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家庭结构、婚姻不和谐与子女成年早期的精神病理学:一项前瞻性研究。

Family structure, marital discord and offspring's psychopathology in early adulthood: a prospective study.

机构信息

School of Population Health, University of Queensland, Herston Road, Herston, QLD, 4006, Australia,

出版信息

Eur Child Adolesc Psychiatry. 2013 Nov;22(11):693-700. doi: 10.1007/s00787-013-0464-0. Epub 2013 Aug 15.

Abstract

With marital breakdown and discord relatively common, we examined whether family structure and the quality of marital relationship have a long-term impact on offspring's psychopathology in early adulthood. This study aimed to examine the association of family structure and marital discord in the family with a wide range of offspring's mental health and problem behaviours at 21 years. Data were from the Mater-University of Queensland Study of Pregnancy, a population based birth cohort study, which commenced in Brisbane, Australia in 1981. Mothers and children were followed up at birth, 6 months and 5, 14 and 21 years after the initial interview. Marital status and marital quality were assessed at the 14 year follow-up. Young Adult Self-Report sub-scales of mental health and problem behaviours were measured at the 21-year follow-up. Type of family structure and the quality of marital relationship (at the 14-year follow-up) predicted offspring's psychopathology at 21 years. When a selected group of confounding factors were included in the multivariate analyses, children who lived with a step-father, un-partnered mother, or in families where parents had conflict in marital relationship reported higher symptoms of psychopathology at 21 years. The association between marital problems and young adult psychopathology does not appear to be confounded by a wide range of confounding variables. Further research is needed to explore the mechanism of these associations to develop preventive programmes.

摘要

随着婚姻破裂和不和相对普遍,我们研究了家庭结构和婚姻关系质量是否对成年早期后代的精神病理学有长期影响。本研究旨在研究家庭结构和家庭中婚姻不和与 21 岁时广泛的后代心理健康和问题行为之间的关联。数据来自于 1981 年在澳大利亚布里斯班开始的 Mater-昆士兰大学妊娠研究,这是一项基于人群的出生队列研究。母亲和孩子在出生时、6 个月时以及最初访谈后 5 年、14 年和 21 年进行了随访。在 14 年的随访中评估了婚姻状况和婚姻质量。在 21 年的随访中测量了青年自我报告子量表的心理健康和问题行为。家庭结构类型和婚姻关系质量(在 14 年的随访中)预测了 21 岁后代的精神病理学。当将一组选定的混杂因素纳入多变量分析中时,与与继父、无伴侣母亲或父母婚姻关系有冲突的家庭一起生活的孩子在 21 岁时报告的精神病理学症状更高。婚姻问题与成年早期精神病理学之间的关联似乎不受广泛混杂变量的影响。需要进一步研究以探讨这些关联的机制,以制定预防计划。

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