Mount Sinai School of Medicine.
Child Dev. 2010 Jul-Aug;81(4):1129-41. doi: 10.1111/j.1467-8624.2010.01458.x.
To evaluate whether conjoined maternal posttraumatic stress disorder (PTSD) and depression are associated with increased behavioral problems among terrorism-exposed preschool children (N = 116; 18-54 months), this study compared clinically significant child behavioral problem rates among the preschool children of mothers with PTSD and depression, depression alone, and neither disorder. Behavioral problems were independently rated by mothers and preschool teachers. Maternal depression and PTSD, relative to maternal depression alone, and to neither disorder, were associated with substantially increased child problems. Notably, maternal depression and PTSD were associated with increased emotional reactivity (relative risk [RR] = 5.9 by mother's and 3.4 by teacher's reports) and aggressive behavior problems (RR = 11.0 by mother's and RR = 5.9 by teacher's reports). This was corroborated by teacher ratings. Implications for intervening with terrorism-exposed preschool children are discussed.
为了评估母婴创伤后应激障碍（PTSD）和抑郁是否与遭受恐怖主义影响的学龄前儿童（N=116；18-54 个月）的行为问题增加有关，本研究比较了 PTSD 和抑郁、仅抑郁和无任何障碍的母亲的学龄前儿童中临床显著的儿童行为问题发生率。母亲和幼儿园老师独立评估了儿童的行为问题。与仅患有抑郁的母亲相比，与没有任何障碍的母亲相比，母亲的抑郁和 PTSD 与儿童问题显著增加有关。值得注意的是，母亲的抑郁和 PTSD 与情绪反应性增加（母亲报告的相对风险 [RR] = 5.9，教师报告的 RR = 3.4）和攻击性行为问题（母亲报告的 RR = 11.0，教师报告的 RR = 5.9）有关。这得到了教师评级的证实。讨论了对遭受恐怖主义影响的学龄前儿童进行干预的意义。
