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进食障碍和破坏性行为障碍儿童的父亲心理病理风险和心理功能。

Paternal psychopathological risk and psychological functioning in children with eating disorders and Disruptive Behavior Disorder.

机构信息

International Telematic University Uninettuno, Psychology Faculty, Department of Psychology, Corso Vittorio Emanuele II, 39 - 00100, Rome, Italy.

IRCCS Fondazione Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Viale del Tirreno, 331, Calambrone, Pisa, Italy.

出版信息

Psychiatry Res. 2017 Aug;254:60-66. doi: 10.1016/j.psychres.2017.04.046. Epub 2017 Apr 24.

DOI:10.1016/j.psychres.2017.04.046
PMID:28456023
Abstract

Several studies demonstrated that maternal psychopathological risk is related to child's maladjustment, but until recently research has relatively neglected fathers. Disruptive Behavior Disorder (DBD) and Eating disorders (ED) have a large prevalence during childhood but a few studies have focused on their association with paternal psychopathological risk. One-hundred and thirty-nine children and their fathers were recruited from pediatric hospitals and outpatient clinics and paired with a healthy control group (CG). Fathers were administered the SCL-90/R and the CBCL 6-18 to assess: 1) psychopathological risk of fathers of children with DBD, ED and CG; 2) significant differences between ED and DBD fathers' psychopathological profiles; and 3) associations between specific fathers' psychopathological symptoms and children's emotional-behavioral problems. Fathers of children with ED showed a higher psychopathological risk than fathers of DBD offspring. Children with DBD showed higher externalizing symptoms. Paternal hostility was associated with internalizing problems in children with DBD. Paternal hostility showed a non-significant but clinically interesting association with internalizing problems in DBD children; interpersonal sensitivity was associated with internalizing problems in ED children. This study can constitute a contribution to a better understanding of the clinical characteristics of fathers of children with DBD and ED.

摘要

已有多项研究表明,产妇的心理病理风险与儿童的适应不良有关,但直到最近,研究才相对忽视了父亲的作用。破坏性行为障碍(DBD)和饮食障碍(ED)在儿童时期的发病率很高,但很少有研究关注它们与父亲心理病理风险的关系。我们从儿科医院和门诊招募了 139 名儿童及其父亲,并将他们与健康对照组(CG)配对。父亲们接受了 SCL-90/R 和 CBCL 6-18 的评估,以评估:1)患有 DBD、ED 和 CG 的儿童的父亲的心理病理风险;2)ED 和 DBD 父亲的心理病理特征之间的显著差异;3)特定父亲的心理病理症状与儿童的情绪行为问题之间的关联。患有 ED 的儿童的父亲表现出更高的心理病理风险,而患有 DBD 的儿童的父亲则表现出更高的外化症状。父亲的敌意与 DBD 儿童的内在问题有关。父亲的敌意与 DBD 儿童的内在问题呈非显著但具有临床意义的关联;人际敏感与 ED 儿童的内在问题有关。这项研究可以为更好地了解患有 DBD 和 ED 的儿童的父亲的临床特征做出贡献。

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