父母抑郁和焦虑以及儿童内化和外化问题的关联:研究表达情绪作为跨诊断机制
Ellie Mae Dorrans1,2, Amy Paine3,4, Christopher Hobson5,6
1School of Psychology, Cardiff University, Cardiff, UK. dorransem@cardiff.ac.uk.
Child psychiatry and human development
|September 24, 2025
概括
父母表达的情绪 (EE) 强烈预测孩子的内化和外化问题. 父母的高EE与更严重的儿童情绪和行为问题有关,为早期干预策略提供了信息.
科学领域:
- 儿童心理学 儿童心理学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 父母的精神病理学通过家庭的情绪气候影响孩子的情绪和行为发展.
- 表达的情绪 (EE) 衡量了父母对孩子的认同,是跨诊断风险因素.
研究的目的:
- 调查父母精神病理学,表达情绪 (EE) 和儿童内化/外化问题之间的关联.
- 为了确定EE是否比父母的心理健康症状更强烈地预测孩子的问题.
主要方法:
- 包括247名儿童 (年龄在4-7岁) 被转诊为心理社会问题及其照顾者.
- 使用医院焦虑和抑郁量表 (HADS) 和儿童行为检查表 (CBCL) 评估父母的精神病理学.
- 使用五分钟语音样本 (FMSS) 和表达情绪编码系统测量EE.
主要成果:
- 长期焦虑,父母的焦虑/抑郁症状和孩子的内化/外化问题都与之正相关.
- 比起父母的心理健康症状,EE与孩子内化和外化问题的严重程度更强烈相关.
- 智能化解释了儿童内化问题比父母焦虑更大的差异,并预测了与社会经济贫困和父母焦虑一起的外部化问题.
结论:
- 研究结果支持EE的归因模型及其在儿童情绪和行为问题中的跨诊断作用.
- EE是幼儿内化和外化问题的重要预测因素.
- 结果可以为新出现的儿童心理健康问题提供干预信息.
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