White James, Shelton Katherine H, Elgar Frank J
Centre for the Development and Evaluation of Complex Public Health Interventions (DECIPHer), School of Medicine, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK,
Child Psychiatry Hum Dev. 2014 Oct;45(5):544-54. doi: 10.1007/s10578-013-0423-5.
The present study used a longitudinal design to investigate whether parental values, interests, and the perceived level of expressiveness, cohesiveness and control in the family were associated with changes in psychiatric symptoms during early adolescence. We used data gathered at ages 12, 14 and 17 from 1,600 adolescent girls in the National Heart, Lung and Blood Institute Growth and Health Study. Using a novel approach we found significant informant effects of family cohesion on psychiatric symptoms, with stronger associations for adolescent ratings than parental ratings. Multivariate modelling adjusting for family cohesion (from parents and adolescents perspective), and parents' depressive and eating disorder symptoms indicated parental ratings on the intellectual and cultural orientation of the family predicted small but significant increases in eating disorder symptoms, anxiety and a reduction in self-worth 2-years later. Parental control also predicted a reduction in anxiety and family expressiveness was related to increases in self-worth.
本研究采用纵向设计，以调查父母的价值观、兴趣，以及家庭中所感知到的表达性、凝聚力和控制水平是否与青春期早期精神症状的变化相关。我们使用了来自美国国立心肺血液研究所生长与健康研究中1600名青春期女孩在12岁、14岁和17岁时收集的数据。通过一种新颖的方法，我们发现家庭凝聚力对精神症状有显著的信息提供者效应，青少年的评分比父母的评分具有更强的关联性。对家庭凝聚力（从父母和青少年的角度）以及父母的抑郁和饮食失调症状进行调整的多变量模型表明，父母对家庭智力和文化取向的评分预测了两年后饮食失调症状、焦虑的小幅但显著增加以及自我价值的降低。父母的控制也预测了焦虑的减少，而家庭表达性与自我价值的增加有关。
