De Genna Natacha M, Stack Dale M, Serbin Lisa A, Ledingham Jane E, Schwartzman Alex E
Center for Research in Human Development and Department of Psychology, Concordia University, Ottawa, Ontario, Canada.
J Dev Behav Pediatr. 2006 Aug;27(4):297-309. doi: 10.1097/00004703-200608000-00004.
The purpose of this study was to determine the impact of childhood aggression and social withdrawal on adolescent health risk behaviors and adult health outcomes, and to examine the transfer of health risk to preschool offspring. This was a prospective, longitudinal, and intergenerational study of 114 mothers from disadvantaged neighborhoods, who were identified in childhood as being highly aggressive and/or withdrawn or with low scores on these 2 behavioral risk dimensions, and their preschool offspring aged 1 to 6 years old. The health histories of mothers (adolescent health risk behavior, health during pregnancy, current symptoms) and target children were taken during structured interviews conducted at home. Regression analyses tested the relationship between maternal childhood risk status and subsequent health outcomes, and these were followed by structural equation modeling of a proposed intergenerational pathway. Maternal childhood aggression predicted current health risk behaviors (e.g., daily cigarette smoking), whereas maternal childhood social withdrawal was not associated with maternal health risk at the time of testing. Mothers who had high scores on both aggression and withdrawal were more likely to engage in adolescent health risk behavior, which was directly related to health problems in preschoolers (even after controlling for covariates, such as neonatal health status and sex). In summary, there are distinct health trajectories for women who are highly aggressive and socially withdrawn in childhood, with implications for women's long-term health. Specifically, aggression in girls is likely to lead to health risk behaviors that may also place the next generation at risk for pediatric illness. Results are interpreted in terms of the health-hostility link, best known in adult men and intergenerational models.
本研究的目的是确定童年期攻击行为和社交退缩对青少年健康风险行为及成人健康结局的影响，并考察健康风险向学龄前后代的传递。这是一项针对114名来自弱势社区母亲的前瞻性、纵向和代际研究，这些母亲在童年期被认定为具有高度攻击性和/或退缩，或在这两个行为风险维度上得分较低，以及她们1至6岁的学龄前后代。在家庭中进行的结构化访谈期间，收集了母亲（青少年健康风险行为、孕期健康、当前症状）和目标儿童的健康史。回归分析检验了母亲童年期风险状况与后续健康结局之间的关系，随后对提出的代际路径进行了结构方程建模。母亲童年期的攻击行为可预测当前的健康风险行为（如每日吸烟），而母亲童年期的社交退缩在测试时与母亲的健康风险无关。在攻击和退缩方面得分都高的母亲更有可能从事青少年健康风险行为，这与学龄前儿童的健康问题直接相关（即使在控制了诸如新生儿健康状况和性别等协变量之后）。总之，童年期高度攻击性和社交退缩的女性有不同的健康轨迹，这对女性的长期健康有影响。具体而言，女孩的攻击行为可能导致健康风险行为，这也可能使下一代面临儿科疾病的风险。研究结果根据健康与敌意的联系进行解释，这在成年男性和代际模型中最为人所知。
