摘要
目的探讨父亲情绪症状与学龄前儿童情绪行为问题的关联,为学龄前儿童情绪行为问题的预防与干预提供参考。方法采取多阶段分层抽样方法,于2023年2—4月从合肥市分别抽取2县2区2开发区,每县/区/开发区抽取2所幼儿园,共抽取12所幼儿园3672名3~6岁儿童及其父亲为研究对象,父亲填写抑郁—焦虑—压力量表(DASS-21),母亲填写儿童心理行为发展问卷(SDQ),建立多因素Logistic回归模型,分析父亲情绪症状与学龄前儿童情绪行为问题的关联。结果学龄前儿童心理行为问题检出率为18.65%,父亲压力、焦虑、抑郁症状的检出率分别为4.82%,10.05%,6.64%。多因素Logistic回归模型分析显示,调整相关混杂因素后,父亲有压力、焦虑和抑郁等负面情绪时,其子代情绪行为问题异常检出率均高于父亲无负面情绪组(OR=1.77~2.13,P值均<0.01);父亲有压力症状与男童情绪行为问题的风险增加相关,父亲有焦虑症状、抑郁症状与男童、女童情绪行为问题风险增加均相关(OR=1.45~2.69,P值均<0.05);父亲有压力症状与一孩情绪行为问题的风险增加相关,父亲有焦虑症状、抑郁症状与一孩、二孩及以上情绪行为问题风险增加均相关(OR=1.81~2.49,P值均<0.05)。结论父亲负面情绪症状是学龄前儿童情绪行为问题的重要相关因素。对父亲负面情绪症状进行早期发现和针对性的干预,可能有益于学龄前儿童情绪行为问题的防控。
Objective To explore the relationship between father's emotional symptoms with offspring's emotional and behavioral problems,so as to provide reference for the prevention and intervention of emotional and behavioral problems in preschool children.Methods Using the method of multi-stage sampling,two kindergartens from each of the two counties,two districts and two development zones were selected from Hefei during February to April 2023.A total of 3672 children aged 3 to 6 years old and their fathers were selected from 12 kindergartens.Fathers filled out the Depression Anxiety and Stress Scale(DASS-21)and mothers filled out the Strength and Difficulty Questionnaire(SDQ).Multivariate Logistic regression model was established to analyze the relationship between father's emotional symptoms and preschool children's emotional and behavioral problems.Results The detection rate of emotional and behavioral problems in preschool children was 18.65%,and the detection rates of stress,anxiety and depression in fathers were 4.82%,10.05%and 6.64%,respectively.Multivariate Logistic regression model analysis showed when fathers had negative emotions of stress,anxiety and depression,the detection rate of emotional and behavioral problems in their offspring was higher than children with father without negative emotion group(OR=1.77-2.13,P<0.01).Father's stress symptoms were associated with increased risk of emotional and behavioral problems in boys,while father's anxiety and depressive symptoms were associated with increased risk of emotional and behavioral problems in boys and girls(OR=1.45-2.69,P<0.05).Father's stress symptoms were associated with increased risk of emotional and behavioral problems in the first child,while father's anxiety and depressive symptoms were associated with increased risk of emotional and behavioral problems in the first child,second child and above(OR=1.81-2.49,P<0.05).Conclusions Father's negative emotional symptoms are important factors affecting preschool children's emotional and behavioral problems.
作者
陈锐
汪小燕
殷刚柱
孙瑜
邵子瑜
CHEN Rui;WANG Xiaoyan;YIN Gangzhu;SUN Yu;SHAO Ziyu(Department of Maternal with Child and Adolescent Health,School of Public Health,Anhui Medical University,Hefei(230032),Anhui Province,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第11期1660-1664,共5页
Chinese Journal of School Health
基金
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(2021FY007)
出生人口健康教育部重点实验室联合安徽省妇幼保健协会母婴营养与健康研究项目(JK202214)。
关键词
情绪
父亲
精神卫生
回归分析
儿童
学龄前
Emotions
Fathers
Mental health
Regression analysis
Child
preschool
