母亲情绪症状及童年期不良经历与儿童情绪行为问题的关联

余敏; 朱敏; 何海燕; 窦连杰; 李若瑜; 万宇辉

doi:10.16835/j.cnki.1000-9817.2023.03.021

母亲情绪症状及童年期不良经历与儿童情绪行为问题的关联

doi: 10.16835/j.cnki.1000-9817.2023.03.021

1.
安徽省芜湖市妇幼保健计划生育服务中心儿童保健科，241000
2.
安徽医科大学公共卫生学院

基金项目:

国家自然科学基金资助项目 82273652

安徽省自然科学基金项目 2208085Y23

详细信息

作者简介:
余敏(1984-)，女，安徽安庆人，大学本科，副主任医师，主要从事儿童保健工作

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G78 B844.1
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出版历程
- 收稿日期: 2022-10-17
- 修回日期: 2022-12-26
- 刊出日期: 2023-03-25

Association of maternal emotional symptoms and childhood adverse experiences with children's emotional and behavioral problems

1.
Child Health Care Department, Wuhu Maternal and Child Health Care Family Planning Service Center, Wuhu(241000), Anhui Province, China

摘要

摘要: 目的探讨母亲情绪症状在童年期不良经历与儿童情绪行为问题间的中介作用，为情绪行为问题儿童的家庭干预提供科学依据。方法 2021年6—8月采用多阶段抽样法抽取芜湖市3个区县的12所托幼机构3 012名学龄前儿童。使用问卷星方式调查其家庭及儿童基本情况、儿童情绪行为发展、母亲生活经历、母亲情绪症状等，采用SPSS 23.0软件进行一般描述性分析和Spearman相关分析；并采用GLS法评估母亲情绪症状在母亲不良经历与儿童情绪行为问题间的中介作用。结果芜湖市学龄前儿童困难与长处问卷(SDQ)中的困难因子得分为(10.08±4.05)分，困难总分异常检出率为6.6%，亲社会行为异常检出率为16.5%。母亲不良经历总分与SDQ困难总分以及母亲抑郁、焦虑、压力症状得分均呈正相关，儿童SDQ困难总分与母亲抑郁、焦虑、压力情绪得分均呈正相关(r=0.17~0.71，P值均 < 0.01)。中介效应分析结果显示，母亲抑郁、焦虑、压力等情绪在母亲不良经历总分与儿童SDQ困难总分间的中间效应系数均有统计学意义(P值均 < 0.05)，中介效应分别占总效应的22.6%，15.2%，17.1%。结论母亲童年不良经历与儿童情绪行为问题的关系受到母亲情绪症状的影响。关注母亲早期生活经历和心理健康，有益于儿童情绪行为问题的防控。
- 情绪 /
- 生活变动事件 /
- 精神卫生 /
- 儿童
Abstract: Objective To explore the mediating effect of maternal emotional symptoms on maternal adverse experiences and children's emotional behavior problems, so as to provide a scientific basis for family intervention of children with emotional behavior problems. Methods A multi-stage sampling method was used to select 12 kindergartens in 3 districts and counties of Wuhu City. The questionnaire star method was used to investigate the love of homosexuality in families and children, children's emotional behavior development questionnaire, mother's life experience questionnaire, mother's emotional symptoms questionnaire, etc. SPSS 23.0 software was used for general descriptive analysis and Spearman correlation analysis. GLS method was used to evaluate the mediating effect of maternal mental health level between maternal adverse experiences and children's emotional and behavioral problems. Results The difficulty factor score in the Strength and Difficulty Questionnaire (SDQ) of preschool children in Wuhu City was (10.08±4.05) points, the abnormal detection rate of the total difficulty score was 6.6%, and the abnormal detection rate of prosocial behavior was 16.5%, the total score of mother's adverse experience was positively correlated with the total score of mother's SDQ difficulties and the scores of mother's depression, anxiety and stress symptoms. The total score of children's SDQ difficulties was positively correlated with the scores of mother's depression, anxiety and stress emotions(r=0.17-0.71, P < 0.01). The results of mediating effect analysis showed that the intermediate effect coefficients of maternal depression, anxiety, stress and other emotions between the total score of maternal adverse experience and the total score of children's SDQ difficulties were statistically significant(P < 0.05), and the mediating effect accounted for 22.6%, 15.2% and 17.1% of the total effect, respectively. Conclusion The relationship between maternal adverse childhood experiences and children's emotional behavior problems was influenced by maternal emotional symptoms. Attention to mothers' early life experience and mental health is beneficial to the prevention and control of children's emotional and behavioral problems.
- Emotions /
- Life change events /
- Mental health /
- Child
注释:

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图 1 学龄前儿童母亲情绪在母亲ACEs与儿童情绪行为问题间中介效应模型

Figure 1. Mediating effect model of preschoolers' maternal emotions between maternal adverse experiences and children's emotional behavior problems

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表 1 学龄前儿童母亲ACEs、儿童情绪行为问题和母亲情绪相关性分析(r值，n=3 012)

Table 1. Mothers' adverse childhood experiences, children's emotional behavior problems and mothers' emotional relationship of preschool children(r, n=3 012)

变量	母亲ACEs	母亲抑郁症状	母亲焦虑症状	母亲压力症状
母亲抑郁症状	0.48
母亲焦虑症状	0.44	0.71
母亲压力症状	0.42	0.69	0.63
儿童SDQ困难总分	0.17	0.20	0.21	0.23
注： P值均 < 0.01。

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