THE IMPACT OF PARENTAL AFFECTIVE-DISORDER ON DEPRESSION IN OFFSPRING - A LONGITUDINAL FOLLOW-UP IN A NONREFERRED SAMPLE

THE IMPACT OF PARENTAL AFFECTIVE-DISORDER ON DEPRESSION IN OFFSPRING - A LONGITUDINAL FOLLOW-UP IN A NONREFERRED SAMPLE
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DOI:
10.1097/00004583-199307000-00004
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发表时间:
1993-07-01
影响因子:
13.3
通讯作者:
SACKS, N
SACKS, N
中科院分区:
医学1区
文献类型:
--
作者:
BEARDSLEE, WR;KELLER, MB;SACKS, N

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目的:本研究探讨父母的情感障碍对子女的影响,在一个非转诊的健康维护组织4年后,初步检查。方法:样本,平均年龄18.5岁,包括91%的153名青少年最初研究。主要工具是结构化的诊断访谈得分根据标准系统的父母和孩子;评估的青少年是盲目的,以前的评估。结果如下:父母患有情感障碍的儿童患重度抑郁症的比例(26%)高于父母没有情感障碍的儿童(10%)。结论:抑郁症和其他父母情感障碍,因为他们发生在社区的父母谁往往既不承认也不治疗,与严重的情感障碍的后代。这些后代的临床和预防方法是必要的,并应针对所有家庭,其中有严重的父母情感障碍,而不仅仅是那些谁目前的精神治疗。
Objective: This study explored the effects of parental affective disorder on offspring in a nonreferred health maintenance organization 4 years after initial examination. Method: The sample, average age 18.5 years, included 91% of the 153 youngsters initially studied. The main instruments were structured diagnostic interviews scored according to criterion systems for both parents and children; assessment of the youngsters was blind to the previous assessment. Results: Rates of major depressive disorder were higher in the children of parents with affective disorder (26%) compared with those whose parents had no disorder (10%). Conclusion: Depression and other parental affective disorders, as they occur in the community in parents who often are neither recognized nor treated, are associated with serious affective disorder in offspring. Clinical and preventive approaches for these offspring are needed and should be targeted to all families in which there is serious parental affective disorder, not just those who present for psychiatric treatment.