de Almeida Filho N, Santana V de S, de Souza A L, Jacobina R R
Acta Psiquiatr Psicol Am Lat. 1985 Sep;31(3):211-21.
An epidemiological study of the correlation between parent's mental status and children's psychological health was completed in a representative sample of 1516 adults and 829 children, living in a low-income area of the City of Salvador, Bahia-Brazil. Trained interviewers applied a family questionnaire (20 items on demographic and socio-economic information) and screening symptom scales to all the families (493) in the sample. The survey employed the QMPA (Adult Psychiatric Morbidity Questionnaire) and the QMPI (Child Psychiatric Morbidity Questionnaire), as instruments developed and tested especially for studies in that sociocultural setting. A second step of the survey consisted of a psychiatric examination of all suspected cases, thus allowing for an assessment of validity and reliability of both questionnaires, that showed high sensitivity, specificity and adequate overall misclassification rates. A multiple regression analysis was performed on selected variables. Results showed that mother's scores, family size and child's age are the only variables that reach significance levels to enter the regression model. Father's score showed no isolated effect on children's mental health variation even in interaction with other covariates. However, all the fitted equation explain only 16 per cent of the total regression on the dependent variable.
在巴西巴伊亚州萨尔瓦多市的一个低收入地区,对1516名成年人和829名儿童的代表性样本进行了一项关于父母心理状态与儿童心理健康之间相关性的流行病学研究。经过培训的访谈员向样本中的所有家庭(493个)发放了一份家庭问卷(包含20项人口统计学和社会经济信息)以及筛查症状量表。该调查采用了QMPA(成人精神病发病率问卷)和QMPI(儿童精神病发病率问卷),这是专门为在该社会文化背景下进行研究而开发和测试的工具。调查的第二步是对所有疑似病例进行精神病检查,从而能够评估两份问卷的有效性和可靠性,结果显示它们具有高敏感性、特异性和适当的总体错误分类率。对选定变量进行了多元回归分析。结果表明,母亲的得分、家庭规模和孩子的年龄是仅有的达到显著水平并进入回归模型的变量。父亲的得分即使与其他协变量相互作用,对儿童心理健康变化也没有单独的影响。然而,所有拟合方程仅解释了因变量总回归的16%。