学龄儿童的行为问题与家庭因素的关系

采用Achenbach儿童行为量表和Moss家庭环境量表,对593名9～14岁的中小学生及其家长进行测量和个别访谈。得到儿童行为问题总检出率是11.47%.对比研究表明:家庭不健全,家庭的亲密度、知识性、娱乐性和组织性低,矛盾性和控制性高,是儿童行为问题产生的家庭危险因素。提示预防儿童行为问题的关键在于提高父母文化素质,改善父母间关系和家庭的心理气氛。     

流动儿童的问题行为与人格、家庭功能的关系

以北京市806名流动儿童和319名城市儿童为被试,采用问题行为问卷、小五人格问卷和家庭功能问卷,考察流动儿童问题行为的特点及其与城市儿童的差异,并探讨人格和家庭功能对流动儿童问题行为的影响。结果发现:(1)流动儿童内、外化问题行为的自我报告率分别达到了31.0%2、0.1%,与城市儿童相比,流动儿童的内化问题行为较为突出。(2)人格的情绪性、开放性显著正向预测流动儿童的内化问题题行为,外向性、家庭功能的亲密度显著负向预测其内化问题行为,情绪性、开放性显著正向预测流动儿童的外化问题行为,宜人性、谨慎性、亲密度显著负向预测外化问题行为。(3)人格在家庭功能的亲密度与内化问题行为之间起部分中介作用,在亲密度与外化问题行为之间起完全中介作用。     

家庭功能与青少年问题行为关系的追踪研究

选取北京市三所中学620名初一和初二的学生为被试,采用追踪调查的方式,先后两次(间隔为九个月)让被试报告其家庭功能和问题行为,以探讨青少年家庭功能和问题行为的发展变化情况,以及家庭功能与青少年问题行为的因果关系。研究发现:(1)青少年的家庭功能和问题行为均存在一定的稳定性,但在任务完成、沟通和卷入方面存在变化,均为后测功能不如前测功能;而危害健康行为随着年龄的增长呈显著下降趋势。(2)家庭功能的每个方面均与青少年问题行为呈显著相关,即家庭功能发挥越好,青少年的问题行为也相应越少。(3)交叉滞后回归分析的结果表明,在更大程度上是家庭功能影响着少年的问题行为,进一步回归分析表明,家庭功能中的卷入维度对青少年问题行为具有显著的预测作用。     

3至6岁幼儿心理压力源与表现

本研究在大量的调查、访谈和问卷分析的基础上,提出了有关幼儿心理压力的问题,并对幼儿心理压力的来源和表现进行了深入细致的调查和分析。结果发现,幼儿身边存在很多压力事件;幼儿的心理压力主要来源于6个方面:父母、老师、环境适应、同伴关系、功课学习和其他;幼儿的心理压力主要表现在四个方面:生理上的反应、行为上的反常、情绪上的变化和个性上的改变。     

家庭支持对缓解乳腺癌患者心理压力的作用

本文分析了心理压力对乳腺癌患者的康复和生活质量产生的不利影响,指出家庭是与患者生存联系最为紧密的环境,家庭支持对缓解患者心理压力发挥了巨大作用;深入挖掘家庭支持与心理压力二者的关系,详细阐述了家庭支持用以缓解患者心理压力的三种形式,即情感支持、信息支持、行为支持;最后针对目前家庭支持仍存在患者满意度不高、家庭支持水平随时间而降低等主要问题,提出克服家庭支持的缺陷,提高家庭成员支持能力的合理化建议,即提高患者配偶和女性家属的支持能力、建立长期的家庭支持计划等.     

婚姻关系、亲子关系对3～6岁幼儿心理行为问题的影响

采用CBCL量表、自编的婚姻关系和亲子关系问卷调查了6所城市幼儿园的457名3～6岁幼儿,结果发现：(1)本研究中3～6岁幼儿心理行为问题的检出率为15．10％;(2)3-6岁幼儿的心理行为问题主要表现为交往不良、攻击性等外部行为问题;(3)没有心理行为问题的幼儿家庭其婚姻关系在性格相容、问题解决和性生活方面显著优于有心理行为问题的幼儿家庭,但在经济条件方面则相反;(4)婚姻关系和亲子关系则呈显著的正相关,并共同影响幼儿的心理行为问题。     

幼儿的情绪表现规则知识发展及其与家庭情绪表露、社会行为的相关研究

通过幼儿情绪表现规则知识的访谈、家庭情绪表露问卷和幼儿社会行为评估问卷调查,考察了112名3～6岁幼儿情绪表现规则知识的发展及其与家庭情绪表露、社会行为的关系。结果表明:(1)幼儿的表情调节知识存在显著的年龄差异,大班幼儿比小班幼儿具有更高的表情调节知识、更倾向于掩饰消极情绪;(2)幼儿的表情调节知识与情绪表达的人际支持、工具支持的结果期望存在显著正相关,即幼儿掩饰消极情绪是因为预期情绪表达不会得到他人理解和帮助;(3)幼儿报告面对父母同伴教师不同在场者时具有不同的情绪体验,且幼儿的人际支持结果预期存在年龄和在场者的交互作用;(4)家庭情绪表露与幼儿的人际支持的结果预期存在显著正相关、与工具支持的结果预期存在显著负相关;(5)倾向于掩饰消极情绪的幼儿表现出更多的亲社会行为,认为表达消极情绪会带来不良结果的幼儿表现出更多的害羞退缩行为。     

幼儿的情绪认知发展及其与社会行为发展的关系研究

研究通过采用家庭情绪表露问卷、表情辨识程序和幼儿社会行为教师评估问卷,对82名3～4岁幼儿的家庭情绪表露气氛、情绪认知和社会行为表现进行测查,并分析三者间的相互关系。结果表明:(1)幼儿的情绪认知与其亲社会行为和退缩行为显著相关;(2)家庭情绪表露与幼儿情绪认知发展显著相关;(3)家庭情绪表露可能通过影响幼儿的情绪认知发展,进而影响幼儿的社会行为表现。     

道德情绪判断、错误信念与行为问题的关系——损人情境中幼儿反应的一项研究

运用投射性情境故事和Rutter量表(教师问卷)研究了204名幼儿对损人情境的道德情绪判断、错误信念水平、行为问题及其关系。结果表明:(1)男性幼儿的违纪行为显著高于女性,神经症行为得分在不同年龄之间差异达到显著性水平。(2)随年龄增长,对成功损人者之情绪判断为积极的人数会减少、而判断为消极的人数会增加,对失败损人者之情绪判断为消极的居多、而对成功损人者情绪判断为积极的为主。(3)幼儿已经基本能完成道德情境中的错误信念任务,当接受别人的"错误"表扬时会产生积极情绪。(4)未完成错误信念任务儿童的神经症得分显著高于完成者,对成功损人者之情绪判断为积极的儿童的神经症得分显著高于判断为消极者。     

母亲正念与幼儿问题行为的关系：正念养育和亲子关系的链式中介作用

为了探讨母亲正念与幼儿问题行为的关系以及正念养育和亲子关系在其中的作用,本研究对480名4-6岁幼儿的母亲进行问卷调查,由母亲填写正念注意知觉量表、正念养育量表、亲子关系量表和幼儿困难与长处问卷。结果发现：(1)母亲正念可以显著负向预测幼儿问题行为;(2)正念养育在母亲正念和幼儿问题行为之间起独立中介作用;(3)亲子冲突在母亲正念和幼儿问题行为之间起独立中介作用;(4)正念养育、亲子关系(亲子冲突和亲子亲密)在母亲正念和幼儿问题行为之间起链式中介作用。研究结果进一步揭示了母亲正念对幼儿问题行为影响的内在机制。     

Incidence of Behavior Problems in Toddlers and Preschool Children from Families Living in Poverty

Few studies have examined the incidence of behavior problems in toddlers and preschool children from families living in poverty. The available research suggests behavior problems occur at higher rates in children living in poverty and may have long-term negative outcomes if not identified and properly treated. This study included an ethnically representative sample of 357 children, five years of age and younger, from a diverse, low-income, urban area. All families’ incomes met the federal threshold for living in poverty. Behavior problems were assessed by parent report through a questionnaire specifically designed for low-income families. Boys and younger children were reported as demonstrating a higher rate of externalizing behaviors than girls and older children. The overall rate of children scoring at least one standard deviation above the sample's mean for challenging behaviors was 17.4% and was not related to the child's gender, age or ethnicity. This study also sampled children's positive behaviors, which is unique in studies of behavior problems. Gender and age were not related to the frequency of reported positive behaviors. Ethnicity did influence scores on the positive scale. African American children appeared to present their parents more difficulty on items reflecting cooperative behaviors than Caucasian or Latino children. The implications of the study are discussed based on the recognized need for universal screening of behavior problems in young children and the small number professional training programs targeting the identification and treatment of early childhood behavior problems, despite the availability of evidence-based treatment programs tailored to young children in low-income families.     

学龄前儿童情绪调节策略的发展研究

运用自编问卷对学龄前儿童情绪调节策略的发展状况进行研究,结果发现:学龄前儿童的情绪调节策略存在显著的年龄差异,总体的情绪调节能力随年龄增长而提高。在挫折情境中,发泄策略的运用存在显著的性别差异。     

Family Conflict and Children's Internalizing and Externalizing Behavior: Protective Factors

The current investigation examined whether the positive association of family conflict to adolescent depression and conduct problems is attenuated by maternal, paternal, and peer attachment, and maternal and paternal monitoring, within a low-income, multiethnic sample of 284 adolescents. Parental attachment and monitoring moderated the link from family conflict to conduct problems but not depression; the relationships among family conflict, the hypothesized protective factors, and conduct problems were further modified by adolescent gender but not ethnicity. In general, higher levels of the hypothesized protective factors attenuated the relationship between family conflict and conduct problems for girls but exacerbated this relationship for boys. These findings suggest that, in general, parental attachment and monitoring served as protective factors for girls while serving as additional risk factors for boys in conflictual families.     

Dimensions of Early Childhood Behavior Problems: Stability and Predictors of Change from 18 to 30 Months

The prevalence, structure, stability, and predictors of change in early behavior problems were examined in a population-based sample of Norwegian children at 18 and 30 months of age (N = 750). A clear factor structure involving four dimensions emerged at both assessment times: Two factors were characterized by externalizing behaviors and were labeled Social Adjustment and Overactive-Inattentive; one factor tapped internalizing problems and was labeled Emotional Adjustment; and the fourth, related to general immaturity, was labeled Regulation. Specific patterns of child and family risk factors were associated with stability and change over the two time points for each factor. Children with stable problems had the most problematic characteristics on all significant predictors, followed by children with problems at one, but not both, time points. The data suggest that it is possible to identify risk factors for stable problems at 18 months, allowing some prediction of those children whose problems will persist over early childhood. Since specific risk factors emerged for specific types of behavior problems, the results may provide some much-needed guidance to early intervention efforts.     

竹溪县降低孕产妇死亡率和消除新生儿破伤风项目分析

为实施"降低孕产妇死亡率和消除新生儿破伤风项目",通过培训乡村产儿科技术服务人员,以改善乡镇卫生院产儿科服务条件,提高育龄妇女住院分娩安全意识,降低孕产妇死亡率和消除新生儿破伤风.开展了人员培训、健康教育、设备配置、贫困救助、监督指导等活动.孕产妇死亡率、新生儿破伤风等重点指标达到终期目标.提出贫困地区妇幼卫生事业建设与发展必需有可行性项目支持.     

Psychiatric and Psychological Morbidity as a Function of Adaptive Disability in Preschool Children with Aggressive and Hyperactive-Impulsive-Inattentive Behavior

Children with high levels of aggressive-hyperactive-impulsive-inattentive behavior (AHII; n = 154) were subdivided into those with (n = 38) and without (n = 116) adaptive disability (+AD/–AD) defined as a discrepancy between expected versus actual adaptive functioning. They were compared to each other and a control group of 47 normal children. Both AHII groups were more likely to have attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder than control children; more symptoms of general psychopathology; greater social skills deficits; more parental problems; and lower levels of academic achievement skills. Compared to AHII – AD children, AHII + AD children had (1) more conduct disorder; (2) greater inattention and aggression symptoms; (3) more social problems, less academic competence, and poorer self-control at school; (4) more severe and pervasive behavior problems across multiple home and school settings; and (5) parents with poorer child management practices. Thus, adaptive disability has utility as a marker for more severe and pervasive impairments in AHII children.     

腹膜透析相关性腹膜炎诊治的临床决策

腹膜透析相关性腹膜炎的治疗以前主要着眼于抗生素的选择,但其防治应该是从腹透管置管开始的整体策略,包括预防性抗生素的使用、患者的强化培训、腹膜炎的早期快速诊断、给药途径与疗程,以及拔管指征等。肾科医师临床决策是需要根据最新的治疗指南及研究进展,结合患者的个体特点进行综合判断,以期达到最佳的治疗效果。     

Parental Alcoholism and Co-Occurring Antisocial Behavior: Prospective Relationships to Externalizing Behavior Problems in their Young Sons

The hypothesis that parental alcoholism and co-occurring antisocial behavior would be indirectly linked to child externalizing behavior problems through child lack of control, current levels of parent depression, family conflict, and parent–child conflict was tested using manifest variable regression analysis. Participants were a community sample of 125 families with an alcoholic father and 83 ecologically matched but nonsubstance abusing families involved in the first 2 waves of an ongoing longitudinal study (with 3 years between each wave). All families had a biological son who was 3–5 years old at study onset. Results revealed that child lack of control mediated the relation between paternal alcoholism and the son's subsequent externalizing behavior problems. Family conflict was a significant mediator of maternal and paternal lifetime antisocial behavior effects and father–son conflict mediated paternal lifetime antisocial behavior effects. Study implications are discussed within the context of parental socialization of antisocial behavior.