Parental warmth and psychiatric disorders among Puerto Rican children in two different socio-cultural contexts.
Parental warmth and psychiatric disorders among Puerto Rican children in two different socio-cultural contexts.
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两种不同社会文化背景下波多黎各儿童的父母温暖和精神疾病。
DOI：
10.1016/j.jpsychires.2016.12.008
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发表时间：
2017
影响因子：
4.8
通讯作者：
Duarte,CristianeS
中科院分区：
文献类型：
--
作者：
Santesteban-Echarri,Olga;Ramos-Olazagasti,MaríaA;Eisenberg,RuthE;Wei,Chiaying;Bird,HéctorR;Canino,Glorisa;Duarte,CristianeS
父母的温暖对儿童的发展有很大的影响，可能先于儿童精神疾病的发生。PW与其他可能影响儿童精神疾病发展的家庭过程（例如，强制性纪律）相互关联。我们前瞻性地研究了波多黎各青少年三年来PW与儿童精神疾病（焦虑、重度抑郁症、多动症、破坏性行为障碍）之间的关系，超出了其他家庭因素的影响。方法boricua青年研究的参与者是居住在南布朗克斯（纽约）（SB）和圣胡安和坎瓜斯（PR） （n = 2491）的第1波5至13岁的波多黎各儿童（n = 2491），连续随访三年。青少年精神障碍采用儿童诊断访谈表- iv （DISC-IV）进行测量。广义线性混合模型测试了PW（第一波）与未来两年精神疾病之间的关系，调整了人口统计学特征和家庭过程。结果随着时间的推移，较高的PW水平与儿童焦虑和重度抑郁障碍的发生率较低相关（OR分别为0.69[0.60;0.79];0.49[0.41;0.58]）。PW与ADHD和破坏性行为障碍之间的关联强度随着时间的推移而下降，尽管在最后一次评估中仍然显著（OR分别为0.44[0.37;0.52];0.46[0.39;0.54]）。PW对精神疾病的影响比其他养育和家庭过程的影响更独特。在女孩中观察到抑郁症和多动症之间更强的关联。结论将接纳、支持、安慰等PW行为纳入父母技能干预有助于预防儿童精神障碍。
BackgroundParental warmth (PW) has a strong influence on child development and may precede the onset of psychiatric disorders in children. PW is interconnected with other family processes (e.g., coercive discipline) that may also influence the development of psychiatric disorders in children. We prospectively examined the association between PW and child psychiatric disorders (anxiety, major depression disorder, ADHD, disruptive behavior disorders) over the course of three years among Puerto Rican youth, above and beyond the influence of other family factors.MethodsBoricua Youth Study participants, Puerto Rican children 5 to 13 years of age at Wave 1 living in the South Bronx (New York) (SB) and San Juan and Canguas (PR) (n = 2,491), were followed for three consecutive years. Youth psychiatric disorders were measured by the Diagnostic Interview Schedule for Children-IV (DISC-IV). Generalized Linear Mixed models tested the association between PW (Wave 1) and psychiatric disorders in the next two years adjusting for demographic characteristics and family processes.ResultsHigher levels of PW were related to lower odds of child anxiety and major depressive disorder over time (OR = 0.69[0.60; 0.79]; 0.49[0.41; 0.58], respectively). The strength of the association between PW and ADHD and disruptive behavior disorder declined over time, although it was still significant in the last assessment (OR = 0.44[0.37; 0.52]; 0.46[0.39; 0.54], respectively). PW had a unique influence on psychiatric disorders beyond the influence of other parenting and family processes. Stronger associations were observed among girls for depression and ADHD.ConclusionsIncorporating PW behaviors such as acceptance, support, and comforting into interventions focused on parenting skills may help prevent child psychiatric disorders.
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