母亲情绪症状和亲子关系与小学生情绪行为问题的关联

张颖; 徐慧琼; 李书琴; 李若瑜; 高悦; 万宇辉

doi:10.16835/j.cnki.1000-9817.2024262

母亲情绪症状和亲子关系与小学生情绪行为问题的关联

doi: 10.16835/j.cnki.1000-9817.2024262

张颖¹,
徐慧琼²,
李书琴³,
李若瑜³,
高悦¹,
万宇辉^{1, 3, ,}

1.
安徽医科大学公共卫生学院健康促进与行为科学系, 合肥 230032
2.
安徽医学高等专科学校公共卫生与健康管理学院
3.
安徽医科大学公共卫生学院儿少卫生与妇幼保健院系

基金项目:

安徽省高校自然科学基金项目 gxyq2022011

第三批王建华科研创新团队项目 WJH2023GGWS001

详细信息

作者简介:
张颖(1999-), 女, 安徽合肥人, 在读硕士, 主要研究方向为儿童青少年健康促进

通讯作者:
万宇辉，E-mail：wyhayd@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G78 G444
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- 被引次数: 0
出版历程
- 收稿日期: 2024-05-11
- 修回日期: 2024-05-16
- 网络出版日期: 2024-10-08
- 刊出日期: 2024-09-25

Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in primary school students

ZHANG Ying¹,
XU Huiqiong²,
LI Shuqin³,
LI Ruoyu³,
GAO Yue¹,
WAN Yuhui^{1, 3
, ,}

1.
Department of Health Promotion and Behavioral Science, School of Public Health, Anhui Medical University, Hefei (230032), Anhui Province, China

摘要

摘要: 目的了解母亲情绪症状和亲子关系与小学生情绪行为问题(EBPs)的关联, 为小学生EBPs防控提供参考。方法 2023年5月, 采用方便整群抽样方法选取安徽省合肥市2所小学1 324名学生为研究对象, 通过广泛性焦虑障碍-7量表(GAD-7)、患者健康问卷(PHQ-9)、家庭适应和亲子亲和评价量表(FACES Ⅱ)、父母版长处和困难问卷(SDQ)分别调查母亲情绪症状、亲子关系和小学生EBPs。采用多因素Logistic回归模型分析母亲不同情绪症状和亲子关系与小学生EBPs的关联。结果小学生情绪症状、品行问题、多动障碍、同伴交往问题、亲社会行为、困难问题总分异常检出率分别为13.6%, 19.4%, 20.2%, 36.5%, 20.9%, 51.9%。多因素Logistic回归分析结果显示, 母亲有焦虑症状、有抑郁症状、低水平亲子关系的小学生EBPs检出率均升高(OR=1.52~6.97);母亲有焦虑、抑郁症状和低水平亲子关系的联合作用均会增加小学生EBPs各维度发生风险(OR=4.07~10.14)(P值均 < 0.01)。性别分层后发现, 母亲有焦虑、抑郁症状和低水平亲子关系的联合作用均会增加男生和女生EBPs各维度发生风险(OR=3.71~10.95, P值均 < 0.01)。结论母亲情绪症状和亲子关系均与小学生EBPs有关。降低母亲焦虑、抑郁症状和改善亲子关系, 可能有利于减少小学生EBPs的发生。
- 母亲 /
- 情绪 /
- 亲子关系 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To understand the association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems (EBPs) in primary school students, so as to provide a reference for the prevention of EBPs in primary school students. Methods In May 2023, a convenient cluster sampling method was used to select 1 324 students from two primary schools in Hefei City, Anhui Province as the study subjects.The Generalized Anxiety Disorder-7(GAD-7), Patient Health Questionnaire (PHQ-9), Family Adaptation and Cohesion Evaluation ScalesⅡ(FACES Ⅱ), and Strengths and Difficulties Questionnaire (SDQ) of parental version were used to investigate maternal emotional symptoms, parent-child relationship, and EBPs of primary school students, respectively.Multivariate Logistic regression analysis model was used to analyze the association of different maternal emotional symptoms and parent-child relationship with EBPs of primary school students. Results The abnormal detection rates of emotional symptoms, conduct problems, hyperactivity disorder, peer problems, prosocial behavior and total difficulties in primary school students were 13.6%, 19.4%, 20.2%, 36.5%, 20.9% and 51.9%, respectively.Multivariate Logistic regression analysis showed that the detection rates of EBPs in primary school students whose mothers had anxiety and depression symptoms with low level of parent-child relationship increased (OR=1.52-6.97, P < 0.01).The combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of primary school students (OR=4.07-10.14, P < 0.01).After gender stratification, the combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of boys and girls (OR=3.71-10.95, P < 0.01). Conclusions Maternal emotional symptoms and parent-child relationship are associated with EBPs in primary school students.Reducing maternal anxiety and depression symptoms, and improving parent-child relationship are beneficial to reduce the incidence of EBPs problems in primary school students.
- Mothers /
- Emotions /
- Parent-child relations /
- Mental health /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 母亲情绪症状和亲子关系与小学生EBPs关联的Logistic回归分析[OR值(95%CI)，n=1 324)

Table 1. Logistic regression analysis of association of maternal emotional symptoms and parent-child relationships with EBPs in primary school students[OR(95%CI), n=1 324)

自变量	情绪症状	品行问题	多动障碍	同伴交往问题	亲社会行为	困难问题
焦虑症状	6.97(4.96~9.81)	3.86(2.87~5.21)	2.76(2.05~3.71)	2.40(1.83~3.15)	1.78(1.31~2.41)	5.04(3.67~6.92)
抑郁症状	5.18(3.71~7.24)	3.11(2.33~4.16)	3.28(2.46~4.38)	2.51(1.94~3.25)	1.92(1.44~2.57)	5.40(3.96~7.29)
亲子关系	1.52(1.10~2.11)	2.92(2.18~3.92)	2.51(1.89~3.35)	2.08(1.64~2.63)	3.78(2.81~5.08)	5.54(2.02~3.21)
注： P值均 < 0.01。

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表 2 母亲情绪症状和亲子关系的联合作用与小学生EBPs关联[OR值(95%CI)，n=1 324]

Table 2. Association of the combined effect of maternal emotional symptoms and parent-child relationship on EBPs in primary school students[OR(95%CI), n=1 324]

自变量	选项	情绪症状	品行问题	多动障碍	同伴交往问题	亲社会行为	困难问题
焦虑症状+亲子	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	1.08(0.67~1.76)	2.71(1.87~3.93)^**	2.41(1.70~3.41)^**	1.96(1.49~2.57)^**	3.63(2.59~5.10)^**	2.37(1.83~3.08)^**
	有+高	6.45(3.90~10.66)^**	3.80(2.31~6.27)^**	2.80(1.70~4.59)^**	2.32(1.53~3.52)^**	1.49(0.82~2.69)	5.23(3.33~8.19)^**
	有+低	7.76(4.96~12.15)^**	8.73(5.76~13.24)^**	5.46(3.65~8.17)^**	4.07(2.84~5.82)^**	5.28(3.50~7.97)^**	9.48(6.06~14.83)^**
抑郁症状+亲子	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	1.21(0.75~1.96)	2.43(1.67~3.52)^**	2.43(1.68~3.52)^**	1.97(1.49~2.62)^**	3.42(2.41~4.86)^**	2.27(1.74~2.97)^**
	有+高	5.37(3.28~8.80)^**	2.48(1.50~4.10)^**	3.55(2.22~5.68)^**	2.56(1.72~3.80)^**	1.43(0.81~2.52)	5.29(3.45~8.11)^**
	有+低	5.79(3.73~8.99)^**	6.83(4.60~10.14)^**	6.25(4.21~9.27)^**	4.08(2.90~5.74)^**	5.57(3.75~8.27)^**	10.14(6.65~15.48)^**
注： ^**P < 0.01。

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表 3 母亲情绪症状和母女关系的联合作用与女生EBPs关联[OR值(95%CI)，n=662]

Table 3. Association of the combined effect of maternal emotional symptoms and mother-daughter relationship on EBPs in girls[OR(95%CI), n=662]

自变量	选项	情绪症状	品行问题	多动障碍	同伴交往问题	亲社会行为	困难问题
焦虑症状+母女	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	1.21(0.65~2.27)	3.91(2.19~6.70)^**	3.07(1.74~5.41)^**	2.08(1.40~3.07)^**	4.64(2.81~7.65)^**	2.63(1.81~3.82)^**
	有+高	6.39(3.19~12.80)^**	3.53(1.56~7.99)^**	2.14(0.91~5.03)	2.78(1.52~5.06)^**	1.07(0.39~2.93)	4.46(2.40~8.29)^**
	有+低	8.81(4.71~16.46)^**	9.76(5.06~18.82)^**	5.73(2.98~11.03)^**	4.46(2.64~7.55)^**	6.41(3.47~11.81)^**	8.54(4.66~15.65)^**
抑郁症状+母女	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	1.41(0.74~2.68)	3.03(1.68~5.48)^**	2.59(1.42~4.73)^**	1.92(1.28~2.87)^**	3.88(2.30~6.53)^**	2.39(1.62~3.52)^**
	有+高	6.00(3.08~11.68)^**	2.30(1.02~5.21)^*	2.17(0.96~4.90)	2.21(1.26~3.88)^**	0.99(0.39~2.55)	4.45(2.52~7.87)^**
	有+低	6.38(3.48~11.71)^**	9.28(5.00~17.21)^**	6.75(3.63~12.55)^**	4.22(2.59~6.88)^**	8.03(4.49~14.37)^**	10.59(5.90~19.01)^**
注： ^P < 0.05，^*P < 0.01。

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表 4 母亲情绪症状和母子关系的联合作用与男生EBPs关联[OR值(95%CI)，n=662]

Table 4. Association of the combined effect of maternal emotional symptoms and mother-child relationships on EBPs in boys[OR(95%CI), n=662]

自变量	选项	情绪症状	品行问题	多动障碍	同伴交往问题	亲社会行为	困难问题
焦虑症状+母子	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	0.89(0.41~1.93)	1.99(1.21~3.26)^**	2.13(1.35~3.33)^**	1.83(1.25~2.68)^**	2.87(1.80~4.56)^**	2.12(1.46~3.07)^**
	有+高	7.70(3.58~16.54)^**	4.21(2.21~8.04)^**	3.43(1.82~6.44)^**	1.96(1.09~3.51)^*	1.81(0.86~3.82)	6.40(3.28~12.48)^**
	有+低	7.67(3.92~15.01)^**	8.19(4.71~14.23)^**	5.65(3.33~9.60)^**	3.71(2.26~6.09)^**	4.41(2.52~7.73)^**	10.95(5.55~21.60)^**
抑郁症状+母子	无+高	1.00	1.00	1.00	1.00	1.00	1.00
关系	无+低	0.95(0.45~2.00)	2.04(1.25~3.33)^**	2.42(1.50~3.89)^**	2.00(1.35~2.96)^**	3.06(1.91~4.93)^**	2.14(1.46~3.12)^**
	有+高	4.75(2.24~10.06)^**	2.73(1.42~5.26)^**	5.29(2.86~9.78)^**	2.99(1.70~5.28)^**	1.86(0.90~3.86)	7.11(3.60~14.02)^**
	有+低	5.21(2.73~9.94)^**	5.49(3.23~9.32)^**	6.35(3.75~10.73)^**	3.90(2.42~6.30)^**	3.94(2.28~6.81)^**	9.86(5.31~18.28)^**
注： ^P < 0.05，^*P < 0.01。

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