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父母离异对后代情感障碍的长期影响:系统评价和荟萃分析。

Long-term influences of parental divorce on offspring affective disorders: A systematic review and meta-analysis.

机构信息

EDGE Lab, School of Psychology, University of Sussex, UK.

EDGE Lab, School of Psychology, University of Sussex, UK.

出版信息

J Affect Disord. 2017 Aug 15;218:105-114. doi: 10.1016/j.jad.2017.04.015. Epub 2017 Apr 18.

Abstract

BACKGROUND

The prevalence of divorce in Western countries has increased in recent decades. However, there is no recent systematic review and/or meta-analysis of studies testing for long-term effects of parental divorce on offspring affective disorders. The present study conducted a systematic review and meta-analysis of studies published since 1980 testing for the association between parental divorce and offspring depression and anxiety in adulthood.

METHOD

PUBMED, Science Direct, Medline, PsychInfo, and PsychArticles databases were searched for eligible studies. Random-effect meta-analyses were used to synthesize effect sizes and to test whether associations of parental divorce with offspring affective disorders differed among three publication periods (i.e., before 1996, 1996-2005, 2006-2015).

RESULTS

In total, 29 studies were eligible for the systematic review, and 18 studies were included in the meta-analyses (depression: n=21,581; anxiety: n=2472). There was significant association between parental divorce and offspring depression (OR=1.56; 95%CI [1.31, 1.86]), but not anxiety (OR=1.16; 95%CI [0.98, 1.38]). The effect of parental divorce on offspring depression was not weaker in the reports published in more recent decades.

LIMITATIONS

There is limited research in relation to offspring anxiety in adulthood.

CONCLUSIONS

Parental divorce is associated with an increased risk of adult offspring depression, with no indication of the effect being weaker in recent publications.

摘要

背景

近几十年来,西方国家离婚率有所上升。然而,目前尚无针对父母离婚对后代情感障碍长期影响的研究进行系统评价和/或荟萃分析。本研究对 1980 年以来发表的研究进行了系统评价和荟萃分析,以检验父母离婚与成年后代抑郁和焦虑之间的关系。

方法

检索了 PUBMED、Science Direct、Medline、PsychInfo 和 PsychArticles 数据库中符合条件的研究。使用随机效应荟萃分析综合效应大小,并检验父母离婚与后代情感障碍之间的关联在三个出版时期(即 1996 年之前、1996-2005 年、2006-2015 年)是否存在差异。

结果

共有 29 项研究符合系统评价标准,18 项研究纳入荟萃分析(抑郁:n=21581;焦虑:n=2472)。父母离婚与后代抑郁显著相关(OR=1.56;95%CI [1.31, 1.86]),但与焦虑无关(OR=1.16;95%CI [0.98, 1.38])。父母离婚对后代抑郁的影响在最近几十年发表的报告中并没有减弱。

局限性

与成年后代焦虑相关的研究有限。

结论

父母离婚与成年后代抑郁风险增加有关,最近发表的研究没有表明这种影响较弱。

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