Screening parents during child evaluations: exploring parent and child psychopathology in the same clinic.
Screening parents during child evaluations: exploring parent and child psychopathology in the same clinic.
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DOI：
10.1016/j.jaac.2011.02.002
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发表时间：
2011-05
影响因子：
13.3
通讯作者：
Rynn MA
中科院分区：
文献类型：
--
作者：
Vidair HB;Reyes JA;Shen S;Parrilla-Escobar MA;Heleniak CM;Hollin IL;Woodruff S;Turner JB;Rynn MA
父母抑郁和/或焦虑的孩子患精神疾病的风险更高。很少有研究关注于筛查带孩子来做精神评估的父母，也很少有研究涉及父亲或西班牙裔儿童。本研究的目的是：1)确定带孩子来评估的父母当前的症状率；2)确定父母的症状是否与孩子的症状、诊断和功能有关。样本包括801名母亲，182名父亲和848名儿童（6-18岁）。大多数是西班牙裔（55.66%），他们参加了儿童和青少年精神病学评估服务。通过家长报告评估家长和儿童的症状。儿童的诊断和功能由临床医生确定。采用多元回归分析确定父母症状的严重程度是否与儿童临床变量和父母人口统计变量相关。18.80%的母亲和18.42%的父亲报告内化症状升高。母亲症状与儿童功能问题、儿童焦虑、抑郁和对立/行为诊断显著相关；但不是注意缺陷多动障碍。根据父母和儿童的人口统计数据进行调整，降低了母亲症状对儿童抑郁症的影响。父亲的症状和功能与儿童的诊断呈正相关，但较小且不显著。父母双方的症状与儿童的内化和外化症状显著相关。然而，这些显著的影响并没有被婚姻状况或儿童种族所缓和。这项研究强调了在孩子接受精神评估时对父母进行筛查的重要性。它支持发展心理健康服务，在一个临床环境中满足整个家庭的心理需求。
Children of depressed and/or anxious parents are at increased risk for developing psychiatric disorders. Little research has focused on screening parents bringing their children for psychiatric evaluation, and few studies have included fathers or Hispanic children. This study aimed to: 1) identify current symptom rates in parents bringing their children for evaluation and 2) determine if parental symptoms were associated with children's symptoms, diagnoses, and functioning. The sample included 801 mothers, 182 fathers, and 848 children (ages 6–18). The majority were Hispanic (55.66%) who attended a child and adolescent psychiatric evaluation service. Parent and child symptoms were assessed via parental reports. Children's diagnoses and functioning were determined by clinicians. Multiple regression analyses were used to determine if severity of parental symptoms was associated with clinical child variables adjusting for child and parent demographic variables. 18.80% of mothers and 18.42% of fathers reported elevated internalizing symptoms. Maternal symptoms were significantly associated with problems in children's functioning and children's anxiety, depression and oppositional/conduct diagnoses; but not attention deficit-hyperactivity disorder. Adjusting for parental and child demographics had a reduction on the effect of maternal symptoms on child depression. Paternal symptoms and functioning were positively associated with children's diagnoses, but smaller and not significant. Both parents' symptoms were significantly associated with children's internalizing and externalizing symptoms. However, these significant effects were not moderated by marital status or child ethnicity. This study highlights the importance of screening parents when their children receive a psychiatric evaluation. It supports the development of mental health services that addresses psychiatric needs of the entire family within one clinical setting.
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影响因子：
17.7
作者：
Ferro, T;Verdeli, H;Weissman, MM
通讯作者：
Weissman, MM
影响因子：
17.7
作者：
Pilowsky, Daniel J.;Wickramaratne, Priya;Weissman, Myrna M.
通讯作者：
Weissman, Myrna M.
DOI：
10.1111/j.1469-7610.2009.02107.x
发表时间：
2009-12-01
影响因子：
7.6
作者：
Lifford, Kate J.;Harold, Gordon T.;Thapar, Anita
通讯作者：
Thapar, Anita
影响因子：
--
作者：
Pine, DS;Cohen, P;Ma, YJ
通讯作者：
Ma, YJ
DOI：
10.1097/00004583-199307000-00004
发表时间：
1993-07-01
影响因子：
13.3
作者：
BEARDSLEE, WR;KELLER, MB;SACKS, N
通讯作者：
SACKS, N