Early father involvement moderates biobehavioral susceptibility to mental health problems in middle childhood
Early father involvement moderates biobehavioral susceptibility to mental health problems in middle childhood
复制标题
DOI：
10.1097/01.chi.0000237706.50884.8b
复制
发表时间：
2006-12-01
影响因子：
13.3
通讯作者：
Kupfer, David J.
中科院分区：
文献类型：
--
作者：
Boyce, W. Thomas;Essex, Marilyn J.;Kupfer, David J.
目的：探讨早期父亲参与与儿童社会环境生物行为敏感性对儿童中期心理健康症状的交互预测作用。方法：在威斯康辛州麦迪逊和密尔沃基的一项儿童健康与发展的社区研究中，前瞻性地确定了父亲参与婴儿护理和母亲抑郁症状。1998年，当儿童7岁时，对120名儿童进行了为期4小时的家庭评估，测量了他们对标准化挑战的行为、自主神经和肾上腺皮质反应性，作为对社会环境的生物行为敏感性指标。在9岁时使用家长、孩子和老师的报告评估心理健康症状。结果：早期父亲参与和儿童对环境的生物行为敏感性对症状严重程度有显著的交互预测作用。在婴儿期父亲参与度低的儿童中，行为、自主神经和肾上腺皮质反应性成为后来心理健康症状的危险因素。症状严重程度得分最高的是那些自主神经反应性高的孩子，他们在婴儿时期经历过低的父亲干预，以及有抑郁症状的母亲。结论：在婴儿期很少受到父亲照顾的儿童中，对社会环境的生物行为敏感性的提高可能是儿童中期出现心理健康症状的重要易感因素。这种倾向可能会因母亲抑郁而加剧。
Objective: To study how early father involvement and children's biobehavioral sensitivity to social contexts interactively predict mental health symptoms in middle childhood.Method: Fathers' involvement in infant care and maternal symptoms of depression were prospectively ascertained in a community-based study of child health and development in Madison and Milwaukee, WI. In a subsample of 120 children, behavioral, autonomic, and adrenocortical reactivity to standardized challenges were measured as indicators of biobehavioral sensitivity to social context during a 4-hour home assessment in 1998, when the children were 7 years of age. Mental health symptoms were evaluated at age 9 years using parent, child, and teacher reports.Results: Early father involvement and children's biobehavioral sensitivity to context significantly and interactively predicted symptom severity. Among children experiencing low father involvement in infancy, behavioral, autonomic, and adrenocortical reactivity became risk factors for later mental health symptoms. The highest symptom severity scores were found for children with high autonomic reactivity that, as infants, had experienced low father involvement and mothers with symptoms of depression.Conclusions: Among children experiencing minimal paternal caretaking in infancy, heightened biobehavioral sensitivity to social contexts may be an important predisposing factor for the emergence of mental health symptoms in middle childhood. Such predispositions may be exacerbated by the presence of maternal depression.