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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Exposure to maternal depression and marital conflict: gender differences in children's later mental health symptoms.
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Exposure to maternal depression and marital conflict: gender differences in children's later mental health symptoms.

机译：接触母体抑郁和婚姻冲突：儿童后期心理健康症状的性别差异。

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OBJECTIVE: To investigate effects of the timing of initial exposure to maternal depression and marital conflict on kindergarten children's mental health symptoms. METHOD: For 406 families (of 570 originally recruited), mothers reported on major depression and marital conflict on multiple occasions in the child's infancy and toddler/preschool periods. Mothers and teachers completed the MacArthur Health and Behavior Questionnaire when children were in kindergarten. RESULTS: Children evidenced co-occurring internalizing and externalizing symptoms, although the mix was more toward internalizing for girls and externalizing for boys. Symptoms were more severe among children exposed to either adversity, and these effects were additive. Boys exposed to maternal depression in infancy had a preponderance of internalizing behaviors, but if subsequently exposed to marital conflict, the mix toward externalizing behaviors increased to match levels of clinic-referred children. For girls, the preponderance of internalizing symptoms increased to match levels of clinic-referred children when initial exposure to marital conflict occurred in the toddler/preschool period. CONCLUSIONS: It is important to consider both adversities across developmental periods, to distinguish the symptom severity from directionality, and to consider child gender. Prevention and intervention efforts that consider these findings are warranted.
机译：目的：探讨初次接触母体抑郁症及婚姻冲突对幼儿园儿童心理健康症状的影响。方法：对于406个家庭（最初招募的），母亲在儿童婴儿期和幼儿/学龄前的多次抑郁和婚姻冲突上报道了重大抑郁和婚姻冲突。母亲和教师在幼儿园曾经完成了麦克阿瑟健康和行为问卷。结果：儿童证明了共同发生的内化和外化症状，尽管混合物更适合女孩的内化，对男孩外化。在暴露于逆境的儿童中，症状更严重，这些效果是添加剂。暴露于婴儿期的母亲抑郁的男孩对内化行为的优势，但如果随后暴露在婚姻冲突中，朝着外化行为的组合增加了临床推荐儿童水平。对于女孩来说，在幼儿/学龄前期间发生初步暴露于婚姻冲突时，内化症状的优势率增加到匹配临床教育儿童水平。结论：重要的是考虑发展时期的逆境，将症状严重与方向性的症状，并考虑儿童性别。预防和干预措施，需要考虑这些调查结果。

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