选择性缄默症中的家庭关系——儿童和青少年的比较组研究
Family Relationships in Selective Mutism-A Comparison Group Study of Children and Adolescents.
作者信息
Melfsen Siebke, Jans Thomas, Romanos Marcel, Walitza Susanne
机构信息
Psychiatric University Hospital Zurich, 8032 Zurich, Switzerland.
Department of Child and Adolescent, Center of Mental Health, University Hospital of Wuerzburg, 97080 Wurzburg, Germany.
出版信息
Children (Basel). 2022 Oct 27;9(11):1634. doi: 10.3390/children9111634.
Selective mutism (SM) mostly develops early in childhood and this has led to interest into whether there could be differences in relationships in families with SM compared to a control group without SM. Currently, there are merely few empirical studies examining family relationships in SM. A sample of 28 children and adolescents with SM was compared to 33 controls without SM. The groups were investigated using self-report questionnaires (Selective Mutism Questionnaire, Child-Parent Relationship Test-Child Version) for the assessment of SM and family relationships. Children with SM did not report a significantly different relationship to their mothers compared with the control group without SM. However, the scores in respect to the relationship to their fathers were significantly lower in cohesion, identification and autonomy compared with children without SM. Relationships in families with SM should be considered more in therapy.
选择性缄默症（SM）大多在儿童早期出现，这引发了人们对于与无SM对照组相比，患有SM的家庭中人际关系是否存在差异的兴趣。目前，仅有少量实证研究探讨SM中的家庭关系。将28名患有SM的儿童和青少年样本与33名无SM的对照组进行比较。使用自我报告问卷（选择性缄默症问卷、亲子关系测试-儿童版）对两组进行调查，以评估SM和家庭关系。与无SM的对照组相比，患有SM的儿童报告与母亲的关系并无显著差异。然而，与无SM的儿童相比，他们与父亲关系在凝聚力、认同感和自主性方面的得分显著更低。在治疗中应更多地考虑患有SM的家庭中的人际关系。
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