School of Medicine, Tongji University, Shanghai, China.
Asia Pac Psychiatry. 2013 Mar;5(1):E1-8. doi: 10.1111/j.1758-5872.2012.00211.x. Epub 2012 Jul 27.
This study was carried out to explore the prevalence of behavioral problems among adolescents in junior high school as well as their families' levels of function or dysfunction that contribute to children's behavioral problems in Mainland China.
One thousand, four hundred and seventy-six adolescents (ages 12-17 years) and their families participated in the study. Parents completed a self-administered questionnaire consisting of the Child Behavior Checklist (CBCL), Family Assessment Device (FAD) and a number of demographic questions. Student's t-tests, chi-square tests and stepwise multiple regression models were performed to examine the variables.
The estimated prevalence of behavioral problems was 10.5% based on the cutoff point for behavioral problems according to the CBCL. Behavioral problems identified by the CBCL occurred differently at various developmental stages (F = 10.06, P = 0.007). The study showed that inappropriate affective responsiveness, poor affective involvement and low ability of problem solving in the family were significantly associated with increased risk for externalizing behavior problems and total behavior problems of boys. Inappropriate affective responsiveness and poor communication in the family were significantly associated with increased risk for internalizing problems for boys. Poorly established patterns of family behavior were important factors contributing to the development of externalizing behavior problems, internalizing behavior problems and total behavior problems for girls'.
The present findings suggest that functional levels of family are associated with the adolescent's mental health, and that specific family dynamics may influence the development of behavioral problems among adolescents in China.
本研究旨在探讨中国大陆初中生行为问题的流行率，以及家庭功能或失调对儿童行为问题的影响。
1476 名青少年（12-17 岁）及其家庭参与了研究。家长填写了一份自我管理问卷，其中包括儿童行为检查表（CBCL）、家庭评估工具（FAD）和一些人口统计学问题。学生 t 检验、卡方检验和逐步多元回归模型用于检验变量。
根据 CBCL 的行为问题截断点，估计行为问题的患病率为 10.5%。CBCL 确定的行为问题在不同的发育阶段表现不同（F=10.06，P=0.007）。研究表明，家庭中不适当的情感反应、情感投入不足和解决问题的能力低下与男孩的外化行为问题和总行为问题风险增加显著相关。家庭中不适当的情感反应和沟通不良与男孩的内化问题风险增加显著相关。家庭行为模式不良是导致女孩外化行为问题、内化行为问题和总行为问题发展的重要因素。
本研究结果表明，家庭功能水平与青少年的心理健康有关，特定的家庭动态可能会影响中国青少年行为问题的发展。
