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双胞胎中的“母亲的孩子”与“父亲的孩子”。一项从孕期至21岁的双胞胎纵向研究,特别涉及发育与精神疾病。

"Mother's child" and "father's child" among twins. A longitudinal twin study from pregnancy to 21 years age, with special reference to development and psychiatric disorders.

作者信息

Moilanen I, Pennanen P

机构信息

Department of Pediatrics, University of Oulu, Finland.

出版信息

Acta Genet Med Gemellol (Roma). 1997;46(4):219-30. doi: 10.1017/s0001566000000453.

Abstract

234 pairs of twins were studied from pregnancy up to 21 years of age on the basis of records from maternity hospitals, neonatal wards and children's health centres and questionnaires filled in by the parents when the twins were aged 2-10 and 12-21 years, and by the twins themselves at age 12-21. 74 twins were personally interviewed about human relationships in their families and with the Present State Examination (PSE) at age 15-21. When the evaluation of parental preference was made by the parents, the mother's favourites had learned to speak earlier and were more often the psychic leader of the pair, but they more often had sleeping difficulties and other psychosomatic symptoms in adolescence. They were most often scored in class 2-3, non-specific neurotic symptoms in the PSE, but none of them was placed in the higher classes of possible or probable psychiatric disorder. Mothers seem to develop a tighter affectionate bond towards their favourites than do fathers, thus inducing a good basic trust and faster language acquisition in childhood, but probably also transient non-specific neurotic symptoms in adolescence in face of the developmental task of entering autonomous adulthood. The father's favorites were more often the physical leaders of the pair, showed less accident proneness and most often reported tendencies towards autonomy from their co-twins, thus indicating that the fathers' attitudes may be more encouraging towards independence. As the least psychosomatic symptoms were seen in twins in the intermediate position regarding parental preference, it seems reasonable that the division of twins between parents on the grounds of favouritism should not be strict.

摘要

基于妇产医院、新生儿病房和儿童健康中心的记录,以及双胞胎在2至10岁、12至21岁时父母填写的问卷,还有双胞胎在12至21岁时自己填写的问卷,对234对双胞胎从孕期到21岁进行了研究。对74对双胞胎在15至21岁时就其家庭中的人际关系以及使用现状检查量表(PSE)进行了个人访谈。当父母对偏爱的双胞胎进行评价时,母亲偏爱的孩子说话更早,更常成为双胞胎中的心理主导者,但他们在青春期更常出现睡眠困难和其他身心症状。他们在PSE中最常被评为2 - 3级,即非特异性神经症症状,但没有一个被归入可能或很可能患有精神障碍的更高等级。母亲似乎比父亲对自己偏爱的孩子建立起更紧密的情感纽带,从而在童年时期培养出良好的基本信任感并促进语言更快习得,但面对进入自主成年期的发展任务时,可能也会在青春期引发短暂的非特异性神经症症状。父亲偏爱的孩子更常成为双胞胎中的身体主导者,表现出较少的易出事故倾向,并且最常报告有与双胞胎同伴保持自主的倾向,这表明父亲的态度可能对独立性更具鼓励性。由于在父母偏爱方面处于中间位置的双胞胎出现的身心症状最少,基于偏爱在父母之间划分双胞胎的界限似乎不应过于严格,这似乎是合理的。

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