Reichart C G, van der Ende J, Hillegers M H J, Wals M, Bongers I L, Nolen W A, Ormel J, Verhulst F C
Erasmus Medical Center Rotterdam/Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
Acta Psychiatr Scand. 2007 Jan;115(1):21-8. doi: 10.1111/j.1600-0447.2006.00838.x.
To explore the impact of growing up with a parent with a bipolar disorder. First, we compared parental rearing behavior perceived by young adult offspring of bipolar parents with parental rearing behavior perceived by same aged young adults from the general population. Secondly, we examined the associations between perceived parental rearing behavior and parental psychopathology and psychopathology in offspring.
Subjects were 129 offspring of 80 bipolar parents and their spouses and 1122 young adults from the general population. In offspring the Structured Clinical Interview for DSM-IV was used to assess DSM-IV diagnoses and the EMBU was used to assess perceived parental rearing in both groups.
In general, offspring growing up in a family with a bipolar parent perceived their mothers as less rejecting, more emotionally warm and less overprotecting and their fathers as less emotionally warm and less overprotecting compared with young adults from the general population. Perceived rejection was related to psychopathology in offspring.
Overall, parental rearing in families with a parent with a bipolar disorder is not more dysfunctional, as perceived by their offspring, than in families from the general population. Offspring with a bipolar disorder perceive their parents as more rejecting.
探讨在患有双相情感障碍的父母身边成长所产生的影响。首先，我们将双相情感障碍患者的成年子女所感知到的父母养育行为与普通人群中同龄年轻人所感知到的父母养育行为进行了比较。其次，我们研究了所感知到的父母养育行为与父母精神病理学以及子女精神病理学之间的关联。
研究对象包括80名双相情感障碍患者及其配偶的129名子女以及来自普通人群的1122名年轻人。对子女使用《精神疾病诊断与统计手册》第四版（DSM-IV）的结构化临床访谈来评估DSM-IV诊断，并使用父母养育方式评价量表（EMBU）来评估两组中所感知到的父母养育情况。
总体而言，与普通人群中的年轻人相比，在患有双相情感障碍的父母家庭中成长的子女认为他们的母亲较少拒绝、更具情感温暖且较少过度保护，而他们的父亲则较少情感温暖且较少过度保护。所感知到的拒绝与子女的精神病理学有关。
总体而言，在患有双相情感障碍的父母家庭中，子女所感知到的父母养育功能失调程度并不比普通家庭更高。患有双相情感障碍的子女认为他们的父母更具拒绝性。
