Fergusson David M, Boden Joseph M, Horwood L John
Department of Psychological Medicine, Christchurch School of Medicine and Health Sciences, Christchurch, New Zealand.
Arch Gen Psychiatry. 2007 Sep;64(9):1089-95. doi: 10.1001/archpsyc.64.9.1089.
There has been a great deal of research and speculation on the impact of growing up in a single-parent household; however, it is unclear whether exposure to single parenthood is a direct cause of adverse life outcomes.
To examine the associations between the extent of exposure to single parenthood in childhood and later mental health, educational, economic, and criminal behavior outcomes, before and after controlling for potentially confounding factors.
Data were gathered during the Christchurch Health and Development Study, a 25-year longitudinal study of a birth cohort of New Zealand children (635 males and 630 females).
General community sample.
The analysis was based on a sample of 971 participants with available data on exposure to single parenthood from birth to the age of 16 years. This sample represented 76.8% of the initial cohort.
The DSM-IV symptom criteria for major depression, anxiety disorders, and substance dependence, for those aged 21 to 25 years; suicidal ideation and attempted suicide, for those aged 21 to 25 years; achieving a university degree or other tertiary education qualification, for those aged 21 to 25 years; welfare dependence and unemployment, for those aged 21 to 25 years; annual income at the age of 25 years; arrest or conviction, for those aged 21 to 25 years; and self-reported violent and property offenses, for those aged 21 to 25 years.
There were significant associations between the extent of exposure to single parenthood and anxiety disorder (P = .003), achieving a tertiary qualification or university degree (P < .001 for both), welfare dependence and personal income (P < .001 for both), arrest or conviction (P < .001), and violent and property offenses (P = .001). After adjustment for confounding factors, the associations between exposure to single parenthood and most outcomes were explained.
The associations between exposure to single parenthood in childhood and outcomes in young adulthood may be explained by the social and contextual factors that are associated with exposure to single parenthood.
关于在单亲家庭中成长的影响,已有大量研究和推测;然而,尚不清楚单亲环境是否是不良生活结局的直接原因。
在控制潜在混杂因素前后,研究儿童期单亲环境暴露程度与后期心理健康、教育、经济和犯罪行为结局之间的关联。
数据收集于克赖斯特彻奇健康与发展研究,这是一项对新西兰儿童出生队列进行的为期25年的纵向研究(635名男性和630名女性)。
一般社区样本。
分析基于971名参与者的样本,这些参与者有从出生到16岁期间单亲环境暴露的可用数据。该样本占初始队列的76.8%。
21至25岁人群的重度抑郁症、焦虑症和物质依赖的《精神疾病诊断与统计手册》第四版症状标准;21至25岁人群的自杀意念和自杀未遂情况;21至25岁人群获得大学学位或其他高等教育资格的情况;21至25岁人群的福利依赖和失业情况;25岁时的年收入;21至25岁人群的被捕或定罪情况;以及21至25岁人群自我报告的暴力和财产犯罪情况。
单亲环境暴露程度与焦虑症(P = 0.003)、获得高等学历或大学学位(两者P < 0.001)、福利依赖和个人收入(两者P < 0.001)、被捕或定罪(P < 0.001)以及暴力和财产犯罪(P = 0.001)之间存在显著关联。在对混杂因素进行调整后,单亲环境暴露与大多数结局之间的关联得到了解释。
儿童期单亲环境暴露与青年期结局之间的关联可能由与单亲环境暴露相关的社会和背景因素所解释。