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早期接触父母关系不稳定:对青少年性行为和抑郁的影响。

Early exposure to parents' relationship instability: implications for sexual behavior and depression in adolescence.

机构信息

Department of Psychological and Brain Sciences, Indiana University, Bloomington, Indiana 47405, USA.

出版信息

J Adolesc Health. 2010 Dec;47(6):547-54. doi: 10.1016/j.jadohealth.2010.04.004. Epub 2010 Jun 11.

Abstract

PURPOSE

Examine the effects of the timing of parents' relationship instability on adolescent sexual and mental health.

METHODS

We assessed whether the timing of parents' relationship instability predicted adolescents' history of sexual partnerships (SP) and major depressive episodes. Multivariate logistic regression analyses controlled for potential mediators related to parenting and the family, including parent knowledge of activities, parent-child relationship quality, number of parents' post-separation relationship transitions, and number of available caregivers. Participants were assessed annually from age 5 through young adulthood as part of a multisite community sample (N = 585).

RESULTS

Participants who experienced parents' relationship instability before age 5 were more likely to report SP at age 16 (odds ratio OR = 1.58) or an episode of major depression during adolescence (OR(adj) = 2.61). Greater parent knowledge at age 12 decreased the odds of SP at age 16, but none of the hypothesized parenting and family variables statistically mediated the association between early instability and SP or major depressive episode.

CONCLUSIONS

These results suggest that experiencing parents' relationship instability in early childhood is associated with sexual behavior and major depression in adolescence, but these associations are not explained by the parenting and family variables included in our analyses. Limitations of the current study and implications for future research are discussed.

摘要

目的

探讨父母关系不稳定的时间对青少年性健康和心理健康的影响。

方法

我们评估了父母关系不稳定的时间是否预测了青少年的性伙伴史和重度抑郁发作史。多变量逻辑回归分析控制了与育儿和家庭相关的潜在中介因素,包括父母对活动的了解、亲子关系质量、父母离异后关系转变的次数和可利用的照顾者的数量。参与者作为多地点社区样本的一部分,从 5 岁到成年早期每年接受评估(N=585)。

结果

在 5 岁之前经历过父母关系不稳定的参与者,在 16 岁时更有可能报告有性伙伴(优势比[OR](调整)=1.58)或在青春期经历一次重度抑郁发作(OR(调整)=2.61)。12 岁时父母的知识水平较高,会降低 16 岁时发生性伙伴关系的几率,但我们假设的育儿和家庭变量均不能在早期不稳定与性伙伴关系或重度抑郁发作之间的关联中进行统计学中介。

结论

这些结果表明,在儿童早期经历父母关系不稳定与青春期的性行为和重度抑郁有关,但这些关联不能用我们分析中包含的育儿和家庭变量来解释。讨论了当前研究的局限性和对未来研究的意义。

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