Parental depression, child mental health problems, and health care utilization
Parental depression, child mental health problems, and health care utilization
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DOI：
10.1097/00005650-200306000-00004
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发表时间：
2003-06-01
期刊：
影响因子：
3
通讯作者：
Weissman, MM
中科院分区：
文献类型：
--
作者：
Olfson, M;Marcus, SC;Weissman, MM
背景。小型对照研究表明，抑郁症和其他心理健康问题在父母患有抑郁症的孩子中比在父母没有抑郁症的孩子中更常见。 目的。本文以具有全国代表性的父母及其子女家庭样本为样本，探讨了父母抑郁症与儿童心理健康问题和医疗保健利用之间的关系。研究设计。 1997 年医疗支出小组调查数据中父母报告或未报告抑郁症的儿童的社会人口统计特征、心理健康问题和医疗支出的横断面比较。具有全国代表性的儿童样本，年龄为 3 至 18 岁（n = 8,360），且家中有一位或多位父母。措施。心理健康问题、总卫生支出和精神卫生支出。结果。调整后的分析显示，父母患有抑郁症的孩子出现各种心理健康问题的可能性大约是父母没有抑郁症的孩子的两倍，并且使用心理健康服务的可能性高出 2.8 倍。在有健康和心理健康支出的儿童中，父母报告抑郁症的儿童的平均年度总儿童健康支出（282 美元 vs. 214 美元，t = 3.5，P = 0.0006）和儿童心理健康支出（513 美元 vs. 338 美元，t = 2.0，P = 0.05）显着高于父母未报告抑郁症的儿童。结论。父母患有抑郁症的孩子患一系列健康问题的风险更高。父母抑郁症还与儿童健康和心理健康服务利用和支出的增加有关。
BACKGROUND. Small controlled studies suggest that depression and other mental health problems are more common in children of parents with depression than in children of parents without depression.OBJECTIVES. This article examines relationships between parental depression and children's mental health problems and health care utilization in a nationally representative household sample of parents and their children.RESEARCH DESIGN. Cross sectional comparisons of sociodemographic characteristics, mental health problems and health expenditures of children whose parents either do or do not report depression in the 1997 Medical Expenditure Panel Survey data.SUBJECTS. A nationally representative sample of children, 3 to 18 years of age (n = 8,360) with one or more parents living in the household.MEASURES. Mental health problems, total health expenditures, and mental health expenditures.RESULTS. Children of parents with depression were approximately twice as likely as children of parents without depression to have a variety of mental health problems and were 2.8 times more likely to use mental health services in adjusted analyses. Among children with health and mental health expenditures, those whose parents report depression had significantly higher mean total annual child health expenditures ($282 vs. $214, t = 3.5, P = 0.0006) and child mental health expenditures ($513 vs. $338, t = 2.0, P = 0.05) than children whose parents did not report depression.CONCLUSIONS. Children of parents with depression are at increased risk for a range of health problems. Parental depression is also related to an increased child health and mental health service utilization and expenditure.