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性染色体三体患儿的儿童行为与母亲育儿压力。

Children's Behavior and Maternal Parenting Stress in Young Children With Sex Chromosome Trisomies.

机构信息

Department of Psychology, University of Milano-Bicocca, Milan, Italy.

Child and Adolescent Neuropsychiatric Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

J Dev Behav Pediatr. 2022 Apr 1;43(3):e197-e203. doi: 10.1097/DBP.0000000000001015. Epub 2021 Oct 11.

Abstract

OBJECTIVE

Children and adolescents with sex chromosome trisomies (SCTs) usually show a higher frequency of behavioral problems than typically developing (TD) children. However, little is known about the presence of behavioral issues in toddlers with SCT. This study aimed at investigating their behavioral profile in the second year of life and its impact on maternal stress.

METHOD

Participants were 87 children ranging in age from 18 to 26 months: 63 children with SCTs (all diagnosed prenatally) and 24 TD children. Their psychomotor and language development and their behavioral profile were assessed. In addition, the level of maternal parenting stress was evaluated.

RESULTS

Both psychomotor and language development were significantly lower in children with SCTs than in TD children. Conversely, no significantly greater behavioral problems emerged in children with SCTs. However, a significantly higher level of parenting stress related to a dysfunctional interaction with the child emerged in the mothers of children with SCTs. In this population, maternal stress seemed positively related to their children's emotional problems and pervasive disorders and negatively related to their children's psychomotor and linguistic competence.

CONCLUSION

Although no significant behavioral issues emerged in the second year of life, the relationships found between children's behavioral profiles and maternal parenting stress highlight the importance of prenatal counseling and support groups for parents of children with SCTs. This might help them recognize the first signs of behavioral problems and become aware of their influence on parenting stress.

摘要

目的

性染色体三体(SCT)患儿的行为问题发生率通常高于典型发育(TD)儿童。然而,关于 SCT 幼儿是否存在行为问题知之甚少。本研究旨在调查他们在生命第二年的行为特征及其对母亲压力的影响。

方法

参与者为 87 名年龄在 18 至 26 个月之间的儿童:63 名 SCT 儿童(均在产前诊断)和 24 名 TD 儿童。评估了他们的运动和语言发育情况以及行为特征。此外,还评估了母亲育儿压力的水平。

结果

SCT 患儿的运动和语言发育明显低于 TD 儿童。相反,SCT 患儿的行为问题没有明显增加。然而,SCT 患儿的母亲存在与孩子互动功能失调相关的育儿压力显著增加。在该人群中,母亲的压力似乎与孩子的情绪问题和普遍障碍呈正相关,与孩子的运动和语言能力呈负相关。

结论

尽管在生命的第二年没有出现明显的行为问题,但发现儿童的行为特征与母亲育儿压力之间存在关系,这突出了为 SCT 患儿的父母提供产前咨询和支持小组的重要性。这可能有助于他们识别行为问题的早期迹象,并意识到其对育儿压力的影响。

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