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父母离异、童年创伤、神经质与抑郁症之间的关联:一项病例对照研究。

Association between parental separation, childhood trauma, neuroticism, and depression: a case control study.

作者信息

Sanwald Simon, Montag Christian, Kiefer Markus

机构信息

Department of Psychiatry and Psychotherapy III, Ulm University, Ulm, Germany.

Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.

出版信息

Front Psychiatry. 2023 May 9;14:1112664. doi: 10.3389/fpsyt.2023.1112664. eCollection 2023.

Abstract

BACKGROUND

Parental separation has been suggested to be associated with depression development in offspring. The new family constellation subsequent to separation could be associated with elevated scores of childhood trauma, shaping more emotionally instable personalities. This could ultimately be a risk factor for mood disorders and particularly the development of depression in life.

METHODS

To test this hypothesis, we investigated the associations between parental separation, childhood trauma (CTQ) and personality (NEO-FFI) in a sample of = 119 patients diagnosed with depression and = 119 age and sex matched healthy controls.

RESULTS

While parental separation was associated with elevated scores of childhood trauma, there was no association between parental separation and Neuroticism. Furthermore, in a logistic regression analysis, Neuroticism and childhood trauma were found to be significant predictors for depression diagnosis (yes/no), but not parental separation (yes/no).

CONCLUSION

Parental separation might be associated with depression only indirectly childhood trauma. Childhood trauma or Neuroticism seem more directly related to the development of depression. However, it is worthwhile to install prevention programs helping parents and children to cope with parental separation in order to minimize the impact of separation and associated stressors.

摘要

背景

有研究表明父母离异与子女患抑郁症有关。离异后的新家庭结构可能与童年创伤得分升高有关,从而塑造出情绪更不稳定的性格。这最终可能成为情绪障碍尤其是生活中抑郁症发病的一个风险因素。

方法

为验证这一假设,我们在119例被诊断为抑郁症的患者及119例年龄和性别匹配的健康对照样本中,研究了父母离异、童年创伤(儿童创伤问卷)和人格(大五人格问卷)之间的关联。

结果

虽然父母离异与童年创伤得分升高有关,但父母离异与神经质之间没有关联。此外,在逻辑回归分析中,发现神经质和童年创伤是抑郁症诊断(是/否)的显著预测因素,但父母离异(是/否)不是。

结论

父母离异可能仅通过童年创伤与抑郁症间接相关。童年创伤或神经质似乎与抑郁症的发展更直接相关。然而,开展预防项目帮助父母和孩子应对父母离异,以尽量减少离异及相关压力源的影响是值得的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc72/10204799/b3f9a0703de6/fpsyt-14-1112664-g0001.jpg

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