摘要
目的 探讨不同类型男性品行障碍青少年的移情缺陷.方法 采用基本移情量表中文版对65名男性品行障碍青少年进行测试,与195名正常对照者进行比较.65名品行障碍患者根据症状表现先后被分为破坏型（n=46）与非破坏型（n=19）、公开型（n=23）与隐蔽型（n=42）等4组进行比较.用t检验、协方差分析、logistic回归分析对数据进行处理.结果 （1）患者组的认知移情分低于对照组[（29.86±4.72）分,（32.09 ±4.94）分,（P＜0.01）],差异具有显著性;（2）患者中破坏型组认知移情分低于对照组[（29.76±4.46）分,（32.09±4.94）分,（P＜0.01）],差异具有显著性;（3）患者中公开型组和隐蔽型组的认知移情分低于对照组[分别为（29.22±3.77）分,（30.21±5.17）分,（32.09±4.94）分,（P＜0.05～0.01）],差异具有显著性;公开型组的情感移情分低于隐蔽型组[（26.13±5.05）分,（29.50±4.16）分,（P＜0.05）],差异具有显著性;公开型组的移情总分低于隐蔽型组和对照组[分别为（55.35±7.09）分,（59.71±7.58）分,（60.04±8.50）分,（P＜0.05）],差异具有显著性;（4）Logistic回归分析显示认知移情是品行障碍的保护因素（OR=0.43）.结论 男性品行障碍青少年存在认知移情缺陷,认知移情可能是品行障碍的保护因素;不同类型品行障碍患者的移情能力具有不同的特征.
Objective To explore the empathy deficits of adolescents with different types of conduct disorder. Methods The participants included 65 adolescents （ who met the DSM-Ⅳ criteria for conduct disorder）ranging from 13 ～ 18 in age,and 195 normal adolescents ranging from 13 ～ 18 in age. All participants were assessed by revised Basic Empathy Scale. 65 patients were divided into 4 subgroups according to symptoms： destructive-nondestructive subgroups and overt-covert subgroups. Results （1） Scores of cognitive empathy were lower in patients than normal controls （ （29.86 ± 4.72） vs （ 32.09 ± 4.94）, P ＜ 0. 01 ）. （2） There were significant differences in the levels of cognitive empathy between patients and controls （P＜0. 01 ）. Scores of cognitive empathy were lower in destructive subgroup than controls （ （29.76 ± 4.46） vs （ 32.09 ± 4.94） , P ＜ 0.01 ）. （3） There were significant differences in the levels of two dimensions and total scores of empathy between patients and controls （F=3.10 ～5.36, P ＜ 0.05 ）. Scores of cognitive empathy were lower in overt subgroup （ 29.22 ± 3.77 ） and covert subgroup （30.21 ± 5.17 ） than controls （32.09 ± 4.94） （P＜ 0.05, P＜0.01 ）;and scores of affective empathy were lower in overt subgroup than covert subgroup （ （26.13 ±5.05） vs （29.50 ±4.16）, P＜0.05 ）. Total scores of empathy were lower in overt subgroup （55.35 ±7.09） than covert subgroup （59.71 ±7.58） and controls （60.04 ±8.50 ） （P＜0.05）. （4） Logistic regression analysis showed that cognitive empathy was a protective factor for conduct disorders（ OR = 0.43 ）. Conclusion The cognitive empathy level of patients is significantly lower than normal students;and boys with different types of conduct disorder possess different empathic abilities when compared with healthy controls;and cognitive empathy is a protective factor for conduct disorder.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2010年第8期704-706,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
河南省教育科学＂十一五＂规划重点课题（2009-JKGHAZ-0133）
关键词
品行障碍
青少年
移情
Conduct Disorder
Adolescents
Empathy
