Georgetown University Medical Center/MedStar Georgetown University Hospital, Washington, DC.
J Am Acad Child Adolesc Psychiatry. 2018 Sep;57(9):632-633. doi: 10.1016/j.jaac.2018.06.010.
Family history of psychiatric illness is a core feature of any competent clinical history taken in a child and adolescent psychiatry clinical setting, and this history is often limited to reviewing caregivers' reports of diagnosed or suspected mental disorders in biological parents and relatives across several generations. Less commonly included is a detailed inquiry into parents' and caregivers' current mental health, including psychiatric symptoms at the time that their child is presenting for evaluation. Recent evidence is a strong reminder that parental mental illness is an important adversity that critically affects lifelong mental well-being in offspring, and that maternal depression in particular is an established factor influencing offspring mental health. In this issue of the Journal, Wesseldijk et al. present their article "Do Parental Psychiatric Symptoms Predict Outcome in Children With Psychiatric Disorders? A Naturalistic Clinical Study," an effort to examine relationships between parental psychiatric symptoms and clinical outcomes in child psychiatric patients. The study moves beyond a focus on maternal depression as a risk factor for offspring psychopathology to include a range of active psychiatric symptomatology in both mothers and fathers at the time that children are presenting for clinical evaluation, and again at follow-up over a year and a half later.
在儿童和青少年精神病学临床环境中，任何有能力的临床病史都需要了解患者的精神病史，这是核心特征之一，而这种病史通常仅限于回顾照顾者对亲生父母和几代亲属中已确诊或疑似精神障碍的报告。较少包括对父母和照顾者当前心理健康的详细调查，包括孩子接受评估时父母的精神症状。最近的证据强烈提醒人们，父母的精神疾病是一个重要的逆境，会严重影响后代的终身心理健康，特别是母亲的抑郁是影响后代心理健康的一个既定因素。在本期杂志中，Wesseldijk 等人发表了他们的文章“父母的精神症状是否预示着有精神障碍的儿童的预后？一项自然临床研究”，努力研究父母的精神症状与儿童精神科患者的临床结果之间的关系。这项研究超越了将母亲抑郁作为后代精神病理学的风险因素的重点，包括在孩子接受临床评估时以及一年半后的随访中，母亲和父亲的各种活跃的精神症状。
