儿童对立违抗性障碍研究的进展及启示

随着基因技术及生物工程技术的迅速发展,人们逐渐发现与冲动行为相关基因的存在,研究认为DA、5-HT、MAO等基因多态性与冲动行为有关,从而进一步认识到ODD与遗传因素有关且属于多基因遗传.对儿童对立违抗性障碍(ODD)的生物学机制及社会心理应激因素进行了系统的分析,对进一步探讨ODD的发病机制有所启示.     

儿童和少年情绪障碍相关社会心理因素探讨

儿童和少年情绪障碍是一组由家庭环境因素、认知倾向和个性心理等多种社会心理因素共同作用、相互影响的疾病.家庭是一个系统,对儿童和少年的心理和行为的塑造存在影响.家庭环境和个性因素是以认知倾向为中介产生对情绪的影响,家庭环境因素又影响了认知倾向的形成和个性的发展.从以上三个方面进行探讨,旨在为儿童和少年情绪障碍者的心理干预提供科学的理论依据.     

学校情绪障碍儿童的心理治疗

小学中出现少数的情绪障碍儿童，国内文献探讨情绪障碍儿童心理治疗大多集中于药物治疗，本文引进了国外的教师经常采用的认知——行为心理治疗法。对小学班主任在帮助情绪障碍儿童克服情绪障碍有重要的作用。教师接受他们心理的投射并产生移情，减少儿童的情绪防御；或再结合行为矫正技术，克服儿童不良情绪。     

社会认知因素对儿童有关损人者情绪归因的影响

文章简要介绍了儿童社会-道德发展领域中有关“快乐的损人者”现象的研究概况, 回顾了儿童社会认知发展领域有关情绪理解和归因的研究,指出在损人者情绪归因研究中引 入有关社会认知变量的必要性,并讨论了未来的研究方向。     

学习障碍儿童的社会信息处理、依恋及情绪调节特点

SIP是儿童社交能力的一个重要组成部分,它给儿童提供一个如何处理及解读社会情境中发生的社会线索的模型,并且根据这些线索作出行为和情绪上的决定。作为一个社会认知能力,SIP被认为是学习障碍儿童中最具有挑战性的领域之一。潜在的认知加工过程和情绪处理过程对SIP六阶段步骤起重要作用。过去的研究注重儿童认知能力对SIP能力的作用。在此研究中,我们新增了儿童的情感纽带如(安全依恋)以及强调儿童管理情绪的能力对儿童SIP能力的作用。本文通过对学习障碍儿童的情绪管理、依恋质量及社会信息加工特点的研究,希望提供关于安全依恋和情绪管理在学习障碍儿童中社会信息加工的作用一些理论参考。     

学习障碍儿童情绪理解与同伴接受性*及社会行为的关系

该研究以90名学习障碍儿童为研究对象,探讨学习障碍儿童情绪理解与同伴接受性和社会行为的关系,比较情绪理解不同成分对同伴接受性和社会行为的影响作用。研究发现情绪理解不同成分对学习障碍儿童同伴接受性和社会行为具有不同程度的影响,具体表现为:1)基本情绪识别和自我意识情绪识别是学习障碍儿童同伴接受性的最佳预测变量;2)自我意识情绪识别和表情识别是学习障碍儿童问题行为的最佳预测变量;3)自我意识情绪识别、情绪内部原因理解、情绪隐藏理解、情绪改变理解和情绪外部原因理解是学习障碍儿童社会能力的最佳预测变量。     

小学儿童情绪认知发展研究

本研究采用故事情境法探究小学儿童情绪认知的发展。随机抽取60名小学儿童（2、4、6年级各20名）,研究他们对五种不同的情绪状态识别、情绪原因认知、情绪外在行为表现认知以及对情绪后继调节方式的认知发展特点。结果发现：总体而言,情绪认知在小学不同年级有明显发展;基本情绪认知最好,其次是积极自我意识情绪认知和冲突情绪认知,对消极自我意识情绪的认知最差;情绪识别和情绪原因认知明显好于情绪行为认知和情绪调节认知;对情绪表现者的情绪认知明显好于对情绪接受者的情绪认知。     

儿童社会信息加工的情绪－认知整合模型

回顾与总结了社会认知中情绪过程对儿童社会能力发展作用的研究成果,探讨了社会信息加工过程中情绪过程和认知的关系问题。发现就个人--社会决策活动而言,情绪过程具有核心作用。并且由此介绍了社会情绪--认知整合模型及其对情绪过程的理解。在此基础上,重点综述了情绪过程在社会情境中对儿童社会信息的线索编码与解释、目标分类、反应提取与决定及行为实施的影响。     

学习障碍儿童情绪理解特点比较研究

本研究以90名学习障碍儿童和90名一般儿童为对象,采用表情图片和情境故事法, 探讨学习障碍儿童情绪理解特点.研究发现,学习障碍儿童在情绪理解方面存在一定缺陷,具体表现为:(1)表情识别能力差;(2)自我意识情绪识别水平低下;(3)混合情绪识别较差;(4)情绪原因理解落后;(5)情绪隐藏理解较差;(6)情绪改变理解水平低下.     

关于儿童道德情绪判断的研究进展

该阐释了道德情绪的基本概念,论述了关于儿童道德情绪判断的近期研究结论及其影响因素。3～10岁儿童的道德情绪判断经历了一个从不高兴到高兴再到不高兴的发展过程,这一进程受到儿童的内在社会认知能力(儿童能否理解愿望是一种主观的心理特性、考虑道德因素的能力、观点采择能力,对犯过人格特质的理解等)及其所处的外在情境因素(所面临情境或事件的性质、情境的不一致性等)的影响。最后,作对该领域的研究趋向做出了展望。     

Recognition of Facial Expressions of Emotion by Children with Emotional and Behavioral Disorders

Interpreting and responding appropriately to facial expressions of emotion are important aspects of social skills. Some children, adolescents, and adults with various psychological and psychiatric disorders recognize facial expressions less proficiently than their peers in the general population. We wished to determine if such deficits existed in a group of 133 children and adolescents with emotional and behavioral disorders (EBD). The subjects were receiving in-patient psychiatric services for at least one of substance-related disorders, adjustment disorders, anxiety disorders, mood disorders or disruptive behavior disorders. After being read stories describing various emotional reactions, all subjects were tested for their ability to recognize the 6 basic facial expressions of emotion depicted in Ekman and Friesen's (1976) normed photographs. Overall, they performed well on this task at levels comparable to those occurring in the general population. Accuracy increased with age, irrespective of gender, ethnicity, or clinical diagnosis. After adjusting for age effects, the subjects diagnosed with either adjustment disorders, mood disorders, or disruptive behavior disorders were significantly more accurate at identifying anger than those without those diagnoses. In addition, subjects with mood disorders identified sadness significantly more accurately than those without this diagnosis, although the effect was greatest with younger children.     

Family-based Psychoeducation for Children and Adolescents with Mood Disorders

Psychoeducation is often used for family members of adult patients with mood disorders. An increase in family’s knowledge of the patient’s illness course and outcome is thought to improve treatment compliance and may reduce relapse rates through identification of early symptoms and risks. While studies on family-based psychoeducation of adult patients with mood disorders have been reviewed, a similar review has not been conducted in patients who are children and adolescents. We conducted a systematic review of studies published between 1980 and 2006 on independently standing psychoeducation programs for families with children suffering from mood disorders. Results revealed eight treatment and preventive psychoeducation studies for families of affectively ill children or children at risk for depression. Findings indicate that psychoeducation models typically adopt a workshop approach incorporating didactic teachings and interactive discussion sessions, with or without specific skills training. Given the paucity of randomized controlled trials and lack of comparability between psychoeducation models, conclusions about the true efficacy of each program as a treatment or an adjunct to the treatment of mood disorders in children and adolescents cannot be made. Further research into psychoeducation for families of children with mood disorders is warranted.     

小学儿童混合情绪理解的发展研究*

旨在探究小学阶段儿童的混合情绪理解发展状况。以能够引发儿童混合情绪的经典故事情景为材料,对小学1-6年级242名儿童采用半结构式访谈法和测验法进行实验,结果表明:小学儿童混合情绪理解水平存在显著的年龄效应,呈现出随年龄增大混合情绪理解水平逐渐提高的发展趋势。对他人和对自身混合情绪理解差异显著,对他人混合情绪的理解是对自身混合理解的基础,同性质和不同性质(冲突)混合情绪的理解能力存在显著差异。不同性质(冲突)混合情绪的理解能力发展较晚。因此,混合情绪理解能力在小学阶段快速发展,呈现出年龄、理解的对象、情绪的性质三个方面的显著差异。     

认知行为疗法治疗儿童青少年强迫症的应用研究

强迫症已经被认为是儿童青少年常见的心理障碍之一。强迫症的认知行为模型在成人研究中得到了大量的实证支持,但这个模型在儿童青少年群体中研究相对较少。认知行为疗法被广泛认为是治疗儿童青少年强迫症的有效心理治疗方案,但对于认知行为治疗儿童青少年强迫症的实证研究还有待进一步深入。     

Psychiatric Disorders Associated with Substance Use Among Children and Adolescents: Findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study

The relationships between specific quantities and frequencies of alcohol, cigarette, and illicit substance use and substance use (SUD) and other psychiatric disorders were investigated among 1,285 randomly selected children and adolescents, aged 9 to 18, and their parents, from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Logistic regressions indicated that daily cigarette smoking, weekly alcohol consumption, and any illicit substance use in the past year were each independently associated with an elevated likelihood of diagnosis with SUD and other psychiatric disorders (anxiety, mood, or disruptive behavior disorders), controlling for sociodemographic characteristics (age, gender, ethnicity, family income). The associations between the use of specific substances and specific psychiatric disorders varied as a function of gender.     

Psychiatric Symptomatology and Family Functioning in Children and Adolescents with Spina Bifida

The purpose of this study was to (a) examine the occurrence of psychiatric symptomatology in children and adolescents with spina bifida, (b) investigate the relationship between psychiatric features and aspects of disability, and (c) explore the impact of spina bifida and psychiatric status on family functioning. Fifty-four children and adolescents ages 6 to 18 years (M = 12.94, SD = 3.59) were examined. Parents completed the Child Symptom Inventory (CSI) and the Family Assessment Device (FAD). Using the CSI, a psychiatric diagnostic screen, 43% of the sample obtained one, and 13% obtained two or more screening cutoff scores reflective of psychiatric diagnoses. The two most prevalent diagnostic categories were Attention-Deficit/Hyperactivity Disorder (33%) and Oppositional Defiant Disorder (13%). The sample as a whole exhibited elevated levels of clinical symptoms, with internalizing symptoms more prominent than externalizing symptoms. No differences in diagnostic categories or overall symptomatology were found based on age, gender, ambulation status, or lesion level. Overall symptom counts were positively correlated with scales on the FAD reflecting problematic family functioning (.42–.65). Results suggest that psychiatric symptomatology occurs at a high rate in children and youth with spina bifida. Although ADHD was the modal diagnostic category, the sample as a whole exhibited extensive psychiatric symptoms independent of specific diagnostic categories. Psychiatric symptoms were also associated with increased problematic functioning in families.     

Initial Psychometric Properties of a Brief Parent-Report Instrument for Assessing Tic Severity in Children with Chronic Tic Disorders

This article describes the development and initial psychometric properties of the Parent Tic Questionnaire (PTQ)—a new measure assessing the number, frequency, and intensity of motor and vocal tics in children and adolescents with Chronic Tic Disorder (CTD). Parents of 40 children with a CTD completed the PTQ as part of a larger assessment battery. Results show the PTQ to have excellent internal consistency and good to excellent 2-week test-retest reliability. The motor tic severity subscale, vocal tic severity subscale, and total severity score of the PTQ correlated highly with the corresponding scales of the gold-standard clinician-rated Yale Global Tic Severity Scale (YGTSS), indicating excellent convergent validity. Correlations between the YGTSS and PTQ remained strong after controlling for measures of obsessive-compulsive disorder and inattention, suggesting good discriminant validity. The PTQ is a promising supplement to current methods for assessing tic severity and further research on the validity, reliability, and clinical utility of the scale are warranted.     

听障儿童外部情绪理解研究

通过自编的外部情绪理解问卷,考察了听障儿童表情识别、情绪情景识别和提示物理解等外部情绪理解三个成分的发展状况。结果表明:(1)听力障碍儿童在外部情绪整体理解、表情识别、情绪情景识别和提示物理解四方面的得分都显著低于普通儿童;(2)不同年级听力障碍儿童的外部情绪理解、表情识别、情绪情景识别和提示物理解四方面得分存在显著差异,不同性别听力障碍儿童外部情绪理解差异不显著;年级和性别的交互作用显著;(3)父母听力状况不同的听障儿童,其外部情绪理解水平差异显著。DD儿童的外部情绪整体理解、表情识别和情绪情景识别得分显著高于DH儿童。