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美国全国样本中的母亲抑郁症状、父亲参与度与儿童问题行为轨迹

Maternal depressive symptoms, father's involvement, and the trajectories of child problem behaviors in a US national sample.

作者信息

Chang Jen Jen, Halpern Carolyn T, Kaufman Jay S

机构信息

Department of Community Health in Epidemiology, Saint Louis University School of Public Health, St Louis, MO 63104, USA.

出版信息

Arch Pediatr Adolesc Med. 2007 Jul;161(7):697-703. doi: 10.1001/archpedi.161.7.697.

Abstract

OBJECTIVE

To examine the effect of maternal depressive symptoms on child problem behavior trajectories and how the father's positive involvement may modify this association.

DESIGN

Secondary data analysis using data from the National Longitudinal Survey of Youth.

SETTING

A nationally representative household sample of men and women from the National Longitudinal Survey of Youth.

PARTICIPANTS

The study sample includes 6552 mother-child dyads interviewed biennially between January 1, 1992, and December 31, 2002; children were 0 to 10 years old at baseline. Intervention Past-week maternal depressive symptoms in 1992.

MAIN OUTCOME MEASURES

Maternal self-reports of child internalizing and externalizing behaviors were assessed repeatedly using a modified Child Behavior Checklist.

RESULTS

Linear growth curve models indicate that the adverse effects of maternal depressive symptoms on child problem behavior trajectories become negligible after controlling for the father's involvement and other covariates, including the child's age, sex, and race/ethnicity; the mother's educational level; maternal age at child birth; number of children; poverty status; urban residence; and father's residential status. Positive involvement by the father was inversely associated with child problem behavior trajectories. The effects of maternal depressive symptoms on child problem behaviors varied by the level of the father's positive involvement.

CONCLUSION

When the father actively compensates for limitations in the depressed mother's functioning, the child's risk of problem behaviors may be reduced.

摘要

目的

探讨母亲抑郁症状对儿童问题行为轨迹的影响,以及父亲的积极参与如何改变这种关联。

设计

使用来自全国青年纵向调查的数据进行二次数据分析。

背景

全国青年纵向调查中具有全国代表性的男女家庭样本。

参与者

研究样本包括1992年1月1日至2002年12月31日期间每两年接受一次访谈的6552对母子;基线时儿童年龄为0至10岁。干预措施为1992年过去一周母亲的抑郁症状。

主要观察指标

使用改良的儿童行为检查表反复评估母亲对儿童内化和外化行为的自我报告。

结果

线性增长曲线模型表明,在控制了父亲的参与以及其他协变量后,母亲抑郁症状对儿童问题行为轨迹的不利影响变得微不足道,这些协变量包括儿童的年龄、性别和种族/民族;母亲的教育水平;生育时的母亲年龄;子女数量;贫困状况;城市居住情况;以及父亲的居住状况。父亲的积极参与与儿童问题行为轨迹呈负相关。母亲抑郁症状对儿童问题行为的影响因父亲积极参与的程度而异。

结论

当父亲积极弥补抑郁母亲功能上的不足时,儿童出现问题行为的风险可能会降低。

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