Predicting Temperamentally Inhibited Young Children's Clinical-Level Anxiety and Internalizing Problems from Parenting and Parent Wellbeing: a Population Study
Predicting Temperamentally Inhibited Young Children's Clinical-Level Anxiety and Internalizing Problems from Parenting and Parent Wellbeing: a Population Study
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DOI：
10.1007/s10802-018-0442-6
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发表时间：
2019-07-01
影响因子：
3.6
通讯作者：
Rapee, Ronald M.
中科院分区：
文献类型：
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作者：
Bayer, Jordana K.;Morgan, Amy;Rapee, Ronald M.
本研究的目的是探讨一些气质抑制的幼儿，而不是一般人群中的其他人如何发展焦虑症和更广泛的临床水平的内化（焦虑/抑郁）问题，重点是家庭。在澳大利亚墨尔本的8个社会经济多样化的政府地区（307个学前服务机构），在儿童入学前一年，向其父母普遍分发了一份简短的抑制筛查工具。筛查发现11%的儿童受到抑制。我们邀请所有抑制儿童的父母参加纵向预防研究。参与者是545名受抑制的学龄前儿童的父母（78%摄取），其中498名（91%）在一年后完成评估，469名（86%）在两年后完成评估。父母完成问卷调查，以评估养育的做法，父母的福祉，和儿童内化的问题。父母还参与了结构化的诊断访谈，以评估儿童焦虑症。在随访期间，近一半的受抑制儿童患有焦虑症，七分之一的儿童患有临床水平的内化问题，女孩的风险可能更高。家庭变量显着预测抑制儿童的焦虑症和更广泛的内化问题。对于儿童焦虑症，过度参与/保护性养育对女孩和男孩特别重要，父母的健康状况较差。对于儿童的焦虑/抑郁问题，严厉的纪律是一个一致的预测女孩和男孩，和较差的父母幸福再次作出贡献。这些病因学研究结果支持对气质抑制的幼儿进行早期干预，重点是家庭环境，以防止心理健康问题的发展。
The aim of this study was to explore how some temperamentally inhibited young children and not others in the general population develop anxiety disorders and broader clinical-level internalizing (anxious/depressive) problems, with a focus on the family. A brief screening tool for inhibition was universally distributed to parents of children in their year before starting school across eight socioeconomically diverse government areas in Melbourne, Australia (307 preschool services). Screening identified 11% of all children as inhibited. We invited all parents of inhibited children to participate in a longitudinal prevention study. Participants were 545 parents of inhibited pre-schoolers (78% uptake) of whom 498 (91%) completed assessment one year later and 469 (86%) two years later. Parents completed questionnaires to assess parenting practices, parent wellbeing, and child internalizing problems. Parents also engaged in structured diagnostic interviews to assess child anxiety disorders. During the follow up period close to half of the inhibited young children had anxiety disorders and one in seven had clinical-level internalizing problems, with girls perhaps at higher risk. The family variables significantly predicted inhibited children's anxiety disorders and broader internalizing problems. For child anxiety disorders, overinvolved/protective parenting was particularly important for girls and boys, and poorer parent wellbeing contributed. For child anxious/depressive problems, harsh discipline was a consistent predictor for girls and boys, and poorer parent wellbeing again contributed. These etiological findings support early intervention for temperamentally inhibited young children that focuses on the family environment to prevent the development of mental health problems.