Arman Soroor, Salimi Hajar, Maracy Mohammad Reza
Department of Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2018 Nov 28;7:147. doi: 10.4103/abr.abr_131_18. eCollection 2018.
Bipolar disorders (BD) in parents can have different effects on children and perhaps as a reason of the incidence of various psychiatric disorders in them and they may show a particular parenting style due to features of their disease. Given a crucial role of parenting style in upbringing children, this study aimed to evaluate different styles of parenting and its relationship with psychiatric disorders in children of parents with bipolar disorder (PBD) compared with controls.
In this case-control study, 500 parents with children aged 6-17 years were included that 250 of them with BD were selected as the case group and 250 of them were healthy as control group. The parents were selected according to the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) by a physician. Psychiatric disorders in children were assessed by The Kiddie Schedule for Affective Disorders and Schizophrenia for school-age children (KSADS). The collected data were analyzed with SPSS (version 20).
According to KSADS, there was significant difference between two groups of children in depression, mania, attention-deficit hyperactivity disorder, and posttraumatic stress disorder ( < 0.05). In authoritative dimension, parenting styles were effective in the incidence of psychosis (odds ratio [OR] [95% confidence interval (CI)]: 0.775 [0.63-0.95]) and led to a decrease of 0.320 times in the chance of oppositional defiant disorder incidence (OR [95% CI]: 0.320 [0.21-0.74]; = 0.043) but an increase of 1.129 times in the chance of cigarette/tobacco use (OR [95% CI]: 1.129 [1.02-1.25]; = 0.016).
The chance of psychiatric disorder's incidence in children of PBD was so far more than children of healthy parents. Hence, the incidence of some psychiatric disorders in children can be associated with parenting styles.
父母患有双相情感障碍（BD）可能会对孩子产生不同影响，这或许是孩子出现各种精神障碍的一个原因，而且他们可能因其疾病特征而表现出特定的养育方式。鉴于养育方式在孩子成长过程中起着关键作用，本研究旨在评估双相情感障碍患者（PBD）的孩子与对照组相比，不同的养育方式及其与精神障碍的关系。
在这项病例对照研究中，纳入了500名有6至17岁孩子的父母，其中250名患有双相情感障碍的父母被选为病例组，另外250名健康父母作为对照组。父母由一名医生根据《精神疾病诊断与统计手册》第5版（DSM - 5）进行挑选。儿童的精神障碍通过适用于学龄儿童的情感障碍和精神分裂症儿童定式检查（KSADS）进行评估。收集的数据使用SPSS（版本20）进行分析。
根据KSADS，两组儿童在抑郁、躁狂、注意力缺陷多动障碍和创伤后应激障碍方面存在显著差异（P < 0.05）。在权威维度上，养育方式对精神病发病率有影响（优势比[OR][95%置信区间（CI）]：0.775[0.63 - 0.95]），对立违抗障碍发病率的发生几率降低了0.320倍（OR[95%CI]：0.320[0.21 - 0.74]；P = 0.043），但吸烟/使用烟草的发生几率增加了1.129倍（OR[95%CI]：1.129[1.02 - 1.25]；P = 0.016）。
双相情感障碍患者孩子患精神障碍的几率远高于健康父母的孩子。因此，儿童某些精神障碍的发病率可能与养育方式有关。
