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目的 探讨父母养育方式及家庭环境对抽动障碍患儿发病的影响。方法 采用父母养育方式问卷中文版 (EMBU)及家庭环境量表中文版 (FES CV) ,对 6 0例符合中国精神障碍分类诊断标准第 3版 (CCMD 3)诊断标准的抽动障碍患儿进行测试并与 6 0例健康儿童对照。结果 抽动障碍患儿父母养育方式倾向高惩罚、严厉、高拒绝、否认和过分干涉 ,家庭的亲密度、情感表达及娱乐性 3个分量表评分均明显低于对照组 (P <0 .0 1) ,而矛盾性及控制性两个分量表评分均明显高于对照组 ,差别有显著性意义 (P <0 .0 5 )。结论 不当的父母养育方式及不良的家庭环境对抽动障碍的发病有严重影响。
Objective To investigate the effects of parental rearing and family environment on the incidence of tic disorder in children. Methods Totally 60 children with tic disorder who meet the diagnostic criteria of CCMD 3 were enrolled in the EMBU and FES CV questionnaires. And compared with 60 healthy children. Results The methods of parental rearing in children with tic disorder tended to be high punishment, severe, high rejection, denial and excessive interference, and the scores of family intimacy, emotional expression and entertaining were all significantly lower than those in control group (P0.01 ), And contradictory and control of the two subscale scores were significantly higher than the control group, the difference was significant (P <0. 05). Conclusions Improper parenting and poor family environment have a serious impact on the development of tic disorder.