Goodman S H
Schizophr Bull. 1987;13(3):411-23. doi: 10.1093/schbul/13.3.411.
Young children (from birth to 5 years of age) of schizophrenic, depressed, and well mothers were studied to assess their intellectual, social, and neuropsychiatric functioning. The sample derived from predominantly black, low-income, single-parent families. An extensive battery of laboratory and home-based tests was administered three times, each 1 year apart, to test the stability of findings. Schizophrenic offspring, as a group, had more problems than others. They showed more deficits on social competence, had lower IQ's (the youngest children only), and were overrepresented in the group of children with multiple negative indices. However, both schizophrenic offspring and depressive offspring sometimes performed more poorly than children with well mothers (presence of symptoms of psychiatric disorder and certain categories of social behavior). In certain instances, the children of depressed mothers were worse off than either other group (small for age and showing less social competence at home). Deficits were found in the child-rearing environment provided by the disturbed mothers. Both schizophrenic and depressed mothers were rated as less affectively involved and less responsive than well mothers. Schizophrenic mothers were rated as providing the poorest overall environment: less play stimulation, fewer learning experiences, and less emotional and verbal involvement. The following possible protective factors were identified in the mothers: lesser severity of illness, older age, higher education, higher IQ, work experience, and presence of spouse, boyfriend, or other relative to help in child care.
对患有精神分裂症、抑郁症的母亲以及健康母亲所生的幼儿(出生至5岁)进行了研究,以评估他们的智力、社交和神经精神功能。样本主要来自黑人、低收入、单亲家庭。进行了一系列广泛的实验室测试和家庭测试,每隔一年进行一次,共三次,以检验研究结果的稳定性。作为一个群体,精神分裂症患者的后代比其他人有更多问题。他们在社交能力方面表现出更多缺陷,智商较低(仅最年幼的孩子),并且在具有多个负面指标的儿童群体中占比过高。然而,精神分裂症患者的后代和抑郁症患者的后代有时表现得比健康母亲所生的孩子更差(存在精神疾病症状和某些类别的社会行为)。在某些情况下,抑郁症母亲的孩子比其他任何一组情况都更糟(年龄偏小且在家中社交能力较弱)。在患病母亲提供的养育环境中发现了缺陷。与健康母亲相比,患有精神分裂症和抑郁症的母亲在情感投入和反应方面得分较低。患有精神分裂症的母亲被评为提供的总体环境最差:游戏刺激较少、学习经历较少,情感和言语投入也较少。在母亲身上发现了以下可能的保护因素:病情较轻、年龄较大、教育程度较高、智商较高、有工作经验以及有配偶、男友或其他亲属帮助照顾孩子。