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为人父母与心理健康有关吗?一项流行病学社区调查的结果。

Is parenthood associated with mental health? Findings from an epidemiological community survey.

作者信息

Helbig Sylvia, Lampert Thomas, Klose Michael, Jacobi Frank

机构信息

Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2006 Nov;41(11):889-96. doi: 10.1007/s00127-006-0113-8. Epub 2006 Sep 1.

Abstract

BACKGROUND

Despite some reports on a potential link between parenthood and mental health, associations have not been systematically investigated yet. The present article provides prevalence rates of the most common mental disorders for parents and non-parents. Interactions between demographic and socio-economic variables, parental status and mental health are explored.

METHODS

Data from the 1998/99 German Health Survey (GHS) and its Mental Health Supplement (GHS-MHS) were analysed using logistic regression models. Analyses were restricted to participants in the age group 18 to 49 (N=2,801). Mental disorders and syndromes were assessed with a standardized diagnostic interview (M-CIDI).

RESULTS

Parenthood was associated with lower rates of psychiatric morbidity in general, and depressive and substance use disorders, in particular. The association between parental status and mental health was more distinct in men than in women, whereas partnership status moderated this relationship: An absence of partnership was associated with increased rates of all common mental disorders. Among non-parents, such a difference could not be found. Full-time employment, compared to part-time employment or unemployment, was linked to lower rates of the common mental disorders among fathers but not among mothers and non-parents. Age, education and income had no effects on the association between parental status and mental health.

CONCLUSION

Parenthood is positively associated with mental health, particularly for men. Most differences can be found for depressive and substance use disorders. Partnership seems especially important for parents since it does not affect prevalence rates of mental disorders among non-parents.

摘要

背景

尽管有一些关于为人父母与心理健康之间潜在联系的报道,但尚未对这种关联进行系统研究。本文提供了父母和非父母中最常见精神障碍的患病率。探讨了人口统计学和社会经济变量、父母身份与心理健康之间的相互作用。

方法

使用逻辑回归模型分析了1998/99年德国健康调查(GHS)及其心理健康补充调查(GHS-MHS)的数据。分析仅限于18至49岁的参与者(N = 2,801)。使用标准化诊断访谈(M-CIDI)评估精神障碍和综合征。

结果

总体而言,为人父母与较低的精神病发病率相关,尤其是与抑郁和物质使用障碍相关。父母身份与心理健康之间的关联在男性中比在女性中更为明显,而伴侣关系则调节了这种关系:没有伴侣关系与所有常见精神障碍的发病率增加相关。在非父母中,未发现这种差异。与兼职工作或失业相比,全职工作与父亲中常见精神障碍的较低发病率相关,但与母亲和非父母无关。年龄、教育程度和收入对父母身份与心理健康之间的关联没有影响。

结论

为人父母与心理健康呈正相关,尤其是对男性而言。大多数差异体现在抑郁和物质使用障碍方面。伴侣关系对父母似乎尤为重要,因为它不影响非父母中精神障碍的患病率。

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