| 刘亚宁,甘凤夏,余灿清,高文静,吕筠,逄增昌,丛黎明,汪华,吴先萍,曹卫华,李立明.儿童青少年期家庭抚养环境对成年期心理健康影响的分析[J].中华流行病学杂志,2018,39(5):600-603 |
| 儿童青少年期家庭抚养环境对成年期心理健康影响的分析 |
| Effect of family environment in childhood and adolescence on mental health in adulthood |
| 收稿日期:2017-09-26 出版日期:2018-05-24 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.05.011 |
| 中文关键词: 心理健康 家庭抚养环境 家庭环境量表 K6量表 |
| 英文关键词: Mental health Family environment Family Environment Scale 6-item Kessler Psychological Distress Scale |
| 基金项目:公益性行业科研专项（201502006，,21002007）；教育部科学技术研究重大项目（310006） |
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| 中文摘要: |
| 目的 探讨儿童青少年期家庭抚养环境和成年期心理健康状况的关系。方法 选择中国双生子登记系统（CNTR）中791名≥25岁研究对象，通过短版家庭环境量表（中文版）从关系、系统维护和个人成长3个维度评价儿童青少年期家庭抚养环境，通过K6量表（中文版）评价成年期心理健康状况，采用广义线性混合模型分析两者之间的关系。结果 研究对象心理健康状况一般及以下的比例为4.6%（36人），与心理健康状况良好者相比，仅发现两组人群在抚养方式上的差异有统计学意义。调整平均年龄、性别、卵型、抚养方式等混杂因素后，家庭关系和系统维护对心理健康状况具有促进作用，OR值及其95% CI分别为0.66（0.51～0.87）、0.70（0.50～0.98），未发现分开抚养对结果有效应修饰作用（交互P>0.05）。在各分量表中，亲密度、组织性与心理健康状况得分为正相关，而矛盾性与心理健康状况得分则为负相关。结论 儿童青少年期家庭关系和系统维护对成年期心理健康状况具有积极影响。 |
| 英文摘要: |
| Objective To explore the relationship of family environment in childhood and adolescence and mental health in adulthood. Methods A total of 791 subjects aged ≥ 25 years were selected through the Chinese National Twin Registry (CNTR). The short-form of Family Environment Scale-Chinese Version (FES-CV) was used to evaluate the family environment during childhood and adolescence in three dimensions:relationship, system maintenance and personal growth. The mental health status in adulthood was assessed with the Chinese version of 6-item Kessler Psychological Distress Scale (K6). The generalized linear mixed model was used to examine their relationship. Results About 4.6% of the subjects reported general or worse mental health status. Compared with the subjects with good mental status, statistical difference was observed only in parenting way among twins (living together or not). After adjusting the potential confounders, such as age, sex, zygosity, education and lifestyle (smoking, drinking and physical activity), good family relationship and system maintenance had a positive effect on mental health, with the OR (95% CI) of 0.66 (0.51-0.87) and 0.70 (0.50-0.98) respectively. Furthermore, parenting way did not modify the effect of family environment on mental health status in adulthood (interaction:P>0.05). In each scale, scores of cohesion and organization were positively correlated with mental health, while the score of conflict was negatively correlated with the mental health. Conclusion Good family relationship and system maintenance in childhood and adolescence had a positive impact on mental health in adulthood. |
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