Family environment of children and adolescents with bipolar parents
Family environment of children and adolescents with bipolar parents
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DOI：
10.1034/j.1399-5618.2001.030205.x
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发表时间：
2001-04-01
影响因子：
5.4
通讯作者：
Steiner, H
中科院分区：
文献类型：
--
作者：
Chang, KD;Blasey, C;Steiner, H
目的：家庭环境对儿童双相情感障碍（BD）发展的影响尚不清楚。为了更好地了解家庭环境对儿童艾德发展的影响，我们试图描述有儿童高风险发展艾德的家庭。方法：我们收集了56名儿童的人口统计学数据和家庭环境量表（FES）上的父母评分（年龄6-18岁），来自36个家庭，至少有一个亲生父母患有ED。该队列先前根据半结构化访谈进行了精神病学诊断。与规范性数据的统计比较表明，父母的评级显着较低的FES凝聚力和组织规模和显着较高的FES冲突规模。多变量方差分析表明，家庭与父母双方都有情绪障碍有没有显着不同的FES分数比家庭只有一个父母与情绪障碍（BD）。诊断数据表明，虽然54%的样本中的儿童有一个轴I障碍和14%的艾德，FES分数没有显着差异的科目有或没有轴I障碍，或有或没有艾德。结论：家庭与双相父母不同，平均家庭的凝聚力和组织，和更多的冲突。尽管存在这种差异，但双相父母的家庭环境似乎并不能单独决定儿童的精神病理学结果，或者儿童的精神病理学决定了家庭环境。
Objectives: The effect of family environment on the development of bipolar disorder (BD) in children is not known. We sought to characterize families with children at high risk for developing ED in order to better understand the contributions of family environment to the development of childhood ED.Methods: We collected demographic data and parental ratings on the Family Environment Scale (FES) for 56 children (aged 6-18 years) from 36 families with at least one biological parent with ED. The cohort had previously been psychiatrically diagnosed according to semistructured interviews.Results: Statistical comparisons with normative data indicated that parents' ratings were significantly lower on the FES Cohesion and Organization scales and were significantly higher on the FES Conflict scale. Multivariate analyses of variance indicated that families with both parents having a mood disorder had no significantly different FES scores than families with only one parent with a mood disorder (BD). Diagnostic data indicated that while 54% of the children in the sample had an Axis I disorder and 14% had ED, FES scores did not differ significantly for subjects with or without an Axis I disorder, or with or without ED.Conclusions: Families with a bipolar parent differ from the average family in having less cohesion and organization, and more conflict. Despite this difference, it does not appear that the environment alone of families with a bipolar parent determines the outcome of psychopathology in the children, or that the psychopathology of the children determines the family environment.