Rodenburg Roos, Marie Meijer Anne, Deković Maja, Aldenkamp Albert P
Department of Educational Studies, University of Amsterdam, Amsterdam.
Epilepsia. 2006 Mar;47(3):601-14. doi: 10.1111/j.1528-1167.2006.00475.x.
To examine the contribution of epilepsy-related factors, proximal (parent-child relationship quality), distal (parental characteristics), and contextual (quality of other family relationships) family factors to psychopathology (both broad-band and narrow-band syndromes) in children with epilepsy and normal intelligence.
Parents of 91 children (mean, 8.5 years) participated by filling out questionnaires about family factors and child psychopathology. Regression analyses were used to analyze the unique and combined predictive power of family factors in relation to psychopathology.
In contrast to epilepsy-related factors, family factors, especially those related to the quality of the parent-child relationship, appeared to be strong predictors of psychopathology. The results supported the mediational model: Distal and contextual factors affect child psychopathology by affecting proximal factors.
In treating children with epilepsy, clinicians should be aware of the importance of the parent-child relationship quality. Strengthening the relationship quality may prevent or reduce psychopathology.
探讨癫痫相关因素、近端家庭因素（亲子关系质量）、远端家庭因素（父母特征）以及情境家庭因素（其他家庭关系质量）对智力正常的癫痫儿童心理病理学（包括宽泛和狭义综合征）的影响。
91名儿童（平均年龄8.5岁）的父母参与研究，填写有关家庭因素和儿童心理病理学的问卷。采用回归分析来分析家庭因素与心理病理学相关的独特及综合预测能力。
与癫痫相关因素不同，家庭因素，尤其是与亲子关系质量相关的因素，似乎是心理病理学的有力预测指标。结果支持中介模型：远端和情境因素通过影响近端因素来影响儿童心理病理学。
在治疗癫痫儿童时，临床医生应意识到亲子关系质量的重要性。加强关系质量可能预防或减少心理病理学问题。
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