Heider Dirk, Bernert Sebastian, Matschinger Herbert, Haro Josep M, Alonso Jordi, Angermeyer Matthias C
University of Leipzig, Department of Psychiatry, Leipzig, Germany.
Aust N Z J Psychiatry. 2007 Jan;41(1):66-73. doi: 10.1080/00048670601057742.
The short-term effect of an adverse parental child rearing style on suicidality in adolescence has been extensively discussed. Nevertheless, little is known about the long-term effect of adverse parental child rearing on lifetime suicidality in adulthood. So the present study aims to examine the relation between parental bonding on the one hand and suicidality in adulthood on the other.
We used data from 7740 respondents of the European Study of Epidemiology of Mental Disorders project, a cross-sectional household survey carried out in six European countries. The data were assessed with the World Mental Health Composite International Diagnostic Interview, a comprehensive, fully structured psychiatric diagnostic interview. Suicidality was categorized as follows: 'no ideation', 'ideation', 'attempt'. Parental bonding was assessed by means of a three-factor ('care', 'overprotection', 'authoritarianism') short form of the Parental Bonding Instrument. Using a multinomial-logistic regression model to investigate the association between these two constructs, we also adjusted for mood disorders, anxiety disorders, alcohol abuse/dependence and possible country effects.
We found associations between low maternal and paternal care on the one hand and suicidality on the other. Country-specific differences proved negligible.
Prevention programs can help better equip parents in their child-rearing role to create a more caring parenting environment. This can be a protective factor for suicidality in adulthood. Nevertheless, more efforts are necessary to better describe the paths that lead from child-rearing behaviour to suicidality in adulthood.
不良的父母养育方式对青少年自杀倾向的短期影响已得到广泛讨论。然而,关于不良的父母养育方式对成年期终身自杀倾向的长期影响却知之甚少。因此,本研究旨在探讨父母情感纽带与成年期自杀倾向之间的关系。
我们使用了欧洲精神障碍流行病学研究项目中7740名受访者的数据,这是一项在六个欧洲国家进行的横断面家庭调查。数据通过世界心理健康综合国际诊断访谈进行评估,这是一种全面、完全结构化的精神科诊断访谈。自杀倾向分类如下:“无想法”、“有想法”、“有尝试”。父母情感纽带通过父母教养方式问卷的三因素(“关爱”、“过度保护”、“专制”)简版进行评估。使用多项逻辑回归模型来研究这两个结构之间的关联,我们还对情绪障碍、焦虑障碍、酒精滥用/依赖以及可能的国家效应进行了调整。
我们发现母亲和父亲的低关爱一方面与自杀倾向另一方面之间存在关联。国家特定差异被证明可忽略不计。
预防项目可以帮助父母在育儿角色中更好地做好准备,营造一个更具关爱的养育环境。这可以成为成年期自杀倾向的一个保护因素。然而,需要做出更多努力来更好地描述从养育行为到成年期自杀倾向的路径。