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目的探讨儿童对立违抗性障碍发生的相关因素。方法2004-04-06收集长沙某学校对立违抗性障碍(ODD)患儿34例和正常对照组34例,所有患儿均符合DSM-Ⅳ中ODD诊断标准。以家庭一般情况调查表及家庭环境量表中文版(FES-CV)进行家庭情况调查。结果父母文化程度越高子女ODD的患病率越低,父母职业与子女ODD的患病率之间差异有高度显著性(χ2=12.673~12.679,P<0.01)。ODD儿童家庭的矛盾性分量表得分高于对照组儿童,差异有高度显著性(t=2.725,P<0.01)。父母文化、职业与家庭环境分量表存在不同程度的相关性。结论儿童ODD的发生与家庭结构以及父母文化、职业有关,对ODD的干预应注意改善家庭环境,提高父母素质。
Objective To explore the related factors of children’s contradictory defensive disorder. Methods A total of 34 children with contradictory defensive disorder (ODD) and 34 normal controls were collected from a school in Changsha City. All children met the ODD diagnostic criteria of DSM-Ⅳ. A family situation survey was conducted using the Family General Survey and Family Environment Scale Chinese (FES-CV). Results The higher the educational level of parents was, the lower the prevalence of ODD in children was. There was a significant difference in the prevalence of ODD between the parents’ occupation and their children (χ2 = 12.673 ~ 12.679, P <0.01). In the children with ODD, the ambivalence scale score was higher than that of the control group, the difference was highly significant (t = 2.725, P <0.01). Parents’ culture, occupation and family environment subscales have different degrees of correlation. Conclusions The incidence of ODD in children is related to family structure and parental culture and occupation. Intervention with ODD should be taken to improve family environment and parents’ quality.