Schenkel Lindsay S, West Amy E, Harral Erin M, Patel Nafisa B, Pavuluri Mani N
Pediatric Mood Disorders Program, Institute for Juvenile Research, University of Illinois at Chicago, IL, USA.
J Clin Psychol. 2008 Apr;64(4):422-37. doi: 10.1002/jclp.20470.
Parent-child relationships may have a significant effect on illness characteristics of children with pediatric bipolar disorder (PBD), and these relationships may, in turn, be affected by the child's illness. We characterized maternal reports of parent-child relationships using the five-factor Parent-Child Relationship Questionnaire (PCRQ) in 60 families (30 PBD youth and 30 matched controls). Data on child proband and parental psychopathology were also obtained. Compared to controls, parent-child relationships in the PBD group were characterized by significantly less warmth, affection, and intimacy, and more quarreling and forceful punishment. Among PBD participants, elevated symptoms of mania, comorbid ADHD, an earlier age of illness onset, living in a single parent home, and the presence of a parental mood disorder were associated with greater parent-child relationship difficulties. These findings have implications for the development of interventions that focus on the quality of parent-child relationships, in addition to symptom management, in the treatment of PBD.
亲子关系可能对患有小儿双相情感障碍（PBD）的儿童的疾病特征产生重大影响，而这些关系反过来可能会受到孩子疾病的影响。我们使用五因素亲子关系问卷（PCRQ）对60个家庭（30名患有PBD的青少年和30名匹配的对照组）中母亲报告的亲子关系进行了特征描述。我们还获取了关于儿童先证者和父母精神病理学的数据。与对照组相比，PBD组的亲子关系具有明显更少的温暖、情感和亲密感，以及更多的争吵和强制惩罚。在患有PBD的参与者中，躁狂症状加重、共患注意力缺陷多动障碍（ADHD）、疾病发病年龄较早、生活在单亲家庭以及父母患有情绪障碍与更大的亲子关系困难相关。这些发现对于在PBD治疗中除了症状管理之外还注重亲子关系质量的干预措施的开发具有启示意义。
