破坏性情绪失调障碍,父母的压力和依恋方式
Marit Coldevin1,2, Astrid Brænden3, Pål Zeiner2,3
1Lovisenberg Diaconal Hospital, Nic Waals Institute, Oslo, Norway.
Frontiers in child and adolescent psychiatry
|January 23, 2025
概括
患有扰乱性情绪失调障碍 (DMDD) 的孩子的父母报告了更高的压力和不安全的依恋方式. 解决这些家长因素可能会改善DMDD的治疗结果.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 扰乱性情绪失调障碍 (DMDD) 的特点是儿童慢性易怒和严重的愤怒爆发.
- 关于导致DMDD的父母因素的研究有限.
- 了解父母的压力和依恋对于全面的儿童心理健康护理至关重要.
研究的目的:
- 为了比较患有DMDD的孩子的父母的压力水平和依恋风格,与其他诊断的孩子的父母相比.
- 在DMDD组中调查父母依恋方式与育儿压力之间的关系.
- 探索治疗干预措施的潜在影响.
主要方法:
- 一项涉及218名儿童 (6-12岁) 的横截面研究将他们转介给儿童心理健康诊所.
- 标准化半结构化诊断采访被用于儿童诊断.
- 通过父母自我报告问卷来评估父母的压力和成人依恋方式.
主要成果:
- 与对照组相比,患有DMDD的孩子的父母报告了与儿童特定因素相关的显著更高的育儿压力.
- 患有DMDD的孩子的父母表现出不安全的成年人依恋风格的更大流行.
- 一种焦虑模糊的依恋风格在DMDD父母组内显著预测了育儿压力.
结论:
- 父母不安全的依恋和高度的压力与DMDD有关.
- 这些家长因素可能会影响育儿实践和孩子的成绩.
- 在治疗中整合家长的支持和解决依恋问题可以增强DMDD干预措施.
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