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儿童强迫症中父母养育方式的感知:检验 EMBU 儿童和父母版本的因子结构及其与 OCD 症状的关联。

Perceived Parental Rearing in Paediatric Obsessive-Compulsive Disorder: Examining the Factor Structure of the EMBU Child and Parent Versions and Associations with OCD Symptoms.

机构信息

School of Applied Psychology, Griffith University, Gold Coast Campus, Gold Coast, 4222, Australia.

出版信息

Child Psychiatry Hum Dev. 2020 Dec;51(6):956-968. doi: 10.1007/s10578-020-00979-6.

DOI:10.1007/s10578-020-00979-6
PMID:32146572
Abstract

Parental rearing behaviours characterised by high levels of rejection and overprotection have been implicated in the development and maintenance of child psychopathology, including paediatric obsessive-compulsive disorder (OCD). The Egna Minnen Beträffande Uppfostran (EMBU) is a commonly used measure of perceived parental rearing. Using confirmatory factor analysis, the factor structure of the EMBU child and parent versions were examined in a sample of children and youth with OCD (n = 176), and their mothers (n = 162). Associations between rearing and clinical correlates of OCD were explored. For parents, a 4-factor model provided the best fit. For children, a higher order model was the best fit. Greater parent and child perceived negative rearing behaviours and lower perceived positive behaviours were associated with greater OCD severity, comorbid symptoms and impairment. The EMBU has a conceptually meaningful factor structure and provides a useful measure for assessing perceived rearing behaviours within paediatric OCD.

摘要

父母养育行为的特点是高度的拒绝和过度保护,这与儿童精神病理学的发展和维持有关,包括儿科强迫症(OCD)。《埃格纳·明纳·贝特拉ffar·乌普法斯特兰》(EMBU)是一种常用的感知父母养育方式的衡量标准。使用验证性因素分析,在一组 OCD 儿童和青少年(n=176)及其母亲(n=162)样本中,检查了 EMBU 儿童和家长版本的因子结构。探讨了养育方式与 OCD 的临床相关因素之间的关系。对于父母来说,四因素模型提供了最佳拟合。对于儿童来说,高阶模型是最佳拟合。父母和孩子感知到的更多负面养育行为和更少的感知到的积极行为与 OCD 严重程度、共病症状和损害有关。EMBU 具有概念上有意义的因子结构,为评估儿科 OCD 中感知到的养育行为提供了有用的衡量标准。

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