Plass-Christl Angela, Haller Anne-Catherine, Otto Christiane, Barkmann Claus, Wiegand-Grefe Silke, Hölling Heike, Schulte-Markwort Michael, Ravens-Sieberer Ulrike, Klasen Fionna
Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany.
PLoS One. 2017 Jul 3;12(7):e0180410. doi: 10.1371/journal.pone.0180410. eCollection 2017.
Mental health problems (MHP) of parents are associated with an increased risk of psychological and developmental difficulties in their children. This study aims at analyzing population-based data of parents with MHP and their children and the effects of associated risk factors in order to further targeted preventive and therapeutic interventions.
The BELLA study is the mental health module of the German National Health Interview and Examination Survey among Children and Adolescents. MHP in parents and in their children as well as associated risk factors were examined in a sample of N = 1158 parents with children aged 11 to 17 years.
Parental MHP were identified in 18.6% of the sample. Risk factors associated with parental MHP were low SES, parental unemployment, stressful life events, parental daily strain, parental chronic disease, and child MHP. A rate of 19.1% of the children of parents with MHP reported MHP themselves, the corresponding rate among children of parents without MHP was 7.7%. In multiple regression analyses the risk for children of parents with MHP to report MHP themselves was almost two times higher than the risk of children of parents without MHP. Other significant associations with child MHP included gender, the parents' age, and stressful life events.
Parental MHP constitute a significant risk for the mental health of their children. Targeted screening methods and preventive interventions are needed.
父母的心理健康问题（MHP）与子女出现心理和发育困难的风险增加有关。本研究旨在分析基于人群的患有MHP的父母及其子女的数据以及相关风险因素的影响，以便进一步开展有针对性的预防和治疗干预。
BELLA研究是德国儿童和青少年全国健康访谈与检查调查的心理健康模块。在一个由1158名有11至17岁子女的父母组成的样本中，对父母及其子女的MHP以及相关风险因素进行了检查。
样本中18.6%的父母被确定患有MHP。与父母MHP相关的风险因素包括低社会经济地位、父母失业、压力性生活事件、父母日常压力、父母慢性病和子女MHP。患有MHP的父母的子女中有19.1%报告自己患有MHP，无MHP的父母的子女中相应比例为7.7%。在多元回归分析中，患有MHP的父母的子女报告自己患有MHP的风险几乎是无MHP的父母的子女的两倍。与子女MHP其他显著相关的因素包括性别、父母年龄和压力性生活事件。
父母的MHP对其子女的心理健康构成重大风险。需要有针对性的筛查方法和预防干预措施。
