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极低出生体重儿幸存者中过度保护型育儿与同伴欺凌情况

Overprotective Parenting and Peer Victimization in Extremely Low Birth Weight Survivors.

作者信息

Day Kimberly L, Schmidt Louis A, Vaillancourt Tracy, Saigal Saroj, Boyle Michael H, Van Lieshout Ryan J

机构信息

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.

Department of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.

出版信息

J Child Fam Stud. 2018 Mar;27(3):907-915. doi: 10.1007/s10826-017-0922-2. Epub 2017 Nov 6.

Abstract

Extremely low birth weight (ELBW; <1000g) survivors are at increased risk for experiencing both peer victimization and overprotective parenting. This study investigated if overprotective parenting moderated associations between peer victimization and psychopathology among ELBW adult survivors who have been followed since birth. Participants included 81 (31 male, 50 female) adults born with an extremely low birth weight from Ontario, Canada. The participants were predominately Caucasian. The experience of peer victimization and overprotective parenting prior to age 16 was self-reported at age 22-26 years. Peer victimization was reported using the Childhood Experiences of Violence Questionnaire and overprotective parenting was reported using the Parental Bonding Instrument. Current anxiety disorder and alcohol or substance use disorder was assessed using the MINI International Neuropsychiatric Interview at age 29-36 years. The experience of overprotective parenting moderated the association between peer victimization and risk for an anxiety disorder in adulthood (OR=2.35, 95%CI, 1.01-5.50). If the ELBW survivor reported having an overprotective parent, peer victimization was associated with increased risk for having an anxiety disorder in adulthood (OR=2.45, 95%CI, 1.13-5.30). In contrast, this association was not significant in the absence of an overprotective parent (OR=1.04, 95%CI, 0.73-1.49). Future research should further investigate if parental support and encouragement of children's independence may be important for reducing the negative effects of peer victimization among ELBW survivors.

摘要

超低出生体重(ELBW;<1000克)的幸存者遭受同伴欺凌和过度保护型养育方式的风险更高。本研究调查了过度保护型养育方式是否会调节自出生起就被跟踪的超低出生体重成年幸存者中同伴欺凌与精神病理学之间的关联。研究对象包括81名(31名男性,50名女性)出生时体重极低的成年人,他们来自加拿大安大略省。参与者主要是白种人。在22 - 26岁时,他们自行报告了16岁之前遭受同伴欺凌和过度保护型养育方式的经历。使用暴力童年经历问卷报告同伴欺凌情况,使用父母教养方式问卷报告过度保护型养育方式。在29 - 36岁时,使用迷你国际神经精神病学访谈评估当前的焦虑症以及酒精或物质使用障碍。过度保护型养育方式的经历调节了同伴欺凌与成年后患焦虑症风险之间的关联(比值比=2.35,95%置信区间,1.01 - 5.50)。如果超低出生体重幸存者报告有过度保护型的父母,同伴欺凌与成年后患焦虑症的风险增加相关(比值比=2.45,95%置信区间,1.13 - 5.30)。相比之下,在没有过度保护型父母的情况下,这种关联并不显著(比值比=1.04,95%置信区间,0.73 - 1.49)。未来的研究应进一步调查父母对孩子独立性的支持和鼓励是否对减少超低出生体重幸存者中同伴欺凌的负面影响可能很重要。

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