Quality of parental emotional care and calculated risk for coronary heart disease.
Quality of parental emotional care and calculated risk for coronary heart disease.
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DOI：
10.1097/psy.0b013e3181c925cb
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发表时间：
2010-02
影响因子：
3.3
通讯作者：
Buka SL
中科院分区：
文献类型：
--
作者：
Almeida ND;Loucks EB;Kubzansky L;Pruessner J;Maselko J;Meaney MJ;Buka SL
关于父母情感关怀在增加冠心病风险中的作用，人们知之甚少。我们评估了父母情感关怀的感知质量与计算的10年冠心病风险之间的关联。研究样本由来自新英格兰家庭研究的267名参与者组成。使用经过验证的简短版父母纽带量表（PBI）来衡量父母情感护理的质量，作为父母双方的平均护理评分（范围：0-12），评分越高表明护理越多。使用经验证的FRADIOR风险算法计算10年CHD风险，该算法包括以下流行的CHD风险因素：年龄、性别、糖尿病、吸烟、总胆固醇、HDL胆固醇和血压。多元线性回归评估了调整儿童社会经济地位、抑郁症、教育程度和体重指数后PBI与计算的CHD风险的相关性。在女性中，在调整协变量后，父母情感关怀评分增加一个单位导致10年CHD风险评分下降4.6%（p = 0.004）。在男性中，父母情感关怀评分与计算的CHD风险评分之间没有关联（p = 0.22）。父母情感关怀的质量与女性10年冠心病风险呈负相关，而与男性无关。虽然性别差异需要进一步调查，这些研究结果需要复制，这些结果表明，儿童早期的心理社会环境可能会导致成年后患冠心病的风险。
Little is understood about the role of parental emotional care in contributing to the risk for coronary heart disease (CHD). We evaluated associations between perceived quality of parental emotional care and calculated 10-year risk for CHD. The study sample was composed of 267 participants from the New England Family Study. Quality of parental emotional care was measured using a validated short version of the Parental Bonding Instrument (PBI) as the average care scores for both parents (range: 0-12), with higher scores indicating greater care. Ten-year CHD risk was calculated using the validated Framingham Risk Algorithm that incorporates the following prevalent CHD risk factors: age, sex, diabetes, smoking, total cholesterol, HDL cholesterol, and blood pressure. Multiple linear regression assessed associations of PBI with calculated CHD risk after adjusting for childhood socioeconomic status, depressive symptomatology, educational attainment and body mass index. Among females, a one-unit increase in the parental emotional care score resulted in a 4.6% (p = .004) decrease in the 10-year CHD risk score, after adjusting for covariates. There was no association between parental emotional care score and calculated CHD risk score in males (p = .22). Quality of parental emotional care was inversely associated with calculated 10-year CHD risk in females, and not males. While the gender differences need further investigation, and these findings require replication, these results suggest that the early childhood psychosocial environment may confer risk for CHD in adulthood.