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父母依恋及其对学龄儿童精神症状发展的影响。

Parental attachment and its impact on the development of psychiatric manifestations in school-aged children.

作者信息

Yoo Han Ik, Kim Boong-Nyun, Shin Min Sup, Cho Soo Churl, Hong Kang-E

机构信息

Institute of Clinical Medical Research and Behavioral Medicine, Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Republic of Korea.

出版信息

Psychopathology. 2006;39(4):165-74. doi: 10.1159/000092677. Epub 2006 Apr 11.

DOI:10.1159/000092677
PMID:16612136
Abstract

BACKGROUND

Few studies have examined the relationship between the attachment styles of the primary caregivers and the behavioral problems of their school-aged children. This study was performed to identify the impact of insecure attachment patterns of parents on the development of their children's psychiatric manifestations and disorders. SAMPLINGS AND METHODS: We included 494 2nd to 3rd graders and their primary caretakers. A relationship questionnaire was applied to identify the parental attachment patterns. We investigated the children's mental and behavioral problems by using the Korean Child Behavior Checklist. For objective psychiatric diagnoses, we interviewed 130 high-risk subjects using the Korean Kiddie-Schedule for Affective Disorders and Schizophrenia - Present and Lifetime version.

RESULTS

Those parents judged to be preoccupied had children with more internalized symptoms than those who were judged to be secure (p< 0.01); dismissing/avoidant parents had children with higher scores on Attention problems (p = 0002), and fearful/avoidant parents had children with more externalized symptoms (p < 0.01). Moreover, children with insecure attachment type parents revealed more psychiatric morbidity than children with secure parents (p = 0.042).

CONCLUSION

Parental insecure attachment was associated with the development of the psychopathologies and psychiatric illness of their children.

摘要

背景

很少有研究探讨主要照顾者的依恋模式与其学龄儿童行为问题之间的关系。本研究旨在确定父母不安全依恋模式对其子女精神症状和障碍发展的影响。

抽样与方法

我们纳入了494名二至三年级学生及其主要照顾者。应用关系问卷来确定父母的依恋模式。我们使用韩国儿童行为检查表调查儿童的心理和行为问题。为了进行客观的精神疾病诊断,我们使用韩国情感障碍和精神分裂症儿童检查表(目前和终生版)对130名高危受试者进行了访谈。

结果

被判定为过度关注型的父母的孩子比被判定为安全型的父母的孩子有更多的内化症状(p<0.01);疏离/回避型父母的孩子在注意力问题上得分更高(p = 0.002),恐惧/回避型父母的孩子有更多的外化症状(p < 0.01)。此外,父母为不安全依恋类型的孩子比父母为安全依恋类型的孩子有更多的精神疾病发病率(p = 0.042)。

结论

父母不安全依恋与子女精神病理学和精神疾病的发展有关。

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