Rusby James S M, Tasker Fiona
School of Psychology, Birkbeck College, University of London, London WC1E 7HX, United Kingdom.
Aging Ment Health. 2009 May;13(3):391-404. doi: 10.1080/13607860902867750.
This study of 870 respondents aged 62-72 years investigates possible long-term effects on adult mental health due to temporary childhood separation by evacuation in the United Kingdom during World War 2.
Using univariate and multivariate analyses associations were examined between upbringing, evacuation experience and certain life-course variables with the lifetime incidence of depression and clinical anxiety, and also with the dependency and self-critical factors of the Depressive Experiences Questionnaire (DEQ) (Blatt, S.J., D'Affitti, J.P., & Quinlan, D.M. (1976). Experiences of depression in normal young adults. Journal of Abnormal Psychology, 85, 383-389.) were examined by univariate and multivariate analyses.
Those evacuated at a young age, 4-6 years, or who received poor foster care, were found to be at a greater risk of depression and clinical anxiety, with high levels of self-criticism. Compared to other groups respondents evacuated at 13-15 years age, who received good care, had reduced incidences of both affective disorders, comparable to those who were not evacuated. The quality of home nurture was also found to be significantly associated with both disorders. Structural equation models for each sex based on those variables significantly associated with depression explained 45% of the variance of the incidence of depression for males and 25% for females. The models also confirmed the relatively high levels of dependency for females and their vulnerability to these levels in terms of depression.
The study demonstrated significant associations between childhood experiences and lifespan mental health, reinforcing the importance of knowledge of childhood history in the clinical treatment of older adults.
本研究对870名年龄在62至72岁之间的受访者进行调查,探究第二次世界大战期间英国儿童因疏散而经历的暂时童年分离对成年后心理健康可能产生的长期影响。
运用单变量和多变量分析方法,考察成长经历、疏散经历以及某些生命历程变量与抑郁症和临床焦虑症终生发病率之间的关联,同时通过单变量和多变量分析考察《抑郁体验问卷》(DEQ)(布拉特,S.J.,达菲蒂,J.P.,& 昆兰,D.M.(1976年)。正常年轻成年人的抑郁体验。《变态心理学杂志》,85,383 - 389)中的依赖和自我批评因素。
研究发现,4至6岁时疏散或寄养照顾不佳的人患抑郁症和临床焦虑症的风险更高,且自我批评程度较高。与其他群体相比,13至15岁疏散且得到良好照顾的受访者,两种情感障碍的发病率降低,与未疏散者相当。家庭养育质量也被发现与这两种障碍显著相关。基于与抑郁症显著相关的变量建立的男女结构方程模型,解释了男性抑郁症发病率方差的45%,女性为25%。这些模型还证实了女性相对较高的依赖水平以及她们在抑郁症方面对这些水平的易感性。
该研究表明童年经历与终生心理健康之间存在显著关联,强化了了解童年病史在老年临床治疗中的重要性。