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父亲的心理健康与子女的社会情感和行为发展。

Paternal mental health and socioemotional and behavioral development in their children.

机构信息

Department of Psychiatry, Helse Fonna HF, PO Box 2170, N- 5504 Haugesund, Norway.

出版信息

Pediatrics. 2013 Feb;131(2):e463-9. doi: 10.1542/peds.2012-0804. Epub 2013 Jan 6.

Abstract

OBJECTIVE

To examine the association between symptoms of psychological distress in expectant fathers and socioemotional and behavioral outcomes in their children at age 36 months.

METHODS

The current study is based on data from the Norwegian Mother and Child Cohort Study on 31 663 children. Information about fathers' mental health was obtained by self-report (Hopkins Symptom Checklist) in week 17 or 18 of gestation. Information about mothers' pre- and postnatal mental health and children's socioemotional and behavioral development at 36 months of age was obtained from parent-report questionnaires. Linear multiple regression and logistic regression models were performed while controlling for demographics, lifestyle variables, and mothers' mental health.

RESULTS

Three percent of the fathers had high levels of psychological distress. Using linear regression models, we found a small positive association between fathers' psychological distress and children's behavioral difficulties, B = 0.19 (95% confidence interval [CI] = 0.15-0.23); emotional difficulties, B = 0.22 (95% CI = 0.18-0.26); and social functioning, B = 0.12 (95% CI = 0.07-0.16). The associations did not change when adjusted for relevant confounders. Children whose fathers had high levels of psychological distress had higher levels of emotional and behavioral problems.

CONCLUSIONS

This study suggests that some risk of future child emotional, behavioral, and social problems can be identified during pregnancy. The findings are of importance for clinicians and policy makers in their planning of health care in the perinatal period because this represents a significant opportunity for preventive intervention.

摘要

目的

探讨准父亲心理困扰症状与 36 月龄儿童社会情绪和行为结果之间的关系。

方法

本研究基于挪威母婴队列研究中的 31663 名儿童的数据。父亲的心理健康信息通过妊娠 17 或 18 周时的自我报告(霍普金斯症状清单)获得。母亲的产前和产后心理健康以及儿童 36 月龄时的社会情绪和行为发展信息通过家长报告问卷获得。在控制人口统计学、生活方式变量和母亲心理健康的情况下,采用线性多元回归和逻辑回归模型进行分析。

结果

3%的父亲存在较高水平的心理困扰。使用线性回归模型,我们发现父亲的心理困扰与儿童的行为困难之间存在微弱的正相关,B=0.19(95%置信区间[CI]:0.15-0.23);情绪困难,B=0.22(95%CI:0.18-0.26);以及社会功能,B=0.12(95%CI:0.07-0.16)。当调整相关混杂因素后,这些关联并未改变。父亲心理困扰程度较高的儿童情绪和行为问题水平较高。

结论

本研究表明,在妊娠期间可以识别出未来儿童情绪、行为和社会问题的一些风险。这些发现对于临床医生和政策制定者在围产期规划保健方面具有重要意义,因为这代表了进行预防干预的重要机会。

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