The influence of social class, strain and social support on symptoms of anxiety and depression in mothers of toddlers
The influence of social class, strain and social support on symptoms of anxiety and depression in mothers of toddlers
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DOI：
10.1007/s001270050113
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发表时间：
1999-02-01
影响因子：
4.4
通讯作者：
Dalgard, OS
中科院分区：
文献类型：
--
作者：
Mathiesen, KS;Tambs, K;Dalgard, OS
背景：本研究的目的是确定幼儿母亲焦虑和抑郁的风险因素和保护因素。方法：以人群为基础的921名挪威母亲的1个月大的孩子完成了一份问卷调查，旨在检查社会经济和人口因素，躯体健康问题，负面生活事件，慢性紧张和社会支持对焦虑和抑郁症状的影响（HSCL-25）。结果：负性生活事件和慢性应激在症状水平上有中等的厌恶作用，社会支持在症状水平上有中等的保护作用，但危险因素和保护因素之间不存在交互作用。孩子的行为问题显然会影响母亲的症状水平。在控制了压力和社会支持的影响后，母亲的受教育程度、就业状况和年龄等背景因素对症状水平的影响也存在差异。然而，背景因素的最大影响似乎是间接的，通过它们对风险和保护因素的影响来调解。结论：虽然观察到儿童的行为问题和儿童保育安排对母亲的症状水平有很大的影响，但与其他类型的压力相比，这些问题的发生频率似乎对社会经济条件的依赖性较小。
Background: The aim of the study was to identify risk and protective factors for anxiety and depression among mothers of toddlers. Methods: A population-based sample of 921 Norwegian mothers with Is-month-old children completed a questionnaire designed to examine the impact of socioeconomic and demographic factors, somatic health problems, negative life events, chronic strain and social support on symptoms of anxiety and depression (HSCL-25). Results: There was a moderate aversive effect of negative life events and chronic strain and a moderate protective effect of social support on the symptom level, but no interaction effects were found between the risk and protective factors. Behaviour problems among the children clearly seemed to affect the mothers' symptom level. The symptom level varied with background factors like the mothers' education, employment status and age even after controlling for the effect of strain and social support. The largest effect of the background factors seemed to be indirect, however, mediated through their effect on the risk and protective factors. Conclusions: Although problems with the children's behaviour and child care arrangements were observed to have a strong impact on the mothers' symptom level, the frequencies of such problems appeared to be less dependent on socioeconomic conditions than did other types of strain.