设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
不同性别低年级大学生的愤怒气质与躯体化:家庭情感反应的调节作用
作者:刘亮  刘翠莲  赵旭东 
单位:1. 上海市浦东新区精神卫生中心  上海 200124 2. 同济大学心理健康教育与咨询中心  上海 200092 3. 同济大学医学院  上海 200092 
关键词:低年级大学生 愤怒气质 躯体化症状 家庭情感反应 性别差异 
分类号:R395.2
出版年,卷(期):页码:2017,25(4):758-762
摘要:

目的:探讨家庭情感反应在不同性别低年级大学生愤怒气质与躯体化关联中的调节作用。方法:选取某大学一二年级学生2008人,采用一般情况问卷、症状自评量表(SCL-90)、状态-特质愤怒表达量表修订版及家庭功能评定施测。结果:①女生愤怒气质高于男生,家庭情感反应低于男生;②男女生躯体化与愤怒气质、家庭情感反应、抑郁和焦虑情绪呈正相关(r=0.12~0.70,P均<0.001);③男生家庭情感反应在愤怒气质与躯体化的关联中发挥调节作用(愤怒气质×情感反应β=0.25,P<0.05)。女生中未发现该调节作用。结论:低年级大学生愤怒气质越明显,躯体化症状越多。男生家庭中积极情绪体验及表达越多,越不容易因高愤怒气质而出现躯体化症状。

Objective: This study examined whether the variances in family affective responsiveness moderated the link between anger trait and somatization in college students of with different genders. Methods: 2008 college students were recruited from a comprehensive university. All participants completed questionnaires including demographic data, Symptom Check List-90(SCL-90), State-Trait Anger Expression Inventory 2(STAXI-2) and Family Assessment Device(FAD) to assess current somatization, depression, anger trait and family affective response respectively. Results: ①Female subjects reported higher scores on anger trait(P=0.01), and lower scores on family affective responsiveness than male(P=0.009). ②Somatic symptoms were positively linked with anger trait, family affective responsiveness, depression and anxiety in both genders(r=0.12~0.70, Ps<0.001). ③For males, affective responsiveness moderated the link between anger trait and somatization(β=0.25, P<0.05), but for women this moderation effect was insignificant. Conclusion: Higher proneness in anger contributes to somatic symptoms in low-grade college students. For male students, low level of family affective responsiveness is a protecting factor which may reduce the influence of anger trait on somatic symptoms.

基金项目:
国家自然科学基金青年科学基金项目:躯体化障碍情绪相关脑区的功能网络及脑代谢特征研究(项目编号:81301154)
作者简介:
参考文献:

1 Fink P, Sorensen L, Engberg M, et al. Somatization in prim ary care-Prevalence, health care utilization, and general practitioner recognition. Psychosomatics, 1999, 40(4):330-338
2 吴彩云, 刘协和. 躯体形式障碍. 沈渔邨. 精神病学. 4版. 北京:人民卫生出版社, 2001. 476
3 Khoo EM, Mathers NJ, McCarthy SA, et al. Somatisation Disorder and Its Associated Factors in Multiethnic Primary Care Clinic Attenders. International Journal of Behavioral Medicine, 2012, 19(2):165-173
4 Spielberger CD, Johnso EH, Russell SF, et al. The experience and expression of anger:Construction and validation of an anger expression scale. Cheney MA, Rosenman RH. Anger and hostility in cardiovascular and behavioral disorders. New York:McGraw-Hill, 1985. 5-30
5 Liu L, Cohen S, Schulz MS, et al. Sources of somatization:Exploring the roles of insecurity in relationships and styles of anger experience and expression. Social Science & Medicine, 2011,73(9):1436-1443
6 Retzlaff R, Von Sydow K, Beher S, et al. The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence:A Systematic Review of 38 Randomized Trials. Family Process, 2013, 52(4):619-652
7 Minuchin S, Rosman BL, Baker L. Psychosomatic families. Anorexia nervosa in context. Boston:Harvard University Press, 1978. 104-105
8 Obimakinde AM, Ladipo MM, Irabor AE. Familial and socio-economic correlates of somatisation disorder. African Journal of Primary Health Care & Family Medicine, 2015, 7 (1):8
9 Wang J, Zhao X. Comparison of family functioning and social support between families with a member who has obsessive-compulsive disorder and control families in Shanghai. Shanghai Archives of Psychiatry, 2012, 24(1):20-29
10 Wang J, Zhao X. Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Archives of Gerontology and Geriatrics, 2012, 55:574-579
11 王继堃, 赵旭东. 抑郁症与家庭功能的关系研究. 国际精神病学杂志, 2012, 39(1):21-23
12 刘培毅, 何慕陶. 家庭功能评定. 汪向东, 等. 心理卫生评定量表手册. 增订版. 北京:中国心理卫生杂志出版社, 1999. 149-152
13 徐浩, 熊华英, 陈跃辉, 等. 综合性大学本科生焦虑、抑郁与躯体化症状及其影响因素研究. 四川大学学报(医学版), 2013, 44(4):669-672
14 毕晨虹, 姚玉红, 陈增堂. 大学新生适应与其人格特质和家庭人际动力特征的关系. 中国心理卫生杂志, 2015, 29 (4):316-320
15 Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research:conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 1986, 51(6):1173-1182
16 Kraemer HC, Stice E, Kazdin A, et al. How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. American Journal of Psychiatry, 2001, 158(6):848-856
17 刘惠军, 高红梅. 状态-特质愤怒表达量表修订版在大学生中的信效度. 中国心理卫生杂志, 2012, 26(1):70-76
18 赵琳, 李贞, 刘芳, 等. 自杀人际理论框架下大学生愤怒与自杀意念的关系研究. 中国临床心理学杂志, 2015, 23(3):467-476
19 陈昌惠. 症状自评量表. 汪向东, 等. 心理卫生评定量表手册. 增订版. 北京:中国心理卫生杂志出版社, 1999. 31-35
20 Waldinger RJ, Schulz MS, Barsky AJ, et al. Mapping the road from childhood trauma to adult somatization:The role of attachment. Psychosomatic Medicine, 2006, 68(1):129-135
21 Dijkstra-Kersten SMA, Sitnikova K, van Marwijk HWJ, et al. Somatisation as a risk factor for incident depression and anxiety. Journal of Psychosomatic Research, 2015, 79(6):614-619
22 Versella MV, Piccirillo ML, Potter CM, et al. Anger profiles in social anxiety disorder. Journal of Anxiety Disorders, 2016, 37:21-29
23 姚玉红, 刘亮, 赵旭东. 不同性别低年级大学生的自我分化与心理健康:自尊的调节作用. 中国心理卫生杂志, 2011, 25(11):856-861
24 罗伏生, 沈丹, 张珊明. 青少年焦虑和抑郁情绪特征研究. 中国临床心理学杂志, 2009, 17(4):468-470
25 魏重政, 刘文利. 性少数学生心理健康与遭受校园欺凌之间关系研究. 中国临床心理学杂志, 2015, 23(4):701-705
26 刘杨, 陈舒洁, 林丹华. 歧视与新生代农民工心理健康:家庭环境的调节作用. 中国临床心理学杂志, 2013, 21(5):807-810
27 Wang JK, Chen YH, Tan CC, et al. Family functioning, social support, and quality of life for patients with anxiety disorder. International Journal of Social Psychiatry, 2016, 62 (1):5-11
28 Boeckle M, Schrimpf M, Liegl G, et al. Neural correlates of somatoform disorders from a meta-analytic perspective on neuroimaging studies. Neuroimage-Clinical, 2016, 11:606-613
29 赵鑫, 周德龙, 戴莉, 左丹. 情绪调节自我效能感对中学生考试焦虑的影响:情绪调节策略的中介作用(英文). 中国临床心理学杂志, 2017, 25(1):120-126
30 Prosen S, Vitulic HS. Emotion Regulation and Coping Strategies in Pedagogical Students with Different Attachment Styles. Japanese Psychological Research, 2016, 58(4):355-366

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com