母亲的哪些精神症状与学龄前儿童的情绪和行为问题有关?

Selma Tural Hesapçoğlu, M. Ceylan, B. Erdogan, Gözde Kandemir, Esra Cop
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摘要

母亲的哪些精神症状与学龄前儿童的情绪和行为问题有关?目的:本研究旨在探讨母亲的哪些精神症状与儿童的内化和外化问题有关。方法:研究组由4-6岁儿童的母亲组成,她们转诊至耶尔德勒姆贝亚兹特大学、叶尼马哈勒培训和研究医院、儿童和青少年门诊。对照组由从未去过儿童和青少年精神病学诊所的4-6岁儿童和他们的母亲组成。母亲填写儿童行为检查表4-18 (CBCL/4-18)和症状检查表90- r (SCL-90-R)。将数据与对照组进行比较。结果:研究样本包括病例组的61名儿童,年龄匹配的55名对照儿童及其母亲。最常见的转诊投诉为言语迟缓(34.4%)。研究组29例(49.2%)、对照组5例(9.4%)存在临床显著的内化障碍;研究组18例(30.5%)、对照组3例(5.7%)存在显著的外化障碍。相关分析显示,儿童的情绪和行为问题与母亲的精神症状显著相关。有内化和外化问题儿童母亲的精神症状得分显著高于无问题儿童母亲的精神症状得分。结论:母亲的精神症状与儿童的内化和外化问题有关,独立于精神病学诊断。临床医生必须考虑到母亲的任何精神症状都会对孩子产生情感或行为上的反应。
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Mother’s which psychiatric symptoms are related to preschool child’s emotional and behavioral problems?
Which psychiatric symptoms of the mother are related with preschool child’s emotional and behavioral problems? Objective: In this study, it is aimed to explore mother’s which psychiatric symptoms are related to child’s internalizing and externalizing problems. Method: The study group consisted of the mothers of 4-6 years old children, who were referred to Yildirim Beyazit University, Yenimahalle Training and Research Hospital, Child and Adolescent Outpatient Clinic. The control group consisted of 4-6 years old children who have never referred to a child and adolescent psychiatry clinic and their mothers. The mothers filled in the Child Behavior Check List 4-18 (CBCL/4-18), and Symptom Check List-90-R (SCL-90-R). The data were compared with the control group. Results: The study sample consisted of 61 children in the case group, age-matched 55 control children and their mothers. The most common referral complaint was delayed speech (34.4%). There were clinically significant internalizing disorders in 29 (49.2%) children from the study group and 5 (9.4%) from the control group and significant externalizing disorders in 18 (30.5%) children from the study group and 3 (5.7%) from the control group. The correlation analysis revealed that all emotional and behavioral problems of the children were significantly related to the psychiatric symptoms of the mothers. Psychiatric symptom scores of the mothers of children with internalizing and externalizing problems were found significantly higher than the scores of the mothers of children without problems. Conclusion: Mother’s psychiatric symptoms are seen to be related to internalizing and externalizing problems of the child, independent of Psychiatric diagnosis. The fact that any psychiatric symptom of the mother would have an emotional or behavioral reciprocation on the child has to be taken into account by the clinician.
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