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Quality of parental emotional care and calculated risk for coronary heart disease.

机译:父母情感护理的质量和冠心病的计算风险。

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OBJECTIVE: To evaluate associations between perceived quality of parental emotional care and calculated 10-year risk for coronary heart disease (CHD). Little is understood about the role of parental emotional care in contributing to the risk for CHD. METHODS: The study sample was composed of 267 participants from the New England Family Study. Quality of parental emotional care was measured, using a validated short version of the Parental Bonding Instrument (PBI) as the average care scores for both parents (range = 0-12), with higher scores indicating greater care. Ten-year CHD risk was calculated, using the validated Framingham Risk Algorithm that incorporates the following prevalent CHD risk factors: age, sex, diabetes, smoking, total cholesterol, high-density lipoprotein cholesterol, and blood pressure. Multiple linear regression assessed associations of PBI with calculated CHD risk after adjusting for childhood socioeconomic status, depressive symptomatology, educational attainment, and body mass index. RESULTS: Among females, a 1-unit increase in the parental emotional care score resulted in a 4.6% (p = .004) decrease in the 10-year CHD risk score, after adjusting for covariates. There was no association between parental emotional care score and calculated CHD risk score in males (p = .22). CONCLUSION: Quality of parental emotional care was inversely associated with calculated 10-year CHD risk in females, and not males. Although the gender differences need further investigation and these findings require replication, these results suggest that the early childhood psychosocial environment may confer risk for CHD in adulthood.
机译:目的:评估父母情绪护理的感知质量与计算出的10年冠心病(CHD)风险之间的关联。对于父母情绪护理在增加冠心病风险中的作用了解甚少。方法:研究样本由来自新英格兰家庭研究的267名参与者组成。父母亲情感护理的质量通过使用经过验证的简短版本的“父母亲结合仪”(PBI)作为双方父母的平均照护得分(范围= 0-12)进行了测量,得分越高表示照护程度越高。使用经过验证的Framingham风险算法,计算了十年的CHD风险,该算法结合了以下流行的CHD风险因素:年龄,性别,糖尿病,吸烟,总胆固醇,高密度脂蛋白胆固醇和血压。在调整了儿童的社会经济地位,抑郁症状,学历和体重指数之后,多元线性回归评估了PBI与CHD风险的相关性。结果:在女性中,经协变量调整后,父母情感治疗得分提高1个单位会使10年冠心病风险得分降低4.6%(p = .004)。父母的情感护理得分与男性计算出的CHD风险得分之间没有关联(p = .22)。结论:父母的情绪护理质量与女性而非男性的10年冠心病风险的计算成反比。尽管性别差异需要进一步调查,并且这些发现需要重复,但这些结果表明,儿童早期的社会心理环境可能会增加成年后冠心病的风险。

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