随着时间推移，育儿方式在父母和儿童心理健康中的作用。

The role of parenting practices in parent and child mental health over time.

作者信息

Cost Katherine T, Mudiyanselage Piyumi, Unternaehrer Eva, Korczak Daphne J, Crosbie Jennifer, Anagnastou Evdokia, Monga Suneeta, Kelley Elizabeth, Schachar Russell, Maguire Jonathon, Arnold Paul, Burton Christie L, Georgiades Stelios, Nicolson Rob, Birken Catherine S, Charach Alice

机构信息

Department of Psychiatry, Hospital for Sick Children, Toronto, Canada; and Department of Behavioural Neurosciences & Psychiatry, McMaster University, Canada.

Child Health Evaluative Sciences Program, Hospital for Sick Children, Toronto, Canada.

出版信息

BJPsych Open. 2023 Aug 8;9(5):e147. doi: 10.1192/bjo.2023.529.

DOI:10.1192/bjo.2023.529

PMID:37550865

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10594096/

Abstract

BACKGROUND

Parent and child mental health has suffered during the pandemic and transition phase. Structured and shared parenting may be intervention targets beneficial to families who are struggling with parent or child mental health challenges.

AIMS

First, we investigated associations between structured and shared parenting and parent depression symptoms. Second, we investigated associations between structured and shared parenting and depression, hyperactivity/inattention and irritability symptoms in children.

METHOD

A total of 1027 parents in two-parent households (4797 observations total; 85.1% mothers) completed online surveys about themselves and their children (aged 2-18 years) from April 2020 to July 2022. Structured parenting and shared parenting responsibilities were assessed from April 2020 to November 2021. Symptoms of parent depression, child depression, child hyperactivity and inattention, child irritability, and child emotional and conduct problems were assessed repeatedly (one to 14 times; median of four times) from April 2020 to July 2022.

RESULTS

Parents who reported higher levels of shared parenting responsibilities had lower depression symptoms ( = -0.09 to -0.32, all < 0.01) longitudinally. Parents who reported higher levels of shared parenting responsibilities had children with fewer emotional problems (ages 2-5 years; = -0.07, < 0.05), fewer conduct problems (ages 2-5 years; = -0.09, < 0.01) and less irritability (ages 13-18 years; = -0.27, < 0.001) longitudinally. Structured parenting was associated with fewer conduct problems (ages 2-5 years; = -0.05, < 0.05).

CONCLUSIONS

Shared parenting is beneficial for parent and child mental health, even under chaotic or inflexible life conditions. Structured parenting is beneficial for younger children.

摘要

背景

在疫情和过渡阶段，父母和孩子的心理健康受到了影响。结构化和共同育儿可能是对那些在父母或孩子心理健康方面面临挑战的家庭有益的干预目标。

目的

第一，我们调查了结构化和共同育儿与父母抑郁症状之间的关联。第二，我们调查了结构化和共同育儿与儿童抑郁、多动/注意力不集中和易怒症状之间的关联。

方法

2020年4月至2022年7月，共有1027名双亲家庭的父母（共4797份观察数据；85.1%为母亲）完成了关于他们自己和他们2至18岁孩子的在线调查。2020年4月至2021年11月评估了结构化育儿和共同育儿责任。2020年4月至2022年7月多次评估了父母抑郁、儿童抑郁、儿童多动和注意力不集中、儿童易怒以及儿童情绪和行为问题的症状（1至14次；中位数为4次）。

结果

纵向来看，报告共同育儿责任水平较高的父母抑郁症状较轻（=-0.09至-0.32，均<0.01）。报告共同育儿责任水平较高的父母，其孩子在纵向来看情绪问题较少（2至5岁；=-0.07，<0.05）、行为问题较少（2至5岁；=-0.09，<0.01）且易怒程度较低（13至18岁；=-0.27，<0.001）。结构化育儿与较少的行为问题相关（2至5岁；=-0.05，<0.05）。