父母养育方式与阅读障碍儿童情绪行为问题的关联

尹菲菲; 张静; 钟琳; 李丹; 肖欣雨; 左彭湘

doi:10.16835/j.cnki.1000-9817.2024208

父母养育方式与阅读障碍儿童情绪行为问题的关联

doi: 10.16835/j.cnki.1000-9817.2024208

石河子大学医学院，新疆 832000

基金项目: 新疆生产建设兵团研究生教育创新计划项目

详细信息

作者简介:
尹菲菲(1999-)，女，四川达州人，在读硕士，主要研究方向为临床护理及儿童发展性阅读障碍

通讯作者:
左彭湘，E-mail: zuo_pengxiang@sina.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 B844.1 G78 Q427
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出版历程
- 收稿日期: 2023-12-24
- 修回日期: 2024-04-17
- 网络出版日期: 2024-07-27
- 刊出日期: 2024-07-25

Relationship between parenting style and emotional behavior problems in children with development dyslexia

Medical College of Shihezi University, Shihezi (832000), Xinjiang Uygur Autonomous Region, China

摘要

摘要: 目的探讨父母养育方式与阅读障碍(DD)儿童情绪行为问题的关联，为开展相应的家庭支持和干预提供参考。方法 2023年6—9月，采用随机整群抽样法从新疆某地区4所小学的三~六年级学生中筛选出符合条件的DD组儿童和年龄、性别匹配的正常对照组儿童各201名，进行父母养育方式量表儿童版和长处与困难量表调查。采用χ²检验和Wicoxon秩和检验比较两组儿童父母养育方式和儿童情绪行为问题发生情况，采用广义线性回归分析父母养育方式与儿童情绪行为问题的关联性。结果 DD组儿童情绪行为问题的检出率为45.77%，正常对照组儿童为15.42%。DD组和正常对照组儿童父/母在情感温暖、抚养焦虑和过度保护方面的养育方式差异均有统计学意义(Z值分别为4.02，29.03；4.94，26.32；23.47，5.30，P值均 < 0.05)。广义线性回归分析显示，DD组儿童父亲情感温暖与情绪症状、多动、同伴交往问题和亲社会行为均呈正相关(β值分别为0.08，0.05，0.05，0.09)，DD组儿童母亲情感温暖与情绪症状、品行问题、多动和同伴交往问题均呈负相关(β值分别为-0.18，-0.08，-0.07，-0.08)(P值均 < 0.05)。结论父母养育方式是DD儿童情绪行为问题的重要相关因素，改善父母的养育方式可减少DD儿童情绪行为问题的发生。
- 法定监护人 /
- 教育 /
- 阅读障碍 /
- 情绪 /
- 精神卫生 /
- 儿童
Abstract: Objective To explore the relationship between parenting style and emotional behavior problems in children with development dyslexia (DD), so as to provide reference for family support and intervention measures. Methods From June to September 2023, 201 children in DD group and typically developing matched by age and sex were selected from the students in grades 3-6 of 4 primary schools in a district of Xinjiang by random cluster sampling method. The Children's Version of the Parenting Style Scale and the Strength and Difficulty Scale were administered, and the occurrence of children's emotional behavior problems and parentingstyles in the two groups were compared by Chi-square test and Wicoxon rank sum test. The correlation between parents' parenting styles and children's emotional behavior problems was analyzed by generalized linear regression. Results The detection rates of emotional behavior problems were 45.77% in DD group and 15.42% in normal control children group. The differences in parenting styles between fathers and mothers of the DD group and the normal control group were statistically significant in terms of emotional warmth, parenting anxiety, and overprotection (Z=4.02, 29.03; 4.94, 26.32; 23.47, 5.30, P < 0.05). Generalized linear regression analysis showed that father affective warmth was positively correlated with emotional symptoms, hyperactivity, peer interaction problems and prosocial behaviors (β=0.08, 0.05, 0.05, 0.09, P < 0.05). The emotional warmth of mothers in DD group was negatively correlated with emotional symptoms, conduct problems, hyperactivity and peer interaction problems (β=-0.18, -0.08, -0.07, -0.08, P < 0.05). Conclusions Parenting style is an important factor affecting the emotional behavior problems of DD children. Improving parenting style can reduce the occurrence of emotional behavior problems of DD children.
- Legal guardians /
- Education /
- Dyslexia /
- Emotions /
- Mental health /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 DD组与对照组儿童情绪行为问题检出率比较

Table 1. Comparison of the detection rate of emotional behavior problems between DD group and control children group

组别	人数	多动	品行问题	情绪症状	亲社会行为	同伴交往问题	总分
DD组	201	66(32.84)	43(21.39)	42(20.90)	39(19.40)	32(15.92)	92(45.77)
对照组	201	39(19.40)	23(11.44)	14(6.97)	22(10.95)	13(6.47)	31(15.42)
χ²值		9.40	7.25	16.27	5.59	9.03	43.59
P值		< 0.01	< 0.01	< 0.01	0.02	< 0.01	< 0.01
注： ()内数字为检出率/%。

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表 2 DD组与对照组儿童父母养育方式得分比较[M(P₂₅，P₇₅)]

Table 2. Comparison of parenting styles between DD group and control children group[M(P₂₅, P₇₅)]

组别	人数	父亲情感温暖	父亲抚养焦虑	父亲冷漠拒绝	父亲过度保护	父亲教养方式总分
DD组	201	38.0(25.0, 42.0)	26.0(21.0, 34.5)	14.0(9.0, 22.0)	17.0(16.0, 17.0)	87.0(75.0, 95.0)
对照组	201	40.0(34.0, 43.0)	28.0(3.0, 34.0)	11.0(9.0, 13.5)	13.0(12.0, 19.5)	97.0(87.0, 105.0)
Z值		4.02	4.94	12.94	23.47	49.32
P值		< 0.05	0.03	< 0.01	< 0.01	< 0.01

组别	人数	母亲情感温暖	母亲抚养焦虑	母亲冷漠拒绝	母亲过度保护	母亲教养方式总分
DD组	201	32.0(28.0, 40.0)	38.0(32.0, 43.0)	12.0(5.5, 18.0)	15.0(13.0, 18.0)	104.0(93.0, 111.5)
对照组	201	40.0(34.0, 45.0)	34.0(21.0, 39.5)	10.0(9.0, 14.0)	15.0(10.0, 16.0)	101.0(90.0, 109.0)
Z值		29.03	26.32	2.10	5.30	4.78
P值		< 0.01	< 0.01	0.15	0.02	0.03

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表 3 父母教养方式与DD组儿童情绪行为问题的关联[β值(95%CI)，n=201]

Table 3. Association between parenting styles and emotional behavior problems in DD children group [β(95%CI), n=201]

教养方式	情绪症状	品行问题	多动	同伴交往问题	亲社会行为
父亲情感温暖	0.08(0.03~0.13)^*	0.04(-0.01~0.09)	0.05(0.01~0.09)^*	0.05(0.01~0.11)^*	0.09(0.03~0.15)^**
父亲抚养焦虑	0.09(0.05~0.12)^**	0.01(-0.03~0.04)	0.01(-0.03~0.04)	-0.01(-0.04~0.03)	0.03(-0.02~0.07)
父亲冷漠拒绝	-0.05(-0.08~-0.01)^*	0.06(0.02~0.10)^**	0.01(-0.03~0.05)	0.02(-0.02~0.06)	-0.01(-0.06~0.04)
父亲过度保护	-0.07(-0.15~0.01)	-0.01(-0.10~0.07)	-0.17(-0.25~-0.09)^**	-0.12(-0.21~-0.03)^*	-0.03(-0.14~0.07)
母亲情感温暖	-0.18(-0.23~-0.13)^**	-0.08(-0.13~-0.02)^**	-0.07(-0.12~-0.02)^**	-0.08(-0.13~-0.02)^**	-0.01(-0.08~0.05)
母亲抚养焦虑	-0.01(-0.04~0.02)	-0.04(-0.08~-0.01)^*	-0.01(-0.04~0.02)	0.01(-0.02~0.05)	-0.04(-0.08~0.01)
母亲冷漠拒绝	-0.01(-0.05~0.05)	-0.02(-0.07~0.03)	0.05(0.00~0.09)	0.11(0.06~0.16)^**	-0.02(-0.07~0.04)
母亲过度保护	-0.10(-0.17~-0.02)^*	-0.19(-0.27~-0.11)^**	-0.07(-0.15~0.00)	-0.06(-0.14~0.03)	0.18(0.09~0.28)^**
注： P < 0.05，*P < 0.01。

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表 4 父母教养方式与正常对照组儿童情绪行为问题的关联[β值(95%CI)，n=201]

Table 4. Association of parenting styles with emotional behavioral problems in normal control children group [β(95%CI), n=201]

教养方式	情绪症状	品行问题	多动	同伴交往问题	亲社会行为
父亲情感温暖	0.01(-0.06~0.07)	-0.05(-0.11~0.01)	0.01(-0.06~0.07)	0.02(-0.05~0.09)	0.13(0.04~0.22)^**
父亲抚养焦虑	0.02(0.01~0.03)^**	0.03(0.02~0.04)^**	0.01(0.00~0.03)	0.02(0.01~0.03)^*	-0.01(-0.03~0.01)
父亲冷漠拒绝	0.04(-0.05~0.12)	0.06(-0.03~0.14)	0.10(0.01~0.19)^*	0.15(0.05~0.24)^**	-0.04(-0.18~0.08)
父亲过度保护	-0.18(-0.28~-0.08)^**	-0.12(-0.22~-0.03)^*	-0.10(-0.20~0.00)	-0.15(-0.27~-0.04)^**	0.08(-0.06~0.22)
母亲情感温暖	0.01(-0.05~0.08)	0.10(0.04~0.16)^**	0.03(-0.04~0.09)	0.01(-0.07~0.07)	-0.02(-0.10~0.07)
母亲抚养焦虑	0.04(0.01~0.07)^**	-0.01(-0.03~0.03)	0.01(-0.02~0.04)	0.04(0.01~0.08)^*	0.04(-0.01~0.08)
母亲冷漠拒绝	0.15(0.10~0.21)^**	0.17(0.12~0.23)^**	0.12(0.06~0.18)^**	0.09(0.03~0.16)^**	-0.04(-0.12~0.04)
母亲过度保护	-0.02(-0.07~0.03)	-0.02(-0.07~0.03)	-0.04(-0.09~0.02)	0.01(-0.05~0.07)	0.11(0.04~0.18)^**
注： P < 0.05，*P < 0.01。

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参考文献(31)

[1]	钟鑫琪, 比沙拉, 胡晓云, 等. 发育性阅读障碍和注意缺陷多动可疑儿童的情绪行为问题[J]. 中国学校卫生, 2019, 40(10): 1460-1463. doi: 10.16835/j.cnki.1000-9817.2019.10.006 ZHONG X Q, BI S L, HU X Y, et al. Emotional behavior problems in children with developmental dyslexia and suspected attention deficit hyperactivity[J]. Chin J Sch Health, 2019, 40(10): 1460-1463. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.10.006
[2]	BONIFACCI P, MASSI L, PIGNATARO V, et al. Parenting stress and broader phenotype in parents of children with attention deficit hyperactivity disorder, dyslexia or typical development[J]. Int J Environ Res Public Health, 2019, 16(11): 1878. doi: 10.3390/ijerph16111878
[3]	唐淑婷, 刘芳芳, 邓柯高, 等. 汉语发展性阅读困难儿童复合词加工的事件相关电位研究[J]. 中国心理卫生杂志, 2022, 36(4): 347-353. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202204013.htm TANG S T, LIU F F, DENG K G, et al. An event-related potential study on compound word processing in Chinese children with developmental reading difficulties[J]. Chin Ment Health J, 2022, 36(4): 347-353. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202204013.htm
[4]	令闳元, 梁号. 多源流视域下美国阅读障碍教育法案议程设置研究[J]. 中国特殊教育, 2022, 5(2): 36-41. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ202205005.htm LING M Y, LIANG H. Research on the agenda setting of American dyslexia education act from the perspective of multiple streams[J]. Chin J Spec Educ, 2022, 5(2): 36-41. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ202205005.htm
[5]	邹丽, 孙健, 刘卓娅, 等. 小学生语言发育影响因素与汉语阅读障碍的关联[J]. 中国学校卫生, 2021, 42(12): 1903-1906, 1911. doi: 10.16835/j.cnki.1000-9817.2021.12.035 ZOU L, SUN J, LIU Z Y, et al. The relationship between primary school students' language development and Chinese dyslexia[J]. Chin J Sch Health, 2021, 42(12): 1903-1906, 1911. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.035
[6]	王馨, 陈嘉洁, 林力孜, 等. 父母养育方式与学龄孤独症谱系障碍儿童睡眠问题的关联[J]. 中国学校卫生, 2023, 44(2): 186-190. doi: 10.16835/j.cnki.1000-9817.2023.02.006 WANG X, CHEN J J, LIN L Z, et al. Association between parenting style and sleep problems in school-age children with autism spectrum disorders[J]. Chin J Sch Health, 2023, 44(2): 186-190. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.02.006
[7]	BURKE M D, BOON R T, HATTON H, et al. Reading interventions for middle and secondary students with emotional and behavioral disorders: a quantitative review of single-case studies[J]. Behav Modif, 2015, 39(1): 43-68. doi: 10.1177/0145445514547958
[8]	RODRIGUEZ C M. Parental discipline and abuse potential affects on child depression, anxiety, and attributions[J]. J Marriag Fam, 2003, 65(4): 809-817. doi: 10.1111/j.1741-3737.2003.00809.x
[9]	KIM I J, GE X, BRODY G H, et al. Parenting behaviors and the occurrence and co-occurrence of depressive symptoms and conduct problems among African American children[J]. J Fam Psychol, 2003, 17(4): 571. doi: 10.1037/0893-3200.17.4.571
[10]	静进, 海燕, 邓桂芬, 等. 学习障碍筛查量表的修订与评价[J]. 中华儿童保健杂志, 1998, 6(3): 197-200. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO199803041.htm JING J, HAI Y, DENG G F, et al. The revision and appraisal of the Pupil Rating Scale Revised-Screening for Learning Disabilities[J]. Chin J Child Health Care, 1998, 6(3): 197-200. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO199803041.htm
[11]	吴汉荣, 宋然然, 姚彬. 儿童汉语阅读障碍量表的信度效度分析[J]. 中国学校卫生, 2006, 27(6): 468-469, 471. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200606006.htm WU H R, SONG R R, YAO B. Reliability and validity analysis of Chinese Dyslexia Scale for Children[J]. Chin J Sch Health, 2006, 27(6): 468-469, 471. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200606006.htm
[12]	王孝玲, 陶保平. 小学生识字量测试题库及评价量表[M]. 上海: 上海教育出版社, 1996. WANG X L, TAO B P. Literacy Test question bank and evaluation scale for primary school students[M]. Shanghai: Shanghai Education Press, 1996. (in Chinese)
[13]	周晋波, 郭兰婷, 陈颖. 中文版注意缺陷多动障碍SNAP-Ⅳ评定量表—父母版的信效度[J]. 中国心理卫生杂志, 2013, 27(6): 424-428. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201306007.htm ZHOU J B, GUO L T, CHEN Y. Reliability and validity of the Chinese version of Swanson, Nolan, and Pelham Version Ⅳ Rating Scale-Parent Form for Attention-deficit/Hyperactivity Disorder[J]. Chin Ment Health J, 2013, 27(6): 424-428. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201306007.htm
[14]	赵瑾珠, 唐丽娜, 何天祎, 等. 韦氏幼儿智力量表第4版语言理解指数在孤独症谱系障碍儿童语言能力评估中的应用[J]. 中国实用儿科杂志, 2023, 38(1): 41-44, 57. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK202301007.htm ZHAO J Z, TANG L N, HE T Y, et al. Application of the language comprehension index of the Wechsler Early Childhood Intelligence Scale (Version 4) in the assessment of language ability in children with autism spectrum disorders[J]. Chin J Pract Pediatr, 2023, 38(1): 41-44, 57. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK202301007.htm
[15]	王久菊, 孟祥芝, 李虹, 等. 汉语发展性阅读障碍诊断与干预的专家意见[J]. 中国心理卫生杂志, 2023, 37(3): 185-191. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202303001.htm WANG J J, MENG X Z, LI H, et al. Expert opinion on diagnosis and intervention of Chinese developmental dyslexia[J]. Chin Ment Health J, 2023, 37(3): 185-191. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202303001.htm
[16]	新疆维吾尔自治区统计局. 新疆维吾尔自治区2022年国民经济和社会发展统计公报[EB/OL]. (2023-03-28)[2023-12-24]. https://www.xinjiang.gov.cn/xinjiang/tjgb/202303/a527e6eb22524c40bc7fca952a05710e.shtml. Xinjiang Uygur Autonomous Region Bureau of Statistics. Xinjiang Uygur Autonomous Region statistical bulletin on national economic and social development in 2022[EB/OL]. (2023-03-28)[2023-12-24]. https://www.xinjiang.gov.cn/xinjiang/tjgb/202303/a527e6eb22524c40bc7fca952a05710e.shtml. (in Chinese)
[17]	SWANSON J M, SCHUCK S, PORTER M M, et al. Categorical and dimensional definitions and evaluations of symptoms of ADHD: history of the SNAP and the SWAN rating scales[J]. Int J Educ Psychol Assess, 2012, 10(1): 51-70.
[18]	ARVIDSSON L, EIBEN G, HUNSBERGER M, et al. Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: prospective findings from the IDEFICS study[J]. BMC Public Health, 2017, 17(1): 926.
[19]	许文兵, 王孟成, 邓嘉欣, 等. 长处和困难问卷中文版的信度概化分析[J]. 中国临床心理学杂志, 2019, 27(1): 67-72. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201901014.htm XU W B, WANG M C, DENG J X, et al. Reliability generalization analysis of Chinese version of Strengths and Difficulties Questionnaire[J]. Chin J Clin Psychol, 2019, 27(1): 67-72. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201901014.htm
[20]	王美芳, 牛骅, 赵晓. 儿童版父母教养方式问卷的修订[J]. 中国临床心理学杂志, 2018, 26(1): 6-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201801002.htm WANG M F, NIU H, ZHAO X. Revision of the Parenting Style Questionnaire for children[J]. Chin J Clin Psychol, 2018, 26(1): 6-11. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201801002.htm
[21]	MASON W A, LAMBERT M C, EPSTEIN M H. Differences in emotional and behavioral problems of students over time: a 22-year cross-sectional cohort study[J]. Res Child Adolesc Psychopathol, 2023, 51(4): 557-569.
[22]	HORBACH J, MAYER A, SCHARKE W, et al. Development of behavior problems in children with and without specific learning disorders in reading and spelling from kindergarten to fifth grade[J]. Sci Stud Read, 2020, 24(1): 57-71.
[23]	MCARTHUR G, BADCOCK N, CASTLES A, et al. Tracking the relations between children's reading and emotional health across time: evidence from four large longitudinal studies[J]. Read Res Quarterly, 2022, 57(2): 555-585.
[24]	季雨竹, 赵佳欣, 汤玉龙. 汉语阅读障碍儿童认知缺陷干预的方法、挑战与启示[J]. 中国健康心理学杂志, 2024, 32(2): 167-171. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202402002.htm JI Y Z, ZHAO J X, TANG Y L. Methods, challenges and implications of cognitive deficit intervention in children with Chinese dyslexia[J]. Chin Health Psychol, 2024, 32(2): 167-171. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202402002.htm
[25]	陈锐, 汪小燕, 殷刚柱, 等. 父亲情绪症状与学龄前儿童情绪行为问题的关联[J]. 中国学校卫生, 2023, 44(11): 1660-1664. doi: 10.16835/j.cnki.1000-9817.2023.11.015 CHEN R, WANG X Y, YIN G Z, et al. Association between paternal emotional symptoms and emotional behavior problems in preschool children[J]. Chin J Sch Health, 2023, 44(11): 1660-1664. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.11.015
[26]	RADEMACHER A, KOGLIN U. Self-regulation as a mediator for the relationship between parenting and the development of behavior problems and social-emotional competences in elementary school children[J]. Kindheit Und Entwicklung, 2020, 29(1): 21-29.
[27]	韩阿珠, 张国宝, 苏普玉, 等. 家庭教养方式对学龄前儿童行为和情绪问题的影响[J]. 中国学校卫生, 2018, 39(12): 1773-1778. doi: 10.16835/j.cnki.1000-9817.2018.12.004 HAN A Z, ZHANG G B, SU P Y, et al. The influence of family parenting style on behavior and emotional problems of preschool children[J]. Chin J Sch Health, 2018, 39(12): 1773-1778. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.004
[28]	MUGNAINI D, LASSI S, LA MALFA G, et al. Internalizing correlates of dyslexia[J]. World J Pediatr, 2009, 5(4): 255-264.
[29]	BERKIEN M, LOUWERSE A, VERHULST F, et al. Children's perceptions of dissimilarity in parenting styles are associated with internalizing and externalizing behavior[J]. Eur Child Adolesc Psychiatry, 2012, 21(2): 79-85.
[30]	NAKAO M, SHIROTSUKI K, SUGAYA N. Cognitive-behavioral ther-apy for management of mental health and stress-related disorders: recent advances in techniques and technologies[J]. Biopsychosoc Med, 2021, 15(1): 16.
[31]	DING G, XU L Z, SUN L. Association between parental parenting style disparities and mental health: an evidence from Chinese medical college students[J]. Front Public Health, 2022, 10(2): 12-15.