Parental psychopathology and socioeconomic position predict adolescent offspring's mental health independently and do not interact: the TRAILS study
Parental psychopathology and socioeconomic position predict adolescent offspring's mental health independently and do not interact: the TRAILS study
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DOI：
10.1136/jech.2009.092569
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发表时间：
2011-01-01
影响因子：
6.3
通讯作者：
Ormel, J.
中科院分区：
文献类型：
--
作者：
Amone-P'Olak, K.;Burger, H.;Ormel, J.
背景 家庭危险因素与青少年心理健康问题的发展有关。研究了通过终生精神病理学评估的父母负担与后代内化和外化问题之间的关联是否受到家庭社会经济地位（SEP）的调节。测试了两种适度假设：（1）“社会推动”假设，其中父母负担效应在低环境风险的情况下更强；（2）“脆弱性”假设，其中父母负担效应在高风险环境中更强。 方法 在 2149 个基于人群的样本中，通过父母报告在基线评估家庭负荷和家庭 SEP。后代精神病理学通过多个知情人（父母、自己和老师）的报告进行评估。采用多元线性回归评估父母负担和家庭SEP对后代精神病理学的独立关联及其潜在的相互作用。结果家庭SEP和家庭负担对后代的内化和外化问题均具有显着的独立主效应。然而，交互项并不显着，也没有为模型增加任何解释力。 结论 较低水平的家庭 SEP 似乎不会给父母高精神病理学负担的后代带来额外的心理健康问题风险。在青春期早期，父母的精神病理学和低家庭 SEP 似乎是后代心理健康问题的独立危险因素。结果不支持社会推动或脆弱性假设，因为没有发现父母负担和家庭 SEP 之间相互作用的证据。
Background Familial risk factors have been implicated in the development of mental health problems in adolescents. Whether the associations between parental loading, as assessed by lifetime psychopathology, and offspring internalising and externalising problems were moderated by family socioeconomic position (SEP) was investigated. Two hypotheses of moderation were tested: (1) the "social push" hypothesis in which parental loading effects are stronger in contexts with low environmental risks and (2) the "vulnerability" hypothesis in which parental loading effects are stronger in high-risk environments.Method In a population-based sample of 2149, familial loading and family SEP were assessed at baseline by parent reports. Offspring psychopathology was assessed by reports from multiple informants (parent, self and teachers). Multiple linear regression was used to assess the independent associations of parental loading and family SEP on offspring psychopathology and their potential interaction.Results Both family SEP and familial loading had significant independent main effects on offspring internalising and externalising problems. However, the interaction terms were not significant and did not add any explanatory power to the model.Conclusions Lower levels of family SEP appear not to confer additional risks for mental health problems in offspring of parents with high loading on psychopathology. During early adolescence, parental psychopathology and low family SEP seem independent risk factors for offspring mental health problems. Results do not support either the social push or vulnerability hypothesis as no evidence of interactions between parental loading and family SEP were found.