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一项针对饮食失调母亲的儿童的六年前瞻性研究:父亲心理特征的作用。

A six-year prospective study on children of mothers with eating disorders: the role of paternal psychological profiles.

机构信息

Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome.

出版信息

Eur Eat Disord Rev. 2013 May;21(3):238-46. doi: 10.1002/erv.2218. Epub 2012 Dec 12.

Abstract

BACKGROUND

Several studies have suggested that maternal eating disorders (EDs) represent a significant risk factor for children's affective and behavioral development. Yet, little emphasis has been placed on the paternal role.

OBJECTIVES

The present longitudinal study aimed to clarify the role of maternal EDs and the influence of paternal psychological profiles on children's emotional development.

METHOD

Our sample was composed of N = 64 families with firstborn children selected through preschools, primary schools, and outpatient clinics in central Italy. Parents and children participated in a 6-year longitudinal protocol that included a diagnostic interview conducted by clinicians (Structured Clinical Interview for DSM-IV Axis I Disorders [SCID-I]), a self-report (Symptom Checklist-90-Revised [SCL-90-R]), and a parental report-form questionnaire (Child Behavior Checklist [CBCL]).

RESULTS

The influence of mothers' EDs on their children's emotional development was confirmed. Moreover, fathers' anxiety and obsessive-compulsive problems in association with mothers' EDs and depressive symptoms influenced the onset of both internalizing and externalizing difficulties in their children over time.

CONCLUSION

Our results suggest that fathers' psychopathological risk affects the development of emotional problems in children with mothers who have EDs.

摘要

背景

多项研究表明,母亲的饮食障碍(ED)是儿童情感和行为发育的重要危险因素。然而,父亲的角色却没有得到足够的重视。

目的

本纵向研究旨在阐明母亲 ED 与父亲心理特征对儿童情绪发展的影响。

方法

我们的样本由 N=64 个家庭组成,这些家庭的第一个孩子是通过意大利中部的幼儿园、小学和门诊选择的。父母和孩子参与了一个 6 年的纵向研究,包括由临床医生进行的诊断访谈(DSM-IV 轴 I 障碍的结构临床访谈 [SCID-I])、自我报告(症状清单-90 修订版 [SCL-90-R])和父母报告形式的问卷(儿童行为检查表 [CBCL])。

结果

母亲 ED 对其子女的情感发展有影响。此外,父亲的焦虑和强迫问题与母亲 ED 和抑郁症状一起,随着时间的推移影响了他们子女的内化和外化问题的发生。

结论

我们的结果表明,父亲的心理病理风险会影响有 ED 母亲的子女情绪问题的发展。

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