Koyama Yuna, Fujiwara Takeo, Isumi Aya, Doi Satomi
Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
BMJ Open. 2020 Oct 21;10(10):e035100. doi: 10.1136/bmjopen-2019-035100.
The current study aimed to elucidate the impact of parental social network diversity on the behaviour problems and resilience of offspring.
We used cross-sectional data from the Kochi Child Health Impact of Living Difficulty study in 2016.
Participants were first, fifth and eighth grade children living in Kochi prefecture, Japan (N=9653). We calculated parental social network diversity by counting the number of people with whom parents connected on a daily basis (ie, structural social network diversity) and by assessing perceived psychosocial support (ie, functional social network diversity).
Child behaviour problems and resilience were respectively assessed using the Strengths and Difficulties Questionnaire (SDQ) and the Child's Resilient Coping Scale (CRCS), as rated by caregivers.
Diversity in parental structural and functional social networks showed an inverse association with SDQ total difficulties score (B=-0.16 (95% CI -0.25 to -0.07) and -0.20 (95% CI -0.27 to -0.13), respectively), and a positive association with prosocial behaviour score (B=0.11 (95% CI 0.08 to 0.15) and 0.09 (95% CI 0.06 to 0.12), respectively) and CRCS score (B=0.75 (95% CI 0.46 to 1.05) and 1.12 (95% CI 0.88 to 1.35), respectively) in the adjusted model. Parental mental health accounted for 36% and 43% of the total effects of structural and functional social network diversity respectively on the total difficulties score. For prosocial behaviour score, parental involvement accounted for 31% of the effects of functional social network diversity.
The results shed light on new strategies to enhance child mental health that do not directly involve children but rather focus on parental social networking.
本研究旨在阐明父母社交网络多样性对子女行为问题和适应力的影响。
我们使用了2016年高知县儿童生活困难对健康影响研究的横断面数据。
参与者为居住在日本高知县的一年级、五年级和八年级儿童（N = 9653）。我们通过计算父母每天联系的人数（即结构社交网络多样性）以及评估感知到的心理社会支持（即功能社交网络多样性）来计算父母社交网络多样性。
儿童行为问题和适应力分别使用优势与困难问卷（SDQ）和儿童适应力应对量表（CRCS）进行评估，由照顾者评分。
在调整模型中，父母结构和功能社交网络的多样性与SDQ总困难得分呈负相关（分别为B = -0.16（95%CI -0.25至-0.07）和-0.20（95%CI -0.27至-0.13）），与亲社会行为得分呈正相关（分别为B = 0.11（95%CI 0.08至0.15）和0.09（95%CI 0.06至0.12））以及与CRCS得分呈正相关（分别为B = 0.75（95%CI 0.46至1.05）和1.12（95%CI 0.88至1.35））。父母心理健康分别占结构和功能社交网络多样性对总困难得分总效应的36%和43%。对于亲社会行为得分，父母参与占功能社交网络多样性效应的31%。
研究结果揭示了增强儿童心理健康的新策略，这些策略不直接涉及儿童，而是侧重于父母的社交网络。
