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生育后抑郁与儿童攻击行为:文献综述

Childbearing depression and childhood aggression: literature review.

机构信息

MSN Program, Duke University, USA.

出版信息

MCN Am J Matern Child Nurs. 2012 Jul-Aug;37(4):253-61. doi: 10.1097/NMC.0b013e3182482c5e.

Abstract

INTRODUCTION

Childbearing depression (CBD) and childhood aggression are serious and international problems that encumber public health. Although maternal depression has received much attention in the literature in the last three decades, clinically it remains underdiagnosed and undertreated, especially during pregnancy. As a result, many mothers and families are left to suffer its long-lasting physical and psychosocial effects. This article's aim is to review the current literature on whether CBD increases the likelihood of childhood aggression in children ages 6 years and younger.

METHODS

Using keywords, an electronic search was performed using Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and PubMed databases. Search limits included the following: 2000-2010, English, peer-review, human, All Child: 0-18. From more than 2,000 search results, 13 articles were reviewed based on relevance to article's inquiry and sample size greater than 50.

RESULTS

In all, the articles agreed that depression in women increases the likelihood of early childhood aggression by causing negative parenting behaviors. However, this finding is tempered by a number of weaknesses in the quality of articles reviewed and by the complexity of the topic.

CONCLUSION

More research is needed to determine the etiology and interplay of mediating factors between CBD and childhood aggression. This could inform the study and implementation of effective and early prevention, screening, and treatment measures and programs for maternal depression and childhood aggression.

摘要

简介

儿童期抑郁症(CBD)和儿童期攻击行为是严重的国际问题,会影响公共健康。尽管在过去三十年的文献中,母亲的抑郁症受到了广泛关注,但临床上仍存在诊断不足和治疗不足的情况,尤其是在怀孕期间。因此,许多母亲和家庭都在承受其长期的身体和心理社会影响。本文旨在综述当前有关 CBD 是否会增加 6 岁及以下儿童发生儿童期攻击行为的可能性的文献。

方法

使用关键词,对 Cumulative Index to Nursing and Allied Health Literature、PsycINFO 和 PubMed 数据库进行了电子检索。搜索限制包括以下内容:2000-2010 年,英语,同行评审,人类,所有儿童:0-18 岁。从超过 2000 个搜索结果中,根据与文章查询的相关性和样本量大于 50 个的标准,共审查了 13 篇文章。

结果

所有文章都认为,女性的抑郁症通过导致消极的育儿行为,增加了儿童早期攻击行为的可能性。然而,这一发现受到所审查文章质量和主题复杂性方面的一些弱点的影响。

结论

需要进行更多的研究来确定 CBD 和儿童期攻击行为之间的病因和中介因素的相互作用。这可以为母亲的抑郁症和儿童期攻击行为的有效和早期预防、筛查和治疗措施和方案的研究和实施提供信息。

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