父母冲突知觉对青少年焦虑的影响及家庭治疗效果评价

朱丽; 程丽; 张免; 谢珺; 杨静月

doi:10.16835/j.cnki.1000-9817.2021.03.017

父母冲突知觉对青少年焦虑的影响及家庭治疗效果评价

doi: 10.16835/j.cnki.1000-9817.2021.03.017

安徽医科大学附属心理医院/合肥市第四人民医院儿童青少年心理科, 合肥 230032

基金项目:

合肥市卫生计生应用医学研究项目 hwk2016zc012

详细信息

作者简介:
朱丽(1980-), 女, 安徽池州人, 硕士, 主任医师, 主要研究方向为儿童青少年心理学

中图分类号: B 844.2 R 749.7 R 749.055
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- 被引次数: 0
出版历程
- 收稿日期: 2020-08-31
- 修回日期: 2020-10-30
- 网络出版日期: 2021-04-20
- 刊出日期: 2021-03-25

Impact of parental conflict perception on adolescent anxiety and the therapeutic effect of family therapy

Affiliated Psychological Hospital of Anhui Medical University, Hefei Fourth People's Hospital, Hefei(230032), China

摘要

摘要: 目的探讨父母冲突知觉对青少年焦虑的影响以及家庭治疗对青少年焦虑的治疗效果, 为缓解青少年焦虑情绪提供参考。方法选取2019年1—8月在合肥市第四人民医院门诊就诊的120例青少年焦虑患者为研究对象, 随机分为两组(各60例), 对照组仅接受临床一般药物治疗, 治疗组在临床一般药物治疗的同时接受家庭治疗。通过收集父母冲突知觉量表(CPIC)、汉密尔顿焦虑量表(HAMA)的评分, 分析父母冲突知觉对青少年焦虑的影响, 以及家庭治疗对青少年焦虑患者的治疗效果。结果 CPIC的冲突强度、认知威胁、冲突内容与青少年焦虑患者HAMA得分呈正相关(r值分别为0.26, 0.20, 0.18, P值均<0.05)。在3个月治疗末, 治疗组评分(HAMA: 9.23±1.98, CPIC: 9.52±2.35)均低于对照组(HAMA: 14.52±2.66, CPIC: 11.98±2.55), 差异有统计学意义(t值分别为11.88, 5.48, P值均<0.01); 两组患者较治疗前HAMA、CPIC评分均降低, 差异有统计学意义(t_对照组值分别为13.88, 16.84, t_治疗组值分别为20.51, 21.89, P值均<0.01)。结论父母冲突知觉对青少年焦虑有影响。家庭治疗能降低父母冲突知觉, 缓解青少年的焦虑情绪。
- 家庭冲突 /
- 焦虑 /
- 精神卫生 /
- 青少年
Abstract: Objective To investigate the impact of parental conflict perception on adolescent anxiety and the therapeutic effect of family therapy on adolescent anxiety. Methods A total of 120 adolescent anxiety patients who attend the psychological clinic of the fourth renming hospital in Hefei were selected and were divided into two groups, the treatment group and control group, impact clinical medication while the treatment group recevied both clinical medication and family therapy(for three months). Parents Conflict Consciousness Scale(CPIC), Hamilton Anxiety Scale (HAMA) was used to assess parents conflict consciousness of adolescent anxiety. Effects of family therapy on teenagers anxiety and CPIC, HAMA score were analyzed. Results CPIC conflict intensity, threats of cognitive conflict and content for adolescent anxiety were positively correlated with HAMA scores(r=0.26, 0.20, 0.18, P<0.05), At the end of the three-month treatment, the score on HAMA and CPIC of the treatment group (HAMA: 9.23±1.98, CPIC: 9.52±2.35) was significantly lower than that of the control group(HAMA: 14.52±2.66, CPIC: 11.98±2.55)(t=11.88, 5.48, P<0.01). HAMA and CPIC scores of patients in both groups significantly decreased compared to before treatment(control group t=13.88, 16.84; treatment group t=20.50, 21.89, P<0.01). Conclusion Parental conflict perception shows impact on adolescent anxiety, and family therapy can reduce parental conflict perception and relieve adolescent anxiety.
- Family conflict /
- Anxiety /
- Mental health /
- Adolescent

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表 1 治疗前后两组患者HAMA、CPIC量表评分比较(x±s)

Table 1. Comparison of HAMD and CPIC scores between the two groups before and after treatment(x±s)

组别	人数	HAMA				CPIC
组别	人数	基线	3个月末	t值	P值	基线	3个月末	t值	P值
对照组	60	23.00±4.52	14.52±2.66	13.88	< 0.01	22.54±3.98	11.98±2.55	16.84	< 0.01
治疗组	60	22.11±5.21	9.23±1.98	20.51	< 0.01	19.96±3.76	9.52±2.35	21.89	< 0.01
t值		0.19	11.88			4.46	5.48
P值		0.85	< 0.01			< 0.01	< 0.01

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