FAMILY FUNCTIONING AND SUICIDAL-BEHAVIOR IN ADOLESCENT INPATIENTS WITH MOOD DISORDERS
FAMILY FUNCTIONING AND SUICIDAL-BEHAVIOR IN ADOLESCENT INPATIENTS WITH MOOD DISORDERS
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DOI：
10.1097/00004583-199311000-00013
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发表时间：
1993-11-01
影响因子：
13.3
通讯作者：
EVANS, T
中科院分区：
文献类型：
--
作者：
KING, CA;SEGAL, HG;EVANS, T
目的：本研究旨在确定患有情绪障碍的青少年住院患者中与自杀行为（主动意图、姿势、企图）相关的家庭和父母特征。方法：受试者为 32 名患有情绪障碍的自杀青少年住院患者、32 名患有情绪障碍的非自杀青少年住院患者和 38 名正常对照青少年。采用分组比较设计。青少年的衡量标准是家庭评估装置和两次半结构化访谈（汉密尔顿抑郁量表、儿童和青少年社会适应量表）。家长的衡量标准是症状检查表 90 和社会适应量表自我报告。结果：即使在控制了青少年抑郁严重程度后，自杀青少年的父亲比非自杀青少年和正常青少年的父亲报告更多的抑郁和家庭问题。反过来，有自杀倾向的青少年与父亲的关系也不太活跃和沟通。在控制青少年抑郁严重程度后，自杀和非自杀青少年对一般家庭功能的看法差异并不显着。结论：研究结果强调了在家庭系统内治疗抑郁和潜在自杀青少年以及关注青少年与父亲和母亲关系的性质和质量的重要性。研究结果还强调了自杀青少年的抑郁严重程度与他们对家庭功能的负面看法之间的相互作用。
Objective: This study was designed to identify family and parental characteristics associated with suicidal behavior (active intent, gesture, attempt) among adolescent inpatients with mood disorders. Method: Subjects were 32 suicidal adolescent inpatients with mood disorders, 32 nonsuicidal adolescent inpatients with mood disorders, and 38 normal comparison adolescents. A group comparison design was used. Adolescent measures were the Family Assessment Device and two semistructured interviews (Hamilton Rating Scale for Depression, Social Adjustment Inventory for Children and Adolescents). Parent measures were the Symptom Checklist-90 and the Social Adjustment Scale-Self Report. Results: Fathers of suicidal adolescents reported more depression and family unit problems than did fathers of nonsuicidal and normal comparison adolescents, even after controlling for adolescents' depression severity. Suicidal adolescents, in turn, reported less active and communicative relationships with fathers. Differences among suicidal and nonsuicidal adolescents' perceptions of general family functioning were not significant after controlling for adolescents' depression severity. Conclusions: Findings highlight the importance of treating the depressed and potentially suicidal adolescent within the family system and attending to the nature and quality of adolescents' relationships with fathers as well as with mothers. Findings also highlight interactions between suicidal adolescents' depression severity and their negative perceptions of family functioning.