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抑郁在童年时期父母离异对成年子女自杀未遂风险的性别差异影响中所起的作用。

The role of depression in the differential effect of childhood parental divorce on male and female adult offspring suicide attempt risk.

作者信息

Lizardi Dana, Thompson Ronald G, Keyes Katherine, Hasin Deborah

机构信息

Graduate School of Social Work, Columbia University, New York, NY 10027, USA.

出版信息

J Nerv Ment Dis. 2010 Sep;198(9):687-90. doi: 10.1097/NMD.0b013e3181ef218c.

DOI:10.1097/NMD.0b013e3181ef218c
PMID:20823733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3755764/
Abstract

In previous studies by our group, we found that female offspring of parental divorce and parental remarriage are more susceptible to suicide attempt than male offspring. In this study, we examine whether these findings remain even after controlling for offspring depression. The sample consists of respondents from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions. Multivariable regressions controlled for offspring depression, parental depression, age, race/ethnicity, income, and marital status. Our previous findings that female offspring of parental divorce and parental remarriage are more likely to report a lifetime suicide attempt than male offspring remained even after controlling for offspring depression. Findings suggest that focusing on engaging female offspring who demonstrate symptoms of depression is not sufficient to reduce suicide attempt risk in this group as many at risk individuals will remain unrecognized.

摘要

在我们团队之前的研究中,我们发现父母离异和再婚家庭的女性后代比男性后代更容易有自杀未遂行为。在本研究中,我们检验了即便在控制了后代抑郁因素之后,这些发现是否依然成立。样本来自2001 - 2002年全国酒精及相关疾病流行病学调查的受访者。多变量回归分析控制了后代抑郁、父母抑郁、年龄、种族/民族、收入和婚姻状况等因素。我们之前的研究发现,即便在控制了后代抑郁因素之后,父母离异和再婚家庭的女性后代比男性后代更有可能报告有过自杀未遂行为。研究结果表明,仅仅关注那些表现出抑郁症状的女性后代不足以降低该群体的自杀未遂风险,因为许多有风险的个体仍未被识别出来。

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本文引用的文献

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J Nerv Ment Dis. 2009 Dec;197(12):899-904. doi: 10.1097/NMD.0b013e3181c299ac.
2
Perception of rejecting and neglectful parenting in childhood relates to lifetime suicide attempts for females--but not for males.童年时期对被拒绝和被忽视的养育方式的感知与女性一生中有自杀未遂经历有关——但与男性无关。
Acta Psychiatr Scand. 2008 Jan;117(1):50-6. doi: 10.1111/j.1600-0447.2007.01124.x. Epub 2007 Nov 19.
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Evidence for a two-stage model of dependence using the NESARC and its implications for genetic association studies.使用全国酒精与相关条件流行病学调查(NESARC)的成瘾两阶段模型证据及其对基因关联研究的启示
Drug Alcohol Depend. 2008 Jan 1;92(1-3):258-66. doi: 10.1016/j.drugalcdep.2007.08.007. Epub 2007 Oct 22.
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Prospective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors?重度抑郁障碍和双相情感障碍中自杀行为的前瞻性研究:预测风险因素的证据有哪些?
Acta Psychiatr Scand. 2006 Sep;114(3):151-8. doi: 10.1111/j.1600-0447.2006.00829.x.
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Psychopathology. 2000 May-Jun;33(3):143-50. doi: 10.1159/000029136.
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