学龄前长子女焦虑障碍与同胞关系及其影响因素的研究
A study on the relationship between anxiety disorder and siblings in preschool eldest childrenXian Danxia; Dali Lu (Shenzhen Longhua maternal and child health hospital,Shenzhen,518109)
投稿时间:2023-11-10  修订日期:2024-11-25
DOI:
中文关键词:  同胞关系  焦虑症状  长子女  学龄前儿童
英文关键词:sibling relationship  anxiety symptoms  eldest children  preschool children
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位地址
叶爱梅 福建省宁德市康复医院 宁德市蕉城区蕉城北路60号宁德市康复医院
陈峰 福建省宁德市康复医院 
叶雨钟 福建省宁德市康复医院 
黄长灿 福建省宁德市康复医院 
李君敏 福建省宁德市康复医院 
王艳山 福建省宁德市康复医院 
陆东曦 福建省宁德市康复医院 
郭木金 福建省宁德市康复医院 
吴为阁 厦门市仙岳医院 
林小玲 中山大学护理学院 
冼丹霞 深圳市龙华区妇幼保健院 
卢大力* 深圳市龙华区妇幼保健院 深圳市龙华区大浪街道华旺路68号
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中文摘要:
      背景 之前的研究发现同胞关系会影响同胞的内化和外化问题,但是很少有研究去探索同胞关系与焦虑的关系,尤其是学龄前儿童的同胞关系。 目的 调查学龄前长子女同胞关系与焦虑症状的关系,并分析其影响因素。方法 采用整群抽样方法,采用一般人口学资料、同胞关系量表(SIB)和学龄前儿童焦虑量表 (SPAS)于2021年10月对深圳市龙华区幼儿园学龄前长子女的父母进行问卷调查。 结果 共8419例儿童完成调查,共检出344例(检出率4.1%)儿童有焦虑症状,其中男、女的检出率,无明显差异(P>0.05);同胞关系中的竞争和回避与学龄前长子女焦虑症状呈正相关(1.081-1.145 OR 95%CI;1.208-1.325 OR 95%CI);家庭收入和深户与长子女焦虑症状呈负相关(0.763-0.929 OR 95%CI;0.590-0.951 OR 95%CI)。结论 非深户和家庭收入偏低的学龄前长子女焦虑症状发生的可能性较大。同时,消极的同胞关系(竞争和回避)会增加儿童的焦虑症状。
英文摘要:
      Background Previous studies have found that sibling relationships can affect the internalizing and externalizing problems of siblings, but few studies have explored the relationship between sibling relationships and anxiety, especially in preschool children. Objective To study the relationship between sibling relationship and anxiety symptoms in preschool eldest children. Methods The cluster sampling method was used to select the eldest children with younger brothers/sisters aged 3-6 in kindergartens in Longhua District of Shenzhen, and a total of 8449 parents were surveyed by questionnaires, of which 8419 were effectively completed. This survey included general demographic data, sibling inventory of behavior (SIB) and Spence preschool anxiety scale (SPAS). Results 1. A total of 344 children with anxiety symptoms were screened in this study, and the prevalence rate was 4.1%. There was no significant difference between male and female children. 2. Competition and avoidance of sibling relationship are positively correlated with anxiety symptoms of preschool eldest children (1.081-1.145 OR 95%CI;1.208-1.325 OR 95%CI), and family income and Shenzhen resident status are negatively correlated with anxiety symptoms of eldest children (0.763-0.929 OR 95%CI;0.590-0.951 OR 95%CI). Conclusion Non-Shenzhen resident status and low family income preschool children are more likely to have anxiety symptoms. And negative sibling relationship (rivalry and avoidance) will increase children's anxiety. Families and parents should pay attention to sibling relationship, guide children to establish good sibling relationship with the purpose of reducing their anxiety level.
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