(2.06±0.53)to(1.82±0.51)(t=4.22,P＜0.001)and learning adaptability also improved as learning motivation increased from(65.15±14.20)to(71.09±15.46)(t=2.32,P＜0.05),learning methods increased from (32.74±6.02)to(35.68±7.56)(t=3.73 P＜0.01).Conclusion The integrated intervention model is an effective model for the management of learning difficulties. Key words: Intervention ; learning disorder ; Family environment ; Personality ;

Study on depression, anxiety, coping style and family environment in healthy pregnant women

Objective To study the relationship between depression,anxiety,coping style and family environment in healthy pregnant women.Methods 96 healthy pregnant women were selected randomly from the obstetrical ward of Affiliated Hospital of Nantong University.They were assessed using self-compile common state questionnaire,Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Coping Style Questionnaire (CSQ)and Family Environment Scale-Chinese version(FES-CV).Results Among 96 healthy pregnant women who correctly finished the test-papers,the positive rates of SDS and SAS were 31.25%and 10.42%respectively.The severity of depression Was negatively related to family cohesion,expressiveness and problem-solving(standard regression coefficients were 3.766,0.786 and 0.637 respectively),and was positively related to independence,withdrawal,self-accusation and contradictoriness(standard regression coefficiems were 0.535,0.506,1.498 and 0.516 respectively).The severity of anxiety was negatively related to family cohesion,solving-problem,expressiveness(standard regression coefficients were 3.053,0.515 and 0.73 respectively),and was positively related to contradictoriness,self-accusation and withdrawal(standard regression coefficients were 0.841,0.418 and 0.393 respectively).Conclusion Some pregnant women have depression and anxiety mood.It has some relations with their coping style and family environment. Key words: Healthy pregnant women; Cross-sectional study; Depression; Anxiety; Coping style; Family environment

A comparative study of risk factors associated with domestic violence of mental patient

目的 探讨精神疾病患者家庭暴力行为相关因素,为家庭暴力的预测和干预研究积累资料和进行方法学的准备.方法对38例具有家庭暴力行为和40例无家庭暴力行为的两组精神疾病患者,应用人口学资料、既往史调查表、家庭暴力行为调查表、简明精神病评定量表(BPRS)、明尼苏达多相人格调查表(MMPI)、人格诊断问卷第4版(PDQ4+)、早年(18岁以前)不良家庭环境问卷、家庭环境量表-中文版(FES-CV)进行对照研究.结果 (1)研究组的BPRS总分[(51.29±11.03)分]、敌意猜测[(4.00±1.77)分]、焦虑抑郁[(3.76±2.14)分];MMPI测试中的F[(64.86±11.28)分]、D[(64.04±8.81)分]、Hs[(66.91±8.79)分]、Hy[(64.25±11.15)分]、Pa[(66.30±11.22)分];PDQ4+的测定中的偏执型[(4.55±1.33)分]、依赖型[(4.37±1.73)分]、被动攻击型[(4.29±1.69)分]、抑郁型[(4.66±1.38)分]人格障碍;家庭环境量表的亲密度[(6.97±1.88)分]、情感表达[(5.66±1.51)分]、娱乐性[(5.61±1.82)分]、组织性[(6.40±1.59)分]方面与对照组有显著性差异(P＜0.05).(2)经Logistic回归分析结果显示攻击行为史[(2.63±0.52)分]、MMPI的D[(0.13±0.04)分]、Pa[(0.06±0.02)分]高分和BPRS的总分[(0.24±0.06)分]、敌对猜疑[(0.72±0.19)分]、焦虑抑郁[(0.55±0.17)分]因子高分及早年遭受父母虐待[(-4.14±1.42)分]、家庭结构不完整[(1.79±0.80)分]以及家庭环境量表中亲密度(0.48±0.16)低分、PDQ4+抑郁型(-1.47±0.47)高分可作为精神病患者家庭暴力行为的预测因子.结论心理社会因素、病理性人格和精神病理症状是精神病患者家庭暴力行为的始动因素,可作为家庭暴力行为的预测因子和指导干预的方向。

Family environment behavior learning adaptability in children with learning disorders

目的 探讨学习困难(LD)儿童与家庭环境、行为特点及学习适应性的相关性.方法选用家庭环境量表中文版(FES-CV)、Achenbach儿童行为量表(CBCL)、小学生学习适应量表(AAT)分别对160名学习困难的儿童及120名正常儿童进行评定.结果 LD组儿童的家庭在亲密度(7.28±1.54 vs 7.93±1.21)、情感表达(5.81±1.62 vs 6.42±1.43)、知识性(5.29±1.74 vs 5.77±1.86)的评分低于对照组(P ＜0.05),而矛盾性(2.78±1.71 vs 2.33±1.52)则高于对照组(P ＜0.05).LD组儿童在小学生学习适应性量表评定中学习动机(68.24±15.31 vs 74.32±19.62)、学习期望(69.33±16.24 vs 76.43±18.77)、意志力(49.85±7.71 vs 54.81±10.37)、学习方法(36.71±6.74 vs 41.43±6.56)及家庭环境(72.41±18.47 vs 81.82±19.71)上评分显著低于对照组(P ＜0.05).Logistic逐步回归分析得出,学习困难与学习方法、学习期望、多动违纪、家庭知识性及性别有关.结论 LD儿童处在相对不良的家庭环境,儿童的行为特点及学习适应性与学习困难密切相关。