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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Paternal depressive symptoms and child behavioral or emotional problems in the United States.
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Paternal depressive symptoms and child behavioral or emotional problems in the United States.

机译：在美国，父亲的抑郁症状和儿童的行为或情感问题。

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BACKGROUND: The negative effects of maternal mental health problems on child health are well documented. In contrast, there is a profound paucity of information about paternal mental health's association with child health. OBJECTIVE: To investigate the association of paternal mental health problems and depressive symptoms and children's emotional or behavioral problems. METHODS: We analyzed Medical Expenditure Panel Survey data, which included a representative sample of US children (N = 21 993) aged 5 to 17 years and their mothers and fathers. The main outcome measure was child emotional or behavioral problems assessed by using the Columbia Impairment Scale. RESULTS: Paternal depressive symptoms, as assessed using the Patient Health Questionnaire-2, and mental health problems, more generally, assessed by using the Short-Form 12 Scale, were independently associated with increased rates of child emotional or behavioral problems even after controlling for numerous potential confounders including maternal depressive symptoms and other mental health problems. The adjusted odds ratio (aOR) for emotional or behavioral problems among children of fathers with depressive symptoms was 1.72 (95% confidence interval [CI]: 1.33-2.23) and the aOR associated with abnormal paternal scores on the mental component scale of the Short-Form 12 was 1.33 (95% CI: 1.10-1.62) for those within 1 SD below average and 1.48 (95% CI: 1.20-1.84) for those >1 SD below average. CONCLUSIONS: To the best of our knowledge, this is the first study to use a representative US sample to demonstrate that living with fathers with depressive symptoms and other mental health problems is independently associated with increased rates of emotional or behavioral problems of children.
机译：背景：孕产妇精神健康问题对儿童健康的负面影响已得到充分证明。相比之下，关于父亲的精神健康与儿童健康的关联的信息很少。目的：探讨父亲心理健康问题和抑郁症状与儿童情绪或行为问题之间的关系。方法：我们分析了医疗支出小组调查数据，该数据包括5至17岁的美国儿童（N = 21993）及其父母的代表性样本。主要结局指标是使用哥伦比亚障碍量表评估的儿童情绪或行为问题。结果：使用“患者健康调查表2”评估的父亲抑郁症状和使用“简表12量表”评估的精神健康问题更独立地与儿童情绪或行为问题的发生率增加相关，即使控制了许多潜在的混杂因素，包括产妇的抑郁症状和其他心理健康问题。患有抑郁症状的父亲的孩子中，针对情绪或行为问题的调整后的优势比（aOR）为1.72（95％置信区间[CI]：1.33-2.23），并且该短路系数与肖特尔精神成分量表中父亲评分异常有关。 -低于平均水平1 SD的人的表格12为1.33（95％CI：1.10-1.62），低于平均水平1 SD的人为1.48（95％CI：1.20-1.84）。结论：就我们所知，这是第一项使用代表性美国样本的研究，证明与患有抑郁症状和其他精神健康问题的父亲同住与孩子情绪或行为问题的发生率增加独立相关。

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