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目的:从家庭系统观角度探讨不同性别对立违抗障碍(oppositional defiant disorder,ODD)儿童和非ODD儿童的心理特点。方法:选取符合DSM-IV中ODD诊断标准的儿童260人(ODD组)及非ODD组269人,应用来自整体水平的家庭亲密度和适应性量表、来自互动水平的夫妻适应量表、亲子冲突解决方式问卷和来自个体水平的父母情绪控制问卷、儿童情绪控制问卷进行测量。结果:1无论是在整体水平,互动水平还是在个体水平上,与非ODD组相比,ODD组有显著低的家庭亲密度和适应性(P<0.01)、父母婚姻质量(P<0.01),显著高的亲子冲突(P<0.01)和情绪控制异常(P<0.01);2对比不同性别ODD组和非ODD组中发现,ODD分组的主效应(P=0.000)显著,孩子性别的主效应和两者的交互效应均不显著。结论:ODD组与非ODD组相比,在三个水平上都显著较差;比较不同性别ODD组和非ODD组儿童,这种差异更多的是ODD与否的差异,而非性别差异。
Objective: To explore the psychological characteristics of children with different oppositional defiant disorder (ODD) and non-ODD from the perspective of family system. Methods: 260 children (ODD group) and non-ODD group (269) were selected according to the ODD diagnostic criteria in DSM-IV. The family cohesion and adaptability scale from the overall level, the couples adaptive scale from the interaction level, Conflict resolution questionnaire and from the individual level of parental emotion control questionnaire, children’s emotional control questionnaire to measure. Results: 1 Compared with non-ODD group, ODD group had significantly lower family cohesion and adaptability (P <0.01) and parents’ marital quality (P <0.01), both in overall level, interaction level and individual level (P <0.01) and abnormal emotion control (P <0.01) .2 The main effect of ODD group (P = 0.000) was found in two groups of ODD and non-ODD. The effect and the interaction between the two are not significant. CONCLUSION: Compared with non-ODD group, ODD group is significantly worse than non-ODD group. Compared with ODD group and non-ODD group, this difference is more about ODD than non-ODD group, not gender difference.