摘要
目的了解网络成瘾(Internet Addiction Disorder,IAD)者家庭教养方式、家庭亲密度、适应性的特点、类型及其与应付方式之间的相关性,为IAD者的家庭治疗提供理论基础。方法对111例网络成瘾住院患者(IAD组)和120例健康对照者(对照组)进行家庭亲密度和适应性、应付方式和父母教养方式的问卷调查,应用SPSS13.0统计软件进行t检验和相关分析。结果 (1)IAD组非民主平等型家长管教方式(包括暴力型、溺爱型、冷落型)显著高于对照组(76.6%∶6.7%;χ2=76.27,P=0.000);其家庭亲密度和适应性类型以松散型和僵硬型为主(58.6%,87.4%)。(2)IAD组FACES家庭亲密度因子中的实际亲密度评分、理想亲密度评分和适应性因子中的实际适应性评分、理想适应性评分均低于对照组(P<0.05,P<0.01),两个因子评分的不满程度评分均高于对照组(P<0.01)。(3)实际家庭亲密度和实际家庭适应性评分与解决问题、求助2个因子评分均呈正相关(P<0.01),与自责、幻想、逃避、合理化4个因子评分均呈负相关(P<0.01);家庭亲密度不满程度和适应性不满程度评分与解决问题、求助均呈负相关(P<0.01),与自责、幻想、逃避、合理化均呈正相关(P<0.01)。结论IAD青少年父母教育以非民主型管教为主,家庭亲密度及适应性较低,对家庭教育方式不满意程度较高,且与其不良的应付方式显著相关。改变父母教养方式和改善家庭功能可以防治青少年IAD。
Objective To understand the characteristics and types of family cohesion and adaptability, parent education style, and their correlation with coping styles in inpatients with internet addiction disorder （IAD） , and to provide rationale for family therapy of IAD. Methods 111 inpatients with lAD and 120 healthy controls were assessed with Family Adaptability and Cohesion Evaluation Scale （FACES）, Coping Style Questionnaire （CSQ） and Parent Education Item. Data in two groups was analyzed with SPSS 13.0 by the method of t-test and correlation analysis. Results （1） The undemocratic parent education styles in lAD group were significantly higher than those in control group （76.6% vs. 6.7%;X2 = 76. 27,P = 0.000）, which included violence parent education, overprotection parent education and unfrequented parent education. The main type of family adaptability and cohesion were surface loosening type （58.6%） and rigidity type （87.4%）. （2） In FACES, factor scores of cohesion （ including factual cohesion and ideal cohesion） and adaptability （including factual adaptability and ideal adaptability） in IAD group were significantly lower than those in control group （P 〈0. 05, P 〈0.01 respectively）. The dissatisfaction sores of the two factors in IAD group were significantly higher than those in control group （ P 〈 0.01 ）. （ 3 ） Scores of factual cohesion and factual adaptability in FACES were significantly positively correlated with scores of problem solving and asking for help in CSQ （P 〈0.01 ）, and were significantly negatively correlated with scores of self-blame, fancy, escaping, rationalization （P 〈0.01 ）. The dissatisfaction scores of adaptability and cohesion were significantly negatively correlated with scores of problem solving and asking for help （P 〈 0.01 ）, and were significantly positively correlated with scores of self-blame,fancy, escaping, rationalization （P 〈 0. 01 ）. Conclusion The parent education is undemocratic and the family cohe
出处
《精神医学杂志》
2013年第4期257-260,共4页
Journal of Psychiatry
关键词
网络成瘾
父母教养方式
家庭亲密度和适应性
应付方式
Internet addiction disorder Parent education Family cohesion and adaptability Coping style
