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父亲缺失与青少年抑郁症状:来自英国队列研究的发现。

Father absence and depressive symptoms in adolescence: findings from a UK cohort.

机构信息

School of Social and Community Medicine, University of Bristol, UK.

出版信息

Psychol Med. 2013 Dec;43(12):2615-26. doi: 10.1017/S0033291713000603. Epub 2013 May 14.

DOI:10.1017/S0033291713000603
PMID:23673290
Abstract

BACKGROUND

Previous studies suggest a link between parental separation or divorce and risk of depression in adolescence. There are, however, few studies that have prospectively examined the effects of timing of biological father absence on risk for depressive symptoms in adolescence while controlling for a range of confounding factors.

METHOD

We examine the association between father absence occurring in early (the first 5 years) and middle childhood (5-10 years) and adolescent depressive symptoms in a sample comprising 5631 children from the UK-based Avon Longitudinal Study of Parents and Children (ALSPAC). Self-reported depressive symptoms at 14 years were assessed using the Short Mood and Feelings Questionnaire (SMFQ). Father absence was assessed from maternal questionnaires completed at regular intervals from the birth of the study child up to 10 years.

RESULTS

There was evidence for an association between father absence in early childhood and increased odds of depressive symptoms at 14 years. This association was stronger in girls than in boys and remained after adjusting for a range of socio-economic, maternal and familial confounders assessed prior to the father's departure. Conversely, there was no evidence for an association between father absence in middle childhood and depressive symptoms at 14 years.

CONCLUSIONS

Father absence in early childhood increases risk for adolescent depressive symptoms, particularly in girls. Future research should be aimed at identifying possible biological and psychosocial mechanisms linking father absence to depressive symptomatology to enable the development of family-based early prevention and intervention programmes targeting young children at risk.

摘要

背景

先前的研究表明,父母离异或分居与青少年时期抑郁风险之间存在关联。然而,很少有研究前瞻性地考察了生物性父亲缺失的时间对青少年抑郁症状风险的影响,同时控制了一系列混杂因素。

方法

我们在一个由英国阿冯纵向父母与子女研究(ALSPAC)中的 5631 名儿童组成的样本中,研究了童年早期(前 5 年)和中期(5-10 年)父亲缺失与青少年抑郁症状之间的关联。使用短期情绪和感觉问卷(SMFQ)评估了 14 岁时的抑郁症状。父亲缺失是通过母亲在孩子出生后定期填写的问卷来评估的,直到 10 岁。

结果

有证据表明,童年早期的父亲缺失与 14 岁时抑郁症状的几率增加有关。这种关联在女孩中比在男孩中更强,并且在调整了一系列在父亲离开之前评估的社会经济、母亲和家庭混杂因素后仍然存在。相反,童年中期的父亲缺失与 14 岁时的抑郁症状之间没有关联。

结论

童年早期的父亲缺失会增加青少年抑郁症状的风险,特别是在女孩中。未来的研究应该旨在确定可能将父亲缺失与抑郁症状联系起来的生物学和心理社会机制,以便为有风险的幼儿制定以家庭为基础的早期预防和干预计划。

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