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酗酒家庭中婴儿的气质与行为问题

TEMPERAMENT AND BEHAVIORAL PROBLEMS AMONG INFANTS IN ALCOHOLIC FAMILIES.

作者信息

Edwards Ellen Peterson, Leonard Kenneth E, Eiden Rina DAS

机构信息

Research Institute on Addictions, Buffalo, New York.

出版信息

Infant Ment Health J. 2001 May 1;22(3):374-392. doi: 10.1002/imhj.1007.

Abstract

This study examined the association between paternal alcoholism and 12-month infant temperament and 18-month behavior problems. The role of associated parental psychopathology and maternal drinking in exacerbating risk for maladaptive behavioral outcomes was also examined. Participants were 213 families (102 control families, 94 paternal alcoholic families, and 17 families with alcoholic fathers and heavy drinking mothers) who were assessed when their child was 12 months old and reassessed again when their child was 18 months old. Infants of alcoholics displayed marginally more stubborn/persistent temperaments at 12 months of age, but significantly more internalizing problems at 18 months. Analyses suggested that internalizing problems in the infants of alcoholics could be attributed to the paternal depression concomitant with paternal alcoholism. In addition, an interaction was observed, indicating that paternal alcohol problems predicted 18-month externalizing problems among families with low maternal depression, but not among families with high maternal depression. Children of depressed mothers exhibited uniformly higher externalizing scores, but were not further impacted by paternal alcohol problems. However, children of nondepressed mothers were adversely affected by fathers' drinking as reflected by higher externalizing behavior scores. The results highlight the necessity of addressing the overall contextual risks that occur with paternal alcoholism in studies of the development of children in alcoholic families.

摘要

本研究考察了父亲酗酒与12个月大婴儿的气质以及18个月大婴儿的行为问题之间的关联。还考察了相关的父母精神病理学以及母亲饮酒在加剧适应不良行为结果风险方面的作用。研究对象为213个家庭(102个对照家庭、94个父亲酗酒家庭以及17个父亲酗酒且母亲酗酒的家庭),这些家庭在孩子12个月大时接受评估,并在孩子18个月大时再次接受评估。酗酒父亲的孩子在12个月大时表现出稍多的固执/坚持气质,但在18个月大时出现明显更多的内化问题。分析表明,酗酒父亲的孩子的内化问题可能归因于与父亲酗酒相伴的父亲抑郁。此外,观察到一种交互作用,表明父亲的酗酒问题在母亲抑郁程度低的家庭中可预测18个月大孩子的外化问题,但在母亲抑郁程度高的家庭中则不然。抑郁母亲的孩子普遍表现出更高的外化得分,但并未受到父亲酗酒问题的进一步影响。然而,未抑郁母亲的孩子受到父亲饮酒的不利影响,表现为外化行为得分更高。研究结果凸显了在酗酒家庭儿童发展研究中应对父亲酗酒所带来的整体背景风险的必要性。

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