花蓮市高中生之家庭功能和自述身心症狀

Family Function and Self-rated Psychiatric Symptoms among High School Students in Hualien

李燕鳴(Yin-Ming Li)

《慈濟醫學雜誌》 11卷2期 (1999/06) Pp. 147-154

https://doi.org/10.6440/TZUCMJ.199906.0147

摘要

目的：探討花蓮市青少年的家庭功能及身心症狀間之關係。材料與方法：以花蓮市9所高中(職)學生為母群體，於各校各年級經隨機集束方法抽取一班，共27班學生為研究對象，由學生自填結構式問卷一份，內容包括中譯的家庭功能表(family APGAR)和自述身心症狀量表(Brief Symptom Rating Scale, BSRS)。結果：約5%之學生之家庭功能是嚴重障礙，6成是屬中度障礙，對家庭功能中之安慰和協助最多不滿意；身心症狀中以敵意症狀指數最高、神經質症狀次之，有此兩症狀的百分比分別是24.5%和19.6%；家庭功能指數和身心症狀指數之相關係數為-0.25。結論：各項身心症狀的百分比於家庭功能嚴重障礙學生中，都明顯高於功能良好的學生；雖然不能瞭解兩者間因果關係。但因家庭功能量表的簡單、方便且特異性高，故建議國、高中學校應用為第一階段的篩檢工具，檢出異常或高危險群後再進行身心症狀評估，並建立諮詢和治療的相關資源網路以提供完整和週全的青少年身心健康照顧。

關鍵字

青少年 ； 家庭功能 ； 身心症狀 ； 花蓮市

並列摘要

Objective: To investigate the relationship of family function and self-rated psychiatric symptoms among high school students in Hualien city. Subjects and Methods: We sampled 27 classes of high school students from 9 high schools via a stratified cluster sampling method. Students filled out a structured questionnaire, including family APGAR scale and Brief Symptom Rating Scale (BSRS). Results: We found in 5.0% of families, function was very impaired and in 60.0% moderately impaired. Adolescents were most dissatisfied with their families’ affection and partnership. Hostility symptoms were the most common psychiatric symptoms, and psychoticism was second, reported in about 24.5% and 19.6% of families, respectively. The correlation coefficient between the APGAR and BSRS was -0.25. Conclusions: The proportions of symptoms were higher among students whose family function was impaired than among those with good function. The causal relationship between family APGAR and BSRS could not be clarified. Since the APGAR is simple and easy to use, schools can use it as primary screening tool. High-risk students can then be referred for further psychosocial evaluation. Setting up network of resources for consultation and therapy is essential for comprehensive adolescent care.

並列關鍵字

adolescents ； family function ； psychiatric symptoms ； Hualien city