Maternal social isolation and behavioral problems in preschool children: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study
Maternal social isolation and behavioral problems in preschool children: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study
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DOI：
10.1007/s00787-023-02199-4
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发表时间：
2023-03-30
影响因子：
6.4
通讯作者：
Kuriyama，Shinichi
中科院分区：
文献类型：
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作者：
Murakami，Keiko;Ishikuro，Mami;Kuriyama，Shinichi
必须澄清与幼儿期心理健康和行为问题有关的因素，因为儿童是生命中心理健康的关键阶段。本研究旨在探讨母亲社会孤立与学龄前儿童行为问题之间的关系。我们分析了5842对参与东北医学大银行项目出生和三代队列研究的母婴数据。产后1年使用Lubben社交网络量表（缩写版）评估社会隔离（定义为得分< 12）。使用儿童行为检查表1½-5评估行为问题，并使用其分量表评估4岁儿童的内化和外化问题。在调整了年龄、受教育程度、收入、工作状况、婚姻状况、外向性、神经质、抑郁症状、儿童性别和兄弟姐妹数量等因素后，采用多元logistic回归分析来检验社会孤立与行为问题之间的关系。对内化问题和外化问题进行多元logistic回归分析。产妇社会孤立率为25.4%。母亲社会隔离与儿童行为问题风险增加相关：优势比（OR）为1.37（95%可信区间[CI] 1.14-1.64）。母亲的社会隔离也与儿童内化问题和外化问题的风险增加有关：or分别为1.33 （95% CI, 1.12-1.59）和1.40 （95% CI, 1.18-1.66）。总之，产妇在分娩一年后的社会孤立与4岁儿童的行为问题有关。
It is essential to clarify factors associated with mental health and behavioral problems in early childhood, because children are critical stages of life for mental health. We aimed to prospectively examine the associations between maternal social isolation and behavioral problems in preschool children. We analyzed data from 5842 mother–child pairs who participated in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. The Lubben Social Network Scale-abbreviated version was used to assess social isolation (defined as scores < 12) one year after delivery. The Child Behavior Checklist 1½–5 was used to assess behavioral problems, and its subscales were used to assess internalizing and externalizing problems in children at 4 years of age. Multiple logistic regression analyses were conducted to examine the associations between social isolation and behavioral problems, after adjustment for age, education, income, work status, marital status, extraversion, neuroticism, depressive symptoms, child sex, and number of siblings. Multiple logistic regression analyses were also conducted for internalizing problems and externalizing problems. The prevalence of maternal social isolation was 25.4%. Maternal social isolation was associated with an increased risk of behavioral problems in children: the odds ratio (OR) was 1.37 (95% confidence interval [CI] 1.14–1.64). Maternal social isolation was also associated with increased risks of internalizing problems and externalizing problems in children: the ORs were 1.33 (95% CI, 1.12–1.59) and 1.40 (95% CI, 1.18–1.66), respectively. In conclusion, maternal social isolation one year after delivery was associated with behavioral problems in children at 4 years of age.