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父母离异和儿童期死亡对成年后精神病理学的预测作用:对种族差异的考察。

Parental separation and death during childhood as predictors of adult psychopathology: An examination of racial differences.

机构信息

Department of Psychological Sciences, Texas Tech University.

Department of Psychiatry and Behavioral Health, Ohio State University Wexner Medical Center.

出版信息

Psychol Trauma. 2024 Feb;16(2):184-192. doi: 10.1037/tra0001291. Epub 2022 Jun 23.

Abstract

OBJECTIVE

Parental separation and parental death during childhood are common but understudied forms of adverse childhood events (ACEs), thus little is known about the impact on psychological functioning in adulthood. We examined whether parental death and parental separation during childhood was associated with risk of diagnostic criteria for depressive disorders, anxiety disorders, posttraumatic stress disorder (PTSD), or personality disorders during adulthood. Second, we compared parental separation and parental death and psychopathology across African Americans ( = 499) and Whites ( = 782).

METHOD

The sample consists of 1,211 participants ( = 669 females). Diagnostic interviews were administered by master's or doctorate-level degree holders in Clinical Psychology or Social Work. There was good to excellent interrater reliabilities (mean kappa of .84 ± .05; range: .79-.93) spanning anxiety, mood, anxiety, trauma, and personality disorders.

RESULTS

White participants reporting parental separation during childhood were more likely to report depressive disorders (OR = 2.151, < .001), PTSD (OR = 2.218, < .01) and personality disorders (OR = 1.764, < .001) during adulthood. African American endorsement of parental separation during childhood did not predict depressive disorders (OR = 1.21, = .357), anxiety disorders (OR = 1.107, = .659), PTSD (OR = 1.351, p = .425) or personality disorders (OR = 1.432, = .098) during adulthood. Overall, participants who reported parental death did not have significantly higher rates of depressive disorders (OR = 1.100, = .668), anxiety disorders (OR = 1.357, = .207), PTSD (OR = 1.351, = .425), and personality disorders (OR = 1.432, = .098).

CONCLUSIONS

Parental separation was a significant risk factor for adult psychopathology, but only for White participants. Parental death was not a risk factor for adult psychopathology no matter the person's race. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

父母离异和儿童期父母死亡是常见但研究不足的童年不良事件(ACE)形式,因此,人们对其成年后对心理功能的影响知之甚少。我们研究了儿童期父母死亡和父母离异是否与成年后患抑郁障碍、焦虑障碍、创伤后应激障碍(PTSD)或人格障碍的诊断标准有关。其次,我们比较了非裔美国人(=499)和白人(=782)的父母离异和父母死亡与精神病理学。

方法

该样本由 1211 名参与者(=669 名女性)组成。通过具有临床心理学或社会工作硕士或博士学位的人进行诊断访谈。焦虑、情绪、焦虑、创伤和人格障碍的跨评一致性较好(平均 Kappa 值为.84±.05;范围:.79-.93)。

结果

报告儿童期父母离异的白人参与者更有可能在成年后患抑郁障碍(OR=2.151,<0.001)、PTSD(OR=2.218,<0.01)和人格障碍(OR=1.764,<0.001)。非裔美国人在儿童期经历父母离异并不预示着成年后患抑郁障碍(OR=1.21,=0.357)、焦虑障碍(OR=1.107,=0.659)、PTSD(OR=1.351,p=0.425)或人格障碍(OR=1.432,=0.098)。总的来说,报告父母死亡的参与者并没有更高的抑郁障碍(OR=1.100,=0.668)、焦虑障碍(OR=1.357,=0.207)、PTSD(OR=1.351,=0.425)和人格障碍(OR=1.432,=0.098)的发生率。

结论

父母离异是成年后精神病理学的一个重要危险因素,但仅适用于白人参与者。无论种族如何,父母死亡都不是成年后患精神病理学的危险因素。

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