母亲心理健康和儿童问题行为:双向关系?
Emily Lowthian1,2, Stuart Bedston3, Sara Madeleine Kristensen4
1Population Data Science, Swansea University Medical School, Swansea University, Singleton Park, Swansea, SA2 8PP, Wales. e.m.lowthian@swansea.ac.uk.
Research on child and adolescent psychopathology
|July 3, 2023
概括
随着时间的推移,母亲的心理健康强烈影响着孩子的行为. 虽然某些问题存在双向联系,但考虑到社会经济和性别差异的家庭支持对于有效的干预至关重要.
科学领域:
- 发展心理学 发展心理学
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 父母与子女的关系是相互的,受交易过程的影响.
- 母亲心理健康和儿童问题行为是重大的公共卫生问题.
- 需要先进的统计方法来澄清母亲心理健康和儿童行为之间的纵向相互作用.
研究的目的:
- 调查母亲心理健康障碍和儿童问题行为之间的纵向,相互关系.
- 在13年的时间里,使用先进的统计建模来检查双向路径.
- 确定与母亲心理健康相关的特定儿童行为,反之亦然.
主要方法:
- 利用了来自千年队列研究和安全匿名信息链接 (SAIL) 数据库的链接健康和行政数据.
- 采用贝叶斯结构方程建模,特别是随机截图交叉滞后面板模型 (RI-CLPM).
- 分析了13年的数据,包括时间不变的共变量,社会经济地位和性别.
主要成果:
- 随着时间的推移,母亲的心理健康和孩子的问题行为表现出强烈的,独立的关联.
- 双向性的证据混合;只有情感问题在中到晚童年时显示出双向联系.
- 儿童到母亲的通路对整体问题行为和同行问题具有重要意义,但不是行为或过度活跃.
- 在所有模型中观察到显著的社会经济和性别差异.
结论:
- 孕产妇的心理健康和孩子的问题行为持续地联系在一起,有一些双向影响.
- 干预措施应考虑各种因素的复杂相互作用,包括社会经济地位和性别.
- 建议在量身定制的干预中采用整体家庭的方法,整合心理健康和行为支持.
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