Swedish Institute of Social Research, Stockholm University, Sweden.
Department of Public Health Sciences, Centre for Health Equity Studies (CHESS), Stockholm University, Sweden.
Scand J Public Health. 2020 Nov;48(7):726-732. doi: 10.1177/1403494820902914. Epub 2020 Feb 3.
Previous research has shown that poor family relations in childhood are associated with adverse mental health in adulthood. Yet, few studies have followed the offspring until late adulthood, and very few have had access to register-based data on hospitalisation due to psychiatric illness. The aim of this study was to examine the association between poor family relations in adolescence and the likelihood of in-patient psychiatric care across the life course up until age 55. Data were derived from the Stockholm Birth Cohort study, with information on 2638 individuals born in 1953. Information on family relations was based on interviews with the participants' mothers in 1968. Information on in-patient psychiatric treatment was derived from administrative registers from 1969 to 2008. Binary logistic regression was used. Poor family relations in adolescence were associated with an increased risk of later in-patient treatment for a psychiatric diagnosis, even when adjusting for other adverse conditions in childhood. Further analyses showed that poor family relations in adolescence were a statistically significant predictor of in-patient psychiatric care up until age 36-45, but that the strength of the association attenuated over time.
先前的研究表明，儿童时期不良的家庭关系与成年后不良的心理健康有关。然而，很少有研究跟踪观察到成年后期，而且很少有机会获得基于登记的精神疾病住院数据。本研究旨在探讨青少年时期不良家庭关系与一生中直至 55 岁时住院精神治疗可能性之间的关联。数据来自斯德哥尔摩出生队列研究，其中包括 1953 年出生的 2638 个人的信息。家庭关系信息基于参与者的母亲在 1968 年接受的访谈。住院精神治疗信息源自 1969 年至 2008 年的行政登记册。采用二元逻辑回归。青少年时期不良的家庭关系与以后的住院精神治疗诊断风险增加有关，即使在调整了儿童时期的其他不良情况后也是如此。进一步的分析表明，青少年时期不良的家庭关系是住院精神治疗的一个统计学显著预测因子，直至 36-45 岁，但随着时间的推移，关联的强度减弱。
