摘要目的 探讨青少年焦虑障碍的家庭功能特征.方法 临床连续入组青少年焦虑障碍患者84例(年龄14～18岁),同时,以地区、性别、年龄匹配健康学生样本124例进行对照研究,用家庭功能评定量表(FAD-CV)、家庭亲密度及适应性量表(FACES-Ⅱ)及一般人口学调查表进行调查.结果 焦虑组与对照组在家庭经济状况的差异有显著性(P<0.05);焦虑组的家庭亲密度得分[(64.82±9.63)分]低于对照组[(69.72±8.91)分],而沟通、情感卷入和行为控制维度[(2.34±0.45)分,(2.52±0.44)分,(2.46±0.32)分]得分高于对照组[(2.12±0.34)分,(2.36±0.42)分,(2.24±0.24)分],差异有统计学意义(P<0.05).Logistic回归分析显示,好的家庭经济状况(OR=0.784;95%CI:1.459～3.396)、高家庭亲密度(OR:0.969;95%CI:0.942～0.998)是青少年焦虑障碍的保护性因素,而过度的行为控制(OR=2.181;95%CI:0.993～2.441)是其危险性因素.结论 焦虑障碍青少年与普通青少年的家庭功能之间存在显著差异,亲密度高的家庭关系和适当的行为控制有利于青少年的心理健康.

abstractsObjective To explore family functioning and related factors in anxiety disorder(AD)adoles cents.Methods 84 adolescent patients with AD and 124 controls without mental disorder matched by gender,age,and residential township were assessed with Family Adaptability and Cohesion Scale(FACES-Ⅱ),Family Assessment Device.Chinese version(FAD-CV)and demographic questionnaires.Results There were statistical differences between case and control groups in family economic conditions(P<0.05).There was lower family cohesion in AD group(64.82±9.63)than that in the control group(69.72±8.91);the scores of communication,emotional involvement and behavioral control were higher in AD group((2.34±0.45),(2.52±0.44),(2.46±0.32))than that in controls((2.12±0.34),(2.36±0.42),(2.24±0.24)),all P<0.05.Logistic regression analysis showed that better family economic condition(OR=0.784;95%CI:1.459-3.396)and higher cohesion of family(OR=0.969;95%CI:0.942～0.998)were protective factors for AD,while over-strict behavioral control (OR=2.181;95%CI:0.993～2.441)was a risk factor for AD.Conclusion There are different family functioning characters between AD and controls,and the intimacy relationship and suitable behavior control in family may improve the mental health of adolescents.