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父母早年虐待和青少年焦虑障碍治疗中的相关经历。

Parental Early Life Maltreatment and Related Experiences in Treatment of Youth Anxiety Disorder.

机构信息

Department of Child and Adolescence Mental Health, Sørlandet Sykehus, Egsveien 100, 4630, Kristiansand, Norway.

Department of Clinical Child and Adolescent Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.

出版信息

Child Psychiatry Hum Dev. 2024 Dec;55(6):1644-1654. doi: 10.1007/s10578-023-01520-1. Epub 2023 Mar 20.

Abstract

The role of parents' early life maltreatment (ELM) (e.g. physical, sexual abuse) and related experiences, in relation to offspring anxiety is not well understood. The current study investigated the association between self-reported depression and ELM and related experiences in mothers (n = 79) and fathers (n = 50), and mother-, father-, and youth-reported symptoms of youth anxiety (n = 90). Outcomes were assessed at pre,- and posttreatment and 3-, 6-, and 12-months follow-up. Parental ELM were not associated with pre-treatment differences or differences in outcome of treatment. However ELM related experiences were associated with increased mother-, father-, and youth-rated youth anxiety at pretreatment. Fathers depressive symptoms were found to mediate the relationship between father ELM related experiences and father-rated youth anxiety symptoms. Future research is warranted on parental ELM and depression as factors affecting outcomes of treatment of youth anxiety. Trial registered at: helseforskning.etikkom.no (reg. nr. 2017/1367).

摘要

父母早年受虐(ELM)(例如身体、性虐待)和相关经历与子女焦虑之间的关系尚不清楚。本研究调查了母亲(n=79)和父亲(n=50)自我报告的抑郁与 ELM 及相关经历之间的关系,以及母亲、父亲和青少年报告的青少年焦虑症状(n=90)。结果在治疗前、治疗中和治疗后 3、6 和 12 个月进行评估。父母的 ELM 与治疗前的差异或治疗结果的差异无关。然而,ELM 相关经历与治疗前青少年的母亲、父亲和青少年评定的青少年焦虑增加有关。发现父亲的抑郁症状在父亲 ELM 相关经历与父亲评定的青少年焦虑症状之间存在中介关系。需要对父母的 ELM 和抑郁作为影响青少年焦虑治疗结果的因素进行进一步研究。试验在 helseforskning.etikkom.no(注册号 2017/1367)注册。

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