LOSS OF PARENT IN CHILDHOOD AND ADULT PSYCHIATRIC-DISORDER - THE ROLE OF LACK OF ADEQUATE PARENTAL CARE
LOSS OF PARENT IN CHILDHOOD AND ADULT PSYCHIATRIC-DISORDER - THE ROLE OF LACK OF ADEQUATE PARENTAL CARE
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DOI：
10.1017/s0033291700010394
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发表时间：
1986-08-01
影响因子：
6.9
通讯作者：
BIFULCO, A
中科院分区：
文献类型：
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作者：
HARRIS, T;BROWN, GW;BIFULCO, A
众所周知，关于失去父母在影响成年期精神障碍方面的作用的文献是不确定的。一些原因涉及抽样，地点和其他方法的特点，考虑到这些相互矛盾的调查结果。一项专门设计的研究，以科普这些功能，然后描述和报告的基本结果。这些结果表明，在18-65岁妇女的抽样调查中，17岁之前母亲死亡或分居一年或一年以上与访谈当年的临床抑郁症有关。父亲的死亡与目前的抑郁症没有任何关系，但与父亲分离显示出一种趋势，但没有达到统计学意义。控制其他可能的混杂因素并没有改变这种模式的结果，这些进一步支持时，精神病发作在成年早期进行了检查。对儿童时期的养育安排的研究表明，这是“缺乏照顾”，定义为忽视而不仅仅是父母的敌对行为，这是抑郁症发病率上升的原因。这种“缺乏照顾”在失去母亲后比失去父亲后更常见。
The inconclusiveness of the literature on the role of loss of parent in influencing psychiatric disorder in adulthood is well known. A number of reasons involving sampling, location and other methodological features, are given to account for these contradictory findings. A study specially designed to cope with these features is then described and basic results are reported. These indicate that, in a sample of women aged 18–65, loss of mother before the age of 17, either by death or by separation of one year or more, was associated with clinical depression in the year of interview. Loss of father by death was in no way associated with current depression, but separation from father showed a trend which, however, did not reach statistical significance. Control for other possible confounding factors did not change this patterning of results; these were further supported when psychiatric episodes earlier in adulthood were examined. Examination of the caregiving arrangements in childhood suggests that it is ‘lack of care’, defined in terms of neglect rather than simply hostile parental behaviour, which accounts for the raised rate of depression. Such ‘lack of care’ is more frequent after loss of mother than after loss of father.