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父母的自杀意念和抑郁情绪是否会影响其青少年子女的心理健康?

Does suicidal ideation and depressive mood of parents affect their adolescent children's mental health?

机构信息

Research affairs of Yonsei University, Seoul, South Korea.

Preventive Medicine Program, Graduate School of Public Health, Seoul National University, Seoul, Korea.

出版信息

J Affect Disord. 2020 Sep 1;274:768-773. doi: 10.1016/j.jad.2020.03.176. Epub 2020 May 1.

Abstract

BACKGROUND

Depression in adolescence is a social problem that has detrimental effects on an individual's physical and mental health and increases health care burden on families and society. This study investigates the connection between mental illness among parents and their adolescent children in Korea.

METHODS

The sample included parents of 5315 adolescents (12-24 years) and data were obtained from the Korea National Health and Nutrition Survey (KNHANES) from 2007 to 2017. Family based comprehensive questionnaires were used. Multivariate logistic regression models were performed to estimate odds ratios (ORs) at 95% confidence intervals (95% CIs).

RESULTS

The main findings showed that daughters with depressed mothers were 1.92 times more likely to experience depression and 1.64 times more likely to have suicidal ideations. In particular, when father was suicidal, his daughter had a 2.59 times higher risk of suicidal thoughts than father was not depressed and had no suicidal thoughts. Sons' depressive mood was rarely affected by the psychological status of mothers and fathers.

LIMITATION

There are under-report issue of feelings and study design is cross-sectional.

CONCLUSIONS

This study showed gender differences in the association between parents' and adolescents' experience of depression. Thus, the daughter's psychological state was found to be strongly associated with the psychological state of both parents.

摘要

背景

青少年抑郁症是一个社会问题,它对个人的身心健康有不利影响,并增加了家庭和社会的医疗保健负担。本研究调查了韩国父母与青少年子女之间精神疾病的关系。

方法

该样本包括 5315 名青少年(12-24 岁)的父母,数据来自 2007 年至 2017 年的韩国国家健康与营养调查(KNHANES)。使用基于家庭的综合问卷。采用多变量逻辑回归模型估计 95%置信区间(95%CI)的比值比(OR)。

结果

主要发现表明,患有抑郁症母亲的女儿患抑郁症的可能性增加 1.92 倍,有自杀意念的可能性增加 1.64 倍。特别是,当父亲有自杀念头时,他的女儿自杀念头的风险比父亲没有抑郁且没有自杀念头的风险高 2.59 倍。儿子的抑郁情绪很少受到父母心理状态的影响。

局限性

存在情感漏报问题,且研究设计为横断面研究。

结论

本研究表明父母和青少年抑郁经历之间的关联存在性别差异。因此,发现女儿的心理状态与父母双方的心理状态密切相关。

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