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抑郁母亲的后代中的精神障碍:与父亲精神病理学的关联。

Psychiatric disorders among offspring of depressed mothers: associations with paternal psychopathology.

作者信息

Marmorstein Naomi R, Malone Stephen M, Iacono William G

机构信息

Department of Psychology, Rutgers University, 311 N. 5th St., Camden, NJ 08102, USA.

出版信息

Am J Psychiatry. 2004 Sep;161(9):1588-94. doi: 10.1176/appi.ajp.161.9.1588.

Abstract

OBJECTIVE

The association between maternal depression and offspring dysfunction is well documented; however, little attention has been paid to psychopathology in the partners of these depressed mothers or to how paternal psychopathology might influence the relationship between maternal depression and offspring dysfunction. The purpose of this study was to explore whether major depression and/or antisocial behavior tended to occur more frequently among partners of depressed mothers (compared to partners of nondepressed mothers) and to examine how these paternal disorders related to offspring psychopathology.

METHOD

Participants were drawn from the Minnesota Twin Family Study, a community-based study of twins and their parents. Depressed and nondepressed mothers, their partners (the biological fathers of the twins), and their 17-year-old offspring were included. Structured interviews were used to assess participants for the presence of major depression, conduct disorder, and adult antisocial behavior.

RESULTS

Depressed mothers tended to partner with antisocial fathers. Depression in mothers and antisocial behavior in fathers were both significantly and independently associated with offspring depression and conduct disorder. No interactions of the parental diagnoses with each other or with the gender of the offspring were found.

CONCLUSIONS

Many offspring of depressed mothers experience the additional risk of having an antisocial father. The implications of these findings for risk among the offspring of depressed mothers are discussed.

摘要

目的

母亲抑郁与后代功能障碍之间的关联已有充分记录;然而,这些抑郁母亲的伴侣的精神病理学情况以及父亲的精神病理学如何影响母亲抑郁与后代功能障碍之间的关系却很少受到关注。本研究的目的是探讨与未患抑郁症母亲的伴侣相比,患重度抑郁症和/或反社会行为在患抑郁症母亲的伴侣中是否更频繁发生,并研究这些父亲的疾病与后代精神病理学之间的关系。

方法

参与者来自明尼苏达双胞胎家庭研究,这是一项基于社区的双胞胎及其父母的研究。研究纳入了患抑郁症和未患抑郁症的母亲、她们的伴侣(双胞胎的生物学父亲)以及他们17岁的后代。采用结构化访谈来评估参与者是否存在重度抑郁症、品行障碍和成人反社会行为。

结果

患抑郁症的母亲往往与反社会的父亲为伴。母亲的抑郁症和父亲的反社会行为均与后代的抑郁症和品行障碍显著且独立相关。未发现父母诊断之间或与后代性别的相互作用。

结论

许多患抑郁症母亲的后代还面临有反社会父亲的额外风险。本文讨论了这些发现对患抑郁症母亲后代风险的影响。

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