Du Rocher Schudlich Tina D, Youngstrom Eric A, Calabrese Joseph R, Findling Robert L
Department of Psychology, Western Washington University, 516 High Street, MS 9089, Bellingham, WA 98225-9089, USA.
J Abnorm Child Psychol. 2008 Aug;36(6):849-63. doi: 10.1007/s10802-008-9217-9. Epub 2008 Feb 13.
Investigated the association between family functioning and conflict and their links with mood disorder in parents and with children's risk for bipolar disorder. Participants were 272 families with a child between the ages of 5-17 years. Parents' history of psychiatric diagnoses and children's current diagnoses were obtained via semi-structured interviews. Parent report on the Family Assessment Device and the Conflict Behavior Questionnaire measured family functioning and conflict, respectively. Results revealed a small but significant indirect pathway from parental diagnosis of mood disorder to child bipolar disorder through impaired family functioning, via increased family conflict. Parental mood disorders were also significantly related to other negative outcomes in children, including unipolar depression and oppositional defiant disorder. Associations between parent diagnoses and family functioning changed depending on youth age, but not youth sex.
研究了家庭功能与冲突之间的关联，以及它们与父母情绪障碍和儿童双相情感障碍风险之间的联系。研究对象为272个有5至17岁孩子的家庭。通过半结构化访谈获取父母的精神疾病诊断史和孩子目前的诊断情况。父母分别通过家庭评估量表和冲突行为问卷报告来衡量家庭功能和冲突。结果显示，从父母情绪障碍诊断到儿童双相情感障碍存在一条虽小但显著的间接路径，即通过家庭功能受损，经由家庭冲突增加来实现。父母的情绪障碍也与儿童的其他负面结果显著相关，包括单相抑郁和对立违抗障碍。父母诊断与家庭功能之间的关联因青少年年龄而异，但与青少年性别无关。
