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父母压力和抑郁症状会增加瑞典 11 岁以下儿童父母离异的风险。

Parental stress and depressive symptoms increase the risk of separation among parents with children less than 11 years of age in Sweden.

机构信息

1 School of Health, Care and Social Welfare, Mälardalen University, Sweden.

2 Centre for Clinical Research, Uppsala University Västmanland County Hospital, Sweden.

出版信息

Scand J Public Health. 2019 Mar;47(2):207-214. doi: 10.1177/1403494817724312. Epub 2017 Aug 12.

Abstract

AIMS

Parental separations have become more frequent in recent decades. In Western countries, about 25% of children experience parental separation. There is a need to explore the risk factors for separation to give children an optimal childhood. The objective of the present study was to examine parental stress and depressive symptoms during early parenthood and their association with parental separation.

METHODS

Four hundred and seven couples completed questionnaires on depressive symptoms for 3 months and parental stress for 18 months after childbirth. Total parental stress and five sub-areas were investigated. To study the separation rate, parents' addresses were recorded 9 to 11 years after childbirth.

RESULTS

Twenty-nine percent of the parents were separated 9 to 11 years after childbirth. Separation was associated with depressive symptoms at 3 months (mothers p = .002, fathers p = .025) and total parental stress at 18 months after childbirth (mothers p = .010, fathers p = .005). The sub-areas of parental stress, Spouse relationship problems (mothers p = <.001, fathers p = .001) and fathers' Social isolation ( p = .005), were associated with separation. In multivariable regression analyses of the parents' separation rate 9 to 11 years after childbirth, the only significant predictor was mothers' Spouse relationship problems ( p < .001).

CONCLUSIONS

The knowledge that parental stress and depressive symptoms are risk factors for separation may simplify professional support for parents in early parenting. Courses for new and expectant parents can use this knowledge to increase parents' awareness.

摘要

目的

近年来,父母离异变得更加频繁。在西方国家,约有 25%的儿童经历过父母离异。有必要探索离异的风险因素,以使儿童拥有一个最佳的童年。本研究的目的是研究初为人父母期间的父母压力和抑郁症状及其与父母离异的关系。

方法

407 对夫妇在孩子出生后 3 个月内完成了抑郁症状问卷,在 18 个月内完成了父母压力问卷。研究了总父母压力和五个子领域。为了研究离异率,在孩子出生 9-11 年后记录了父母的地址。

结果

29%的父母在孩子出生 9-11 年后离异。离异与 3 个月时的抑郁症状(母亲 p =.002,父亲 p =.025)和出生后 18 个月时的总父母压力(母亲 p =.010,父亲 p =.005)有关。父母压力的子领域,夫妻关系问题(母亲 p <.001,父亲 p <.001)和父亲的社会孤立( p =.005)与离异有关。在父母离异率的多变量回归分析中,唯一显著的预测因素是母亲的夫妻关系问题( p <.001)。

结论

了解父母压力和抑郁症状是离异的风险因素,可以简化专业人员对初为人父母的父母的支持。新父母和准父母的课程可以利用这一知识提高父母的意识。

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