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母亲一生的抑郁/焦虑障碍与儿童的内化症状:家庭环境的重要性。

Maternal Lifetime Depressive/Anxiety Disorders and Children's Internalizing Symptoms: The Importance of Family Context.

作者信息

Piche Geneviève, Bergeron Lise, Cyr Mireille, Berthiaume Claude

机构信息

Department of Psychology and Psychoeducation, Université du Québec en Outaouais, Saint-Jérôme, Quebec.

出版信息

J Can Acad Child Adolesc Psychiatry. 2011 Aug;20(3):176-85.

Abstract

OBJECTIVES

This study investigated the interaction effects between mothers' lifetime depressive/anxiety disorders and other psychosocial correlates of 6 to 11 year-old children's self-reported internalizing symptoms in the Quebec Child Mental Health Survey.

METHOD

A representative subsample of 1,490 Quebec children aged 6 to 11 years was selected from the original sample. Multiple linear regression analyses were performed using children's internalizing symptoms and child, family and socioeconomic characteristics.

RESULTS

Four variables interacted significantly with mothers' lifetime depressive/anxiety disorders to predict 6 to 11 year-old children's internalizing symptoms: child age (t=2.415, P=0.016), mother's caring behaviours (t=2.950, P=0.003), mother's punitive behaviours (t=2.629, P=0.009) and parental social support (t=2.272, P=0.023).

CONCLUSION

Results highlight the important contribution of the family context to the intergenerational transmission of internalizing symptoms and the relevance of taking into account children's developmental period. They support the importance of early screening of children's self-reported internalizing symptoms, among children of depressed/anxious parents. It is suggested to develop preventive intervention programs oriented towards children of depressed/anxious parents and exposed to relational difficulties.

摘要

目的

本研究在魁北克儿童心理健康调查中,探究母亲一生的抑郁/焦虑障碍与6至11岁儿童自我报告的内化症状的其他心理社会相关因素之间的相互作用。

方法

从原始样本中选取了1490名6至11岁的魁北克儿童作为代表性子样本。使用儿童的内化症状以及儿童、家庭和社会经济特征进行多元线性回归分析。

结果

四个变量与母亲一生的抑郁/焦虑障碍存在显著交互作用,以预测6至11岁儿童的内化症状:儿童年龄(t = 2.415,P = 0.016)、母亲的关爱行为(t = 2.950,P = 0.003)、母亲的惩罚行为(t = 2.629,P = 0.009)和父母的社会支持(t = 2.272,P = 0.023)。

结论

结果凸显了家庭环境对内化症状代际传递的重要贡献以及考虑儿童发育阶段的相关性。它们支持在抑郁/焦虑父母的子女中早期筛查儿童自我报告的内化症状的重要性。建议针对抑郁/焦虑父母且面临关系困难的子女制定预防性干预计划。

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