Johnson Jeffrey G, Cohen Patricia, Kasen Stephanie, Smailes Elizabeth, Brook Judith S
Unit 60, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
Z Psychosom Med Psychother. 2002;48(4):396-410.
A longitudinal study was conducted to investigate the role of maladaptive parental behavior and the association between parent and offspring psychiatric disorders. Psychosocial and psychiatric interviews were carried out in a representative community sample of 593 biological parents and their offspring from two counties in the state of New York in 1975, 1983, 1985-86, and 1991-93. In 1975, the mean age of offspring was 6 years. Maladaptive parental behavior was assessed in 1975, 1983, and 1985-86. Parent and offspring psychiatric symptoms were assessed in 1983, 1985-86, and 1991-93. Maladaptive parental behavior substantially mediated a significant association between parental and offspring psychiatric symptoms. Parents with psychiatric disorders had higher levels of maladaptive behavior in the household than did parents without psychiatric disorders. Maladaptive parental behavior, in turn, was associated with increased offspring risk for psychiatric disorders during adolescence and early adulthood. Most of the youths that experienced high levels of maladaptive parental behavior during childhood had psychiatric disorders during adolescence or early adulthood, independent of whether or not their parents had psychiatric disorders. In contrast, the offspring of parents with psychiatric disorders were not at increased risk for psychiatric disorders unless there was a history of maladaptive parental behavior. Maladaptive parental behavior is associated with increased risk for the development of psychiatric disorders among the offspring of parents with and without psychiatric disorders. Maladaptive parental behavior appears to be an important mediator of the association between parental and offspring psychiatric symptoms.
开展了一项纵向研究,以调查适应不良的父母行为的作用以及父母与子女精神障碍之间的关联。1975年、1983年、1985 - 1986年以及1991 - 1993年,对来自纽约州两个县的593对亲生父母及其子女这一具有代表性的社区样本进行了心理社会和精神方面的访谈。1975年时,子女的平均年龄为6岁。在1975年、1983年以及1985 - 1986年评估了适应不良的父母行为。在1983年、1985 - 1986年以及1991 - 1993年评估了父母和子女的精神症状。适应不良的父母行为在很大程度上介导了父母与子女精神症状之间的显著关联。患有精神障碍的父母在家庭中表现出的适应不良行为水平高于没有精神障碍的父母。反过来,适应不良的父母行为与子女在青春期和成年早期患精神障碍的风险增加有关。大多数在童年时期经历过高度适应不良父母行为的年轻人在青春期或成年早期患有精神障碍,无论其父母是否患有精神障碍。相比之下,患有精神障碍的父母的子女,除非有适应不良的父母行为史,否则患精神障碍的风险不会增加。适应不良的父母行为与有或没有精神障碍的父母的子女患精神障碍的风险增加有关。适应不良的父母行为似乎是父母与子女精神症状之间关联的重要介导因素。