广西医药研究所药用植物园药用植物名录.pdf

8到12岁儿童躯体化的现状及其与述情障碍儿童心理虐待和忽视的关系罗爱民邓云龙[摘要]目的①了解小学儿童躯体化症状的流行情况,进一步分析不同性别和年级儿童的躯体化症状;②探索述情障碍对儿童躯体化的影响;③探索儿童心理虐待和忽视与其躯体化水平的关系,并构建儿童心理虐待和忽视、述情障碍及躯体化之间的关系模型。方法采用儿童躯体化量表、述情障碍问卷以及儿童心理虐待和忽视量表对长沙两所小学三至六年级的学生进行调查,收回有效问卷940份。结果①%的儿童报告了至少一个经常出现或程度明显的症状,其中最常出现的依次有口干、入睡困难或早醒、皮肤瘙痒;不同性别和不同年级的躯体化症状检出率有显著差异;②;③,、。结论①%,其中疼痛/虚弱症状表现最为普遍;②述情障碍在儿童心理虐待和忽视与儿童躯体化之间起完全中介作用。[关键词]儿童躯体化;躯体化症状;述情障碍;心理虐待;忽视 TheCurrentSituationof8to12YearsOldChildren'sSomatizationandItsRelationshipWithAlexithy miaandChildpsychologicalmeltreatmentandneglectLuoAi-mingDengYun-long PsychosomaticHealth Institute,theThirdXiangyaHospital,CentralSouthUniversity,138(M)TongzipoRoad,Changsha410013,China. [Abstract] Objectives ①Toinvestigatetheprevalenceofchildren'ssomatizationsymptominprimary school,andfurtheranalysisthedifferencesingenderandgradeofchildren'ssomatizationsymptoms;②Toexplore therelationshipbetweenalexithymiaandsomatizationlevelinprimaryschool;③Totestmoderatorandmediatoreffect 'sSomatiza tionInventory(CSI),the20-itemTorontoAlexithymiaScale(TAS-20)andChildPsychologicalMaltreatmentand ①thesampleaveragescoreofchildren'ssomatiza tioninventorywas(M=,.=);%ofthechildrenreportedatleastoneserioussomatization symptoms,monsomatizationsymptomswasxerostomia,difficultyfallingasleeporearlyawakenings andskinitching;Thereweresignificantdifferencesinsomatizationsymptomfromdifferentgenderanddifferentgrades ;②ThecorrelationcoefficientsoftheTAS-(p<);③Thedirecteffectofalexithymiato children',andtheindirecteffectofchildpsychologicalmeltreatmentandneglecttosomatization ①thedetectionrateofchildren'ssomatizationsymptominthissamplewas27. 3%,thepain/monsymptoms;②Alexithymiamediatedtherelationshipbetween childpsychologicalme