A preliminary investigation of the impact of maternal obsessive-compulsive disorder and panic disorder on parenting and children
A preliminary investigation of the impact of maternal obsessive-compulsive disorder and panic disorder on parenting and children
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DOI：
10.1016/j.janxdis.2009.04.002
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发表时间：
2009-10-01
影响因子：
10.3
通讯作者：
Salkovskis, Paul
中科院分区：
文献类型：
--
作者：
Challacombe, Fiona;Salkovskis, Paul
虽然有证据表明焦虑症的代际传递，但很少有关于特定父母疾病的研究。这项研究评估了三组至少有一个7-14岁孩子的母亲，定义为母亲强迫症（OCD：n = 23），恐慌症（n = 18）和健康对照（n = 20）。采用自我报告、知情人报告和独立评估的方式调查父母的看法和行为学、一般和疾病特异性儿童症状以及母子互动。患有强迫症和恐慌症的母亲对焦虑症对父母的影响表示高度关注。儿童焦虑方面的组间差异是微妙的，而不是临床意义。在互动中，焦虑的母亲比健康对照组更少温暖和促进心理自主性，他们表现出更高的表达情绪。总的来说，结果表明了一种混合效应，包括跨诊断和疾病特异性问题。对未来研究的意义进行了讨论。(C)2009爱思唯尔有限公司保留所有权利。
Although there is evidence for the intergenerational transmission of anxiety disorders, there is little research in relation to specific parental disorders. This study evaluated three groups of mothers with at least one child aged 7-14, defined in terms of maternal obsessive-compulsive disorder (OCD: n = 23), panic disorder (n = 18), and healthy controls (n = 20). Parental perceptions and symptomatology, general and disorder-specific child symptoms and mother-child interactions were investigated using self-report, informant report and independent assessment. Mothers with OCD and panic disorder expressed high levels of concern about the impact of their anxiety disorder on their parenting. Group differences in terms of child anxiety were subtle rather than clinically significant. In interactions, anxious mothers were less warm and promoting of psychological autonomy than healthy controls, and they exhibited elevated expressed emotion. Overall, the results suggested a mix of effects including trans-diagnostic and disorder-specific issues. Implications for future research are discussed. (C) 2009 Elsevier Ltd. All rights reserved.