精神病理学的代际传递:适应性情绪调节策略何时对儿童具有保护作用?

IF 3.4 3区 医学 Q1 PEDIATRICS Child and Adolescent Psychiatry and Mental Health Pub Date : 2024-08-07 DOI:10.1186/s13034-024-00783-3
Arleta A Luczejko, Naomi Leona Werkmann, K Hagelweide, R Stark, S Weigelt, H Christiansen, M Kieser, K Otto, C Reck, R Steinmayr, L Wirthwein, A-L Zietlow, C Schwenck
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引用次数: 0

摘要

背景:父母患有精神疾病(COPMI)的儿童有多种心理和发育风险,包括终生罹患精神疾病的风险增加。情绪调节(ER)被认为是精神疾病代代相传的潜在机制。本研究比较了患有和未患有精神疾病的父母及其子女的情绪调节策略。此外,它还旨在研究父母与子女心理病理学之间的关系,重点关注父母和子女情绪调节策略的作用:参与者包括 96 名 COPMI(77% 为女性)和 99 名父母均无精神疾病的儿童(COPWMI,83% 为女性)及其父母,年龄在 4-16 岁之间。通过一系列问卷对父母和儿童的心理病理学和应急策略进行了评估:结果:与 COPWMI 及其父母相比,COPWMI 及其父母的心理病理程度明显更高,适应不良和适应性应急反应策略也更多。只有当儿童的适应性ER策略较低时,父母和儿童的适应性ER策略才会对父母和儿童的心理病理学之间的关系起到中介作用:研究结果进一步加深了我们对父母心理病理学影响儿童结果的过程的理解。我们的研究结果凸显了实施预防计划的重要性,这些计划专门针对减少儿童的适应性不良应急反应,以阻断精神病理症状的代际传播。
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Transgenerational transmission of psychopathology: when are adaptive emotion regulation strategies protective in children?

Background: Children of parents with a mental illness (COPMI) have multiple psychological and developmental risks, including an increased lifetime risk of developing a mental illness themselves. Emotion regulation (ER) has been identified as a potential underlying mechanism of the transgenerational transmission of mental disorders. This study compares ER strategies in parents with and without a mental illness and their children. Further, it aims to examine the relationship between parents and children's psychopathology with a focus on the role of parental and child ER.

Methods: Participants were 96 COPMI (77% female) and 99 children of parents without mental illness (COPWMI, 83% female) aged 4-16 years and their parents. Psychopathology and ER strategies of parents and children were assessed with a series of questionnaires.

Results: Both COPMI and their parents showed significantly more psychopathology and more maladaptive and adaptive ER strategies in comparison with COPWMI and their parents. Parent and child adaptive ER strategies mediated the relationship between the psychopathology of parents and children only when child maladaptive ER strategies were low.

Conclusions: The findings further our understanding of the processes by which parental psychopathology affects child outcomes. Our findings highlight the importance of implementing preventive programs that specifically target the reduction of maladaptive ER in children to interrupt the transgenerational transmission of psychopathological symptoms.

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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
期刊最新文献
Correction: Forensic child & adolescent psychiatry and psychology in Europe. Network analysis of influential risk factors in adolescent suicide attempters. Latent class analysis of actigraphy within the depression early warning (DEW) longitudinal clinical youth cohort. Prevalence of depressive symptoms among children and adolescents in china: a systematic review and meta-analysis. How does emotional insecurity affect non-suicidal self-injury among Chinese early adolescents: a longitudinal study.
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