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首页> 外文期刊>The British journal of psychiatry : >Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies.
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Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies.

机译：儿童期的家庭关系和晚年的常见精神疾病：前瞻性研究的系统综述。

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摘要

BACKGROUND: Most evidence for associations between childhood adversity and adult mental illness is retrospective. AIMS: To evaluate prospective evidence of associations between poor parent-child relationships and common psychiatric disorders in later life. METHOD: Systematic review of studies published between 1970 and 2008 including: (a) more than 100 participants; (b) measures of relationships in the home during childhood; (c) at least 10 years between assessment of exposures; and (d) measures of anxiety, depression, suicide, suicidal ideation or post-traumatic stress disorder (PTSD). Analysis was by narrative synthesis. RESULTS: Twenty-three papers were identified reporting data from 16 cohorts. Abusive relationships predicted depression, anxiety and PTSD. Maternal emotional unavailability in early life predicted suicide attempts in adolescence. Results of studies investigating less severe relationship problems were suggestive but not conclusive of causal association, due partly to methodological heterogeneity. CONCLUSIONS: Given the prevalence and disabling nature of common psychiatric problems, these studies highlight the need to minimise harm associated with dysfunctional parent-child relationships.
机译：背景：大多数关于儿童逆境与成人精神疾病之间关联的证据是回顾性的。目的：评估前辈不良的亲子关系与常见精神病之间的关联的前瞻性证据。方法：对1970年至2008年发表的研究进行系统的回顾，包括：（a）超过100名参与者; （b）衡量儿童时期家庭关系的措施; （c）两次暴露评估之间至少间隔10年; （d）焦虑，抑郁，自杀，自杀意念或创伤后应激障碍（PTSD）的措施。分析是通过叙事综合。结果：确定了23篇论文，来自16个队列的报告数据。虐待关系预示着抑郁，焦虑和PTSD。母亲在早期的生活中无法获得情感，预示着青少年自杀未遂。调查较不严重的关系问题的研究结果具有启发性，但不能确定因果关系，这部分归因于方法上的异质性。结论：鉴于常见的精神病学问题的普遍存在和致残性，这些研究强调了将与亲子关系失调相关的伤害降至最低的必要性。

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