Loss in childhood: anxiety in adulthood.

Loss in childhood: anxiety in adulthood.
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童年的失落:成年后的焦虑。

DOI:
10.1016/0010-440x(89)90086-2
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发表时间:
1989
影响因子:
7.3
通讯作者:
Murphy,JM
Murphy,JM
中科院分区:
医学2区
文献类型:
--
作者:
Zahner,GE;Murphy,JM

文献摘要

被引文献

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最近的研究,特别是在英国,通过报告孕产妇死亡与女性易患抑郁症之间的关系引起了人们的兴趣。美国的几项针对男性的研究并未受到同等重视。本研究通过报告纽约市昆斯布鲁克研究的结果扩展了美国的工作,该研究是一项横断面调查,提供有关童年家庭环境与成年期精神疾病患病率之间关系的信息。昆斯布鲁克调查于 20 世纪 60 年代中期进行,作为加拿大大西洋农村地区斯特灵县研究的城市调查。这里描述的城市样本数据并未在之前发布,在本报告中,我们使用 DSM-III 标准来开发评分算法来识别抑郁和焦虑。我们调查了几种不利的童年损失,而不仅仅是母亲的死亡,并将它们与男性和女性的抑郁和焦虑联系起来。女性的童年经历与这些疾病没有显着相关,而男性的父母死亡也与这两种疾病无关。然而,16 岁之前离家、父母离婚或分居或被安置在收养家庭的男孩成年后焦虑的发生率增加了三倍。美国进行的其他几项人口调查也支持了父母离婚与男性日后焦虑之间呈正相关的这一发现。
Recent research, especially in Great Britain, has attracted interest by reporting on the relationship between maternal loss and vulnerability to depression among women. Several studies in the United States that included men have not received equal attention. The present study expands on the US work by reporting findings from the Queensbrook Study in New York City, a cross-sectional survey that provides information about the relationships between the family environment of childhood and the prevalence of psychiatric illness in adulthood. The Queensbrook survey was conducted in the mid 1960s as an urban counterpart to the Stirling County Study in rural Atlantic Canada. The data from the urban sample described here were not published earlier, and for this report we used DSM-III criteria to develop scoring algorithms to identify depression and anxiety. We investigated several types of adverse childhood losses, not solely the death of a mother, and related them to depressionandanxiety inbothmen and women. None of the childhood experiences was significantly associated with these disorders among women, nor was the death of a parent related to either type of disorder among men. However, boys who left home before 16 years of age, whose parents were divorced or separated, or who were placed in an adopted family had a threefold increase in rates of anxiety as adults. This finding of a positive association between the divorce of parents and later anxiety in men is supported by several of the other population surveys carried out in the United States.