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[童年期关键生活事件对青少年心理健康的重要性——一项为期10年的随访结果]

[The Importance of Critical Life Events During Childhood for the Mental Health of Adolescents - Results of a 10-Year Catamnesis].

作者信息

Schulz Wolfgang, Cornelius Janne, Supke Max

机构信息

Institut für Psychologie, Technische Universität Braunschweig.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2021 Jan;49(1):7-17. doi: 10.1024/1422-4917/a000759. Epub 2020 Oct 27.

DOI:10.1024/1422-4917/a000759
PMID:33108256
Abstract

The Importance of Critical Life Events During Childhood for the Mental Health of Adolescents - Results of a 10-Year Catamnesis This longitudinal study examines the influence of critical life events in childhood on mental disorders in childhood and adolescence. It includes parental mental disorders and parenting behavior as mediators. The review is carried out using structural equation models, separately for maternal and paternal mediators. The sample consisted of 249 families examined at six measurement points (pre to FU10); the average age of the children was 4 years, that of the adolescents 10 years later thus 14 years (FU10). Information on critical life events was collected based on a defined list. In the case of mothers, the influence of critical life events on mental disorders in childhood is completely mediated by the mental health of the mother and their dysfunctional parenting. The mediation effect of fathers' mental health is significantly less than that of the mothers (partial mediation), while their parenting behavior showed no mediating influence. Mental disorders in adolescence can be predicted primarily through mental disorders in childhood. There are no significant differences between internalizing and externalizing disorders. Parental mental health and parenting behavior, in particular of the mother, provide concrete starting points for prevention and intervention programs. Future studies should include mothers and fathers alike. Especially the role of fathers should be examined more closely.

摘要

童年期关键生活事件对青少年心理健康的重要性——一项为期10年的随访结果 这项纵向研究考察了童年期关键生活事件对儿童期和青少年期精神障碍的影响。研究将父母的精神障碍和养育行为作为中介因素。使用结构方程模型分别针对母亲和父亲这两个中介因素进行分析。样本包括249个家庭,在六个测量点(从基线到随访10年)进行考察;儿童的平均年龄为4岁,10年后青少年的平均年龄为14岁(随访10年)。基于一份既定清单收集关键生活事件的信息。对于母亲而言,关键生活事件对儿童期精神障碍的影响完全由母亲的心理健康及其功能失调的养育方式介导。父亲心理健康的中介效应明显小于母亲(部分中介),而他们的养育行为未显示出中介影响。青少年期的精神障碍主要可通过儿童期的精神障碍来预测。内化性障碍和外化性障碍之间没有显著差异。父母的心理健康和养育行为,尤其是母亲的,为预防和干预项目提供了具体的切入点。未来的研究应将父母双方都纳入。特别是应更深入地考察父亲的作用。

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