父母的产前心理健康与子女的情绪、行为和社会发展
Parents' Prenatal Mental Health and Emotional, Behavioral and Social Development in Their Children.
作者信息
Kvalevaag Anne Lise, Ramchandani Paul G, Hove Oddbjørn, Eberhard-Gran Malin, Assmus Jörg, Havik Odd E, Sivertsen Børge, Biringer Eva
机构信息
Department of Psychiatry, Helse Fonna HF, P.O. Box 2170, 5504, Haugesund, Norway.
Academic Unit of Child and Adolescent Psychiatry, 3rd Floor QEQM Building, Imperial College, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
出版信息
Child Psychiatry Hum Dev. 2015 Dec;46(6):874-83. doi: 10.1007/s10578-014-0527-6.
This study examines the association between expectant parents' psychological distress and children's development at 36 months old. This is a prospective population study based on the Norwegian Mother and Child Cohort Study, N = 31,663. Logistic regression models were used to assess whether high scores (cutoff ≥ 2.00) on the symptom checklist-5 in parents predicted higher levels (cutoff ≥ 90 percentile) of developmental problems in their children. The risk of emotional and behavioral problems were significantly increased in children when both parents were affected by psychological distress during pregnancy, fully adjusted OR 2.35 (95% CI 1.36, 4.07) and OR 2.65 (96% CI 1.564.48), respectively. The risk was higher when mothers reported high level of psychological distress than when only the fathers did, but the risk of emotional difficulties in children was highest when both parents presented high levels of psychological distress, indicating an additive effect of parental psychological distress.
本研究考察了准父母的心理困扰与孩子36个月大时发育情况之间的关联。这是一项基于挪威母婴队列研究的前瞻性人群研究，样本量N = 31,663。采用逻辑回归模型评估父母症状自评量表-5得分高（临界值≥2.00）是否预示着其子女发育问题水平较高（临界值≥第90百分位数）。当父母双方在孕期均受到心理困扰影响时，孩子出现情绪和行为问题的风险显著增加，经充分调整后的比值比分别为2.35（95%置信区间1.36, 4.07）和2.65（96%置信区间1.56, 4.48）。母亲报告心理困扰程度高时孩子面临的风险高于只有父亲报告心理困扰程度高时，但当父母双方均报告心理困扰程度高时，孩子出现情绪问题的风险最高，这表明父母心理困扰存在累加效应。
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