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目的探讨父母养育方式及有关因素对反社会人格障碍的影响,寻找与反社会人格障碍形成相关的危险因素。方法采用人格诊断问卷(PDQ-4)对江苏某劳教所的600名劳教人员进行了筛查,PDQ-4评分高于42分者,纳入可疑人格障碍患者范围,符合《美国精神疾病诊断与统计手册》第4版(DSM-IV)诊断标准者确诊为反社会人格障碍。对确诊的反社会人格障碍罪犯90人,排除人格障碍的正常对照140人,进行父母养育方式量表(EMBU)和一般资料问卷的调查。结果父母的拒绝否认、母亲的情感温暖具有显著差异(P<0.01)、父母的惩罚、严厉和父亲的情感温暖也有一般统计学差异(P<0.05)。结论反社会人格障碍人群的主要危险因素有父母的拒绝养育方式、父亲低文化程度、低收入家庭、单亲家庭、父母离异。
Objective To explore the impact of parental rearing patterns and related factors on antisocial personality disorder and to find out the risk factors associated with the formation of antisocial personality disorder. Methods A total of 600 reeducation-seekers (SRHs) from a labor camp in Jiangsu Province were screened using the Personality Diagnosis Questionnaire (PDQ-4). Patients with a PDQ-4 score higher than 42 were included in the range of patients with suspected personality disorder and were consistent with the American Diagnostic and Statistical Mental Illness The fourth edition of the Handbook (DSM-IV) diagnostic criteria were diagnosed with antisocial personality disorder. 90 confirmed antisocial personality disorder criminals, and 140 normal controls excluding personality disorders, conducted a survey on EMBU and general information questionnaires. Results The parents ’refusal denied that the mother’s emotional warmth was significantly different (P <0.01). Parents’ punishment, harshness and father’s emotional warmth were also statistically different (P <0.05). Conclusions The main risk factors of antisocial personality disorder are parental rejection of parenting, low level of father’s education, low-income families, single-parent families and divorce of parents.