摘要目的:探究青少年双相情感障碍(PBD)患者社交回避及苦恼与家庭教养方式的相关性。方法:抽取2019年10月至2021年12月在三门峡市康复医院接受治疗的PBD住院患者109例，采用社交回避与苦恼量表(SAD)、父母家庭教养方式量表(EMBU)评估其社交回避、苦恼状态以及家庭教养方式。根据SAD得分将其分为两组，85例患者SAD≥8分计为观察组，其余24例SAD<8分患者计为对照组。记录对比两组患者的一般资料以及EMBU情况，探究其相关性。结果:109例PBD患者的SAD得分为(13.96±4.06)分，普遍高于中国健康人SAD总分常模分数(8.03±4.64)分， P<0.05。观察组男性患者、居住农村者占比高于对照组( P<0.05)，家庭人均月收入≥5 000元以及母亲/父亲受教育程度为高专及以上的PBD患者占比低于对照组( P<0.05)。与对照组相比，观察组患者EMBU父亲"惩罚严厉"、"过分干涉"、"拒绝否认"以及母亲"惩罚严厉"、"过分干涉保护"、"偏爱被试"评分较高( P<0.05)，父母亲"情感温暖和理解"得分均低于对照组( P<0.05)。Logistic回归分析显示，男性、EMBU中父亲"过分干涉"、"惩罚严厉"、"拒绝否认"得分以及母亲"偏爱被试"得分较高是PBD患者SAD≥8分的危险因素( P<0.05)，父母亲教育程度较高是其保护因素( P<0.05)。Pearson相关性分析显示，PBD患者父亲过分干涉/拒绝否认/惩罚严厉得分、母亲偏爱被试态度得分与患者的EMBU呈正相关( P<0.05)。 结论:PBD患者的社交回避及苦恼状态与其家庭教养方式存在一定相关性，其中父亲惩罚严厉、拒绝否认、过分干涉以及母亲偏爱被试对患者的社交回避及苦恼状态影响最大。

abstractsObjective:To investigate the correlation of social avoidance and distress with family parenting style in patients with pediatric bipolar disorder (PBD).Methods:A total of 109 inpatients with PBD treated in Sanmenxia Rehabilitation Hospital from October 2019 to December 2021 were selected. The social avoidance and distress scale (SAD) and Egna Minnen av Bardndosnauppforstran (EMBU) were used to evaluate social avoidance and distress and family parenting style, respectively. According to the SAD scores, the selected patients were divided into observation group (85 patients with SAD score≥ 8) and control group (24 patients with SAD score<8). The general information and EMBU scores of the two groups were compared, and correlation analysis was performed.Results:The SAD score of the 109 patients with PBD was 13.96±4.06, higher than that of the norm (8.03±4.64), P<0.05. The proportions of males and patients living in rural areas in the observation group were higher than those in the control group ( P<0.05). The proportions of patients whose family monthly income per capita was or more than 5 000 yuan and whose mother’s/father’s education level was higher vocational college or above in the observation group were lower than those in the control group ( P<0.05). The scores of father’s severe punishment, excessive interference, rejection and denial, mother’s severe punishment, excessive interference and protection, and favor of the subject in EMBU of the observation group were higher than those of the control group ( P<0.05). The scores of parental emotional warmth and understanding of the observation group were lower than those of the control group ( P<0.05). Logistic regression analysis showed that male, high scores of father’s excessive interference, severe punishment, rejection and denial, and higher score of mother’s favor of the subject in EMBU were risk factors for SAD score ≥ 8 in patients with PBD ( P<0.05), while high parental educational level was a protective factor ( P<0.05). Pearson correlation analysis showed that the scores of father’s excessive interference, rejection and denial, severe punishment, and score of mother’s favor of the subject in patients with PBD were positively correlated with EMBU score ( P<0.05). Conclusions:The social avoidance and distress syndrome has correlation with family parenting style in patients with PBD. In addition, father’s severe punishment, rejection and denial, excessive interference and mother’s favor of the subject have the greatest impact on the patients’ social avoidance and distress.