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失去亲人的儿童:影响早期精神病理学的变量。

The bereaved child: variables influencing early psychopathology.

作者信息

Van Eerdewegh M M, Clayton P J, Van Eerdewegh P

出版信息

Br J Psychiatry. 1985 Aug;147:188-94. doi: 10.1192/bjp.147.2.188.

Abstract

This is a 13-month follow-up study of 105 two to 17 year-old children bereaved of one parent, with 85 controls. Data were gathered on physical and mental health in the children and surviving parents, the child's sex and age and the bereaved parent's sex and psychopathology being included as risk factors. Dysphoria, falling school performance and withdrawn behaviour were significantly increased in bereaved children of both sexes at all ages, while temper tantrums, bedwetting and the depressive syndrome only increased in the age and sex categories normally associated with these conditions. A global index of psychopathology was increased compared with controls on most subgroups of bereaved children (P less than 0.0001), the highest scores for both sexes being associated with having a mentally ill (usually depressed) widowed mother. The results are discussed and suggestions made for future research.

摘要

这是一项针对105名失去单亲的2至17岁儿童进行的为期13个月的随访研究,另有85名儿童作为对照。收集了这些儿童及其在世父母的身心健康数据,将儿童的性别和年龄以及失去亲人的父母的性别和精神病理学状况作为风险因素。所有年龄段的双亲丧子/女的儿童中,烦躁不安、学业成绩下降和孤僻行为显著增加,而发脾气、尿床和抑郁综合征仅在通常与这些情况相关的年龄和性别类别中有所增加。与对照组相比,大多数双亲丧子/女儿童亚组的精神病理学综合指数有所升高(P小于0.0001),男女得分最高的情况都与有一位患有精神疾病(通常为抑郁症)的寡居母亲有关。本文对研究结果进行了讨论,并对未来的研究提出了建议。

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