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父母职业暴露与子女精神病理学相关:以色列急救人员家庭研究。

Parental Occupational Exposure is Associated With Their Children's Psychopathology: A Study of Families of Israeli First Responders.

机构信息

New York State Psychiatric Institute-Columbia University Irving Medical Center, New York, New York (Dr Kishon, Dr Geronazzo-Alman, Dr Cheslack-Postava, Dr Fan, Dr Duarte, Ms Wicks, Dr Musa, Dr Moreno, Dr Cycowicz, Dr Amsel, Dr Bresnahan, Dr Hoven); Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv-Yafo, Israel (Dr M Teichman); School of Psychological Sciences, Tel-Aviv University, Tel Aviv-Yafo, Israel (Dr Y Teichman); Bar-Ilan University, Ramat Gan, Israel (Mr Djalovski); Rabin Medical Center, Tel-Aviv, Israel (Dr Tadmor); Mailman School of Public Health, Department of Epidemiology, Columbia University, New York, New York (Dr Musa, Dr Bresnahan, Dr Hoven).

出版信息

J Occup Environ Med. 2020 Nov;62(11):904-915. doi: 10.1097/JOM.0000000000001971.

Abstract

OBJECTIVE

To examine the association between parental occupational exposure to traumatic events and their children's mental health in families of First Responders (FRs), a neglected area of research.

METHODS

In 208 families of Israeli FRs, children's symptoms and comorbidity patterns of seven psychiatric disorders were regressed on parental work-related variables, controlling for relevant covariates.

RESULTS

Having a father working as a FR and higher paternal exposure were associated with a greater number of separation anxiety and posttraumatic stress symptoms, respectively. Maternal exposure was associated with a greater number of symptoms of generalized anxiety, panic disorder, depression, and oppositional defiant disorder, and with increased odds of comorbid internalizing symptomatology.

CONCLUSIONS

Additional research on children of FRs is encouraged. An adaption to this understudied population of family-centered interventions available for military families could inform targeted prevention efforts.

摘要

目的

探讨创伤事件职业暴露与一线救援人员(FR)家庭儿童心理健康之间的关系,这是一个被忽视的研究领域。

方法

在 208 个以色列 FR 家庭中,对儿童七种精神障碍的症状和共病模式进行回归分析,控制了相关协变量。

结果

父亲从事 FR 工作和父亲暴露程度较高,分别与更多的分离焦虑和创伤后应激症状相关。母亲暴露与更多的广泛性焦虑、惊恐障碍、抑郁和对立违抗障碍症状以及共患内化症状的几率增加相关。

结论

鼓励对 FR 子女进行更多的研究。针对这一研究不足的军人家庭为中心的干预措施的适应可以为有针对性的预防工作提供信息。

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