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癫痫患儿的家庭因素与精神病理学:文献综述

Family factors and psychopathology in children with epilepsy: a literature review.

作者信息

Rodenburg Roos, Meijer Anne Marie, Deković Maja, Aldenkamp Albert P

机构信息

Department of Educational Studies, Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Epilepsy Behav. 2005 Jun;6(4):488-503. doi: 10.1016/j.yebeh.2005.03.006.

DOI:10.1016/j.yebeh.2005.03.006
PMID:15907744
Abstract

PURPOSE

From a social interactional and ecological framework, studies were reviewed that (1) compared family factors in children with epilepsy with those in children from normative groups, healthy children, children with a chronic illness, or siblings; and (2) examined the relationship between distinct family factors and child psychopathology.

RESULTS

Compared with control groups, families with a child with epilepsy generally fare worse on the whole range of family factors, indicating lower parent-child relationship quality, more depression in mothers, and problems with family functioning. Significant associations were apparent between distinct family factors, especially parental psychological control, parental attributions about epilepsy, and family members' satisfaction with family relationships, and psychopathology in children with epilepsy.

CONCLUSION

Future childhood epilepsy research might benefit from the examination of the simultaneous contribution of distinct family factors to child psychopathology, within a broad multifactorial framework that also includes neurological and medication factors.

摘要

目的

从社会互动和生态框架出发,对相关研究进行综述,这些研究(1)比较了癫痫患儿与正常群体儿童、健康儿童、慢性病患儿或兄弟姐妹的家庭因素;(2)研究了不同家庭因素与儿童心理病理学之间的关系。

结果

与对照组相比,有癫痫患儿的家庭在家庭因素的各个方面总体表现更差,表明亲子关系质量较低、母亲抑郁情绪更多以及家庭功能存在问题。不同的家庭因素之间存在显著关联,尤其是父母的心理控制、父母对癫痫的归因以及家庭成员对家庭关系的满意度,与癫痫患儿的心理病理学之间存在关联。

结论

未来儿童癫痫研究可能会受益于在一个广泛的多因素框架内,考察不同家庭因素对儿童心理病理学的综合影响,该框架还包括神经学和药物因素。

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