Department of Psychopathology and Psychotherapy Graduate School of Medicine, Nagoya University, Nagoya 464-8601, Japan.
Psychiatry Clin Neurosci. 2009 Dec;63(6):721-9. doi: 10.1111/j.1440-1819.2009.02018.x. Epub 2009 Sep 23.
The aim of the present study was to determine whether or not the effect of parenting by the father and mother on outcomes for depression may be different between male and female subjects.
A total of 115 patients were involved in this investigation: 74 had states of depression that continued for more than 2 years, and 41 had symptoms that remitted within 4 months. The Parental Bonding Instrument (PBI) was used to test for gender differences in the PBI score, the level of education, and the age at which the depression began, using an unpaired t-test.
It is suggested that female patients with low paternal care and low levels of education have a higher likelihood of showing symptoms of prolonged depression in a primary episode. No relationship was found among prolongation of depression, educational level, and parental care in male patients. Furthermore, comparing the PBI quadrants established by Parker showed that female patients who were exposed to paternal care as 'Affectionless Control', had a tendency towards a higher risk of prolonged depression than female patients who received 'Optimal Parenting'.
Especially in female patients, the prolongation of depression is likely a result of low levels of paternal care and low education.
本研究旨在确定父母对子女的养育方式对男性和女性抑郁结局的影响是否存在差异。
本研究共纳入 115 例患者:74 例为持续 2 年以上的抑郁状态,41 例为 4 个月内缓解的症状。采用配对 t 检验比较了 Parental Bonding Instrument(PBI)评分、教育程度和抑郁发病年龄的性别差异。
研究表明,低父爱关怀和低教育程度的女性首发抑郁患者更有可能出现持续性抑郁症状。男性患者中,抑郁持续时间与教育程度和父爱关怀之间无相关性。此外,通过 Parker 建立的 PBI 象限进行比较发现,与接受“最佳养育”的女性患者相比,受到“冷漠控制”父爱关怀的女性患者持续性抑郁的风险更高。
特别是在女性患者中,抑郁的持续可能是由于父爱关怀程度低和教育程度低所致。