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母亲情绪症状对学龄前儿童情绪行为问题的影响

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目的 探讨心理攻击和躯体攻击在母亲情绪症状与学龄前儿童情绪行为问题关联中的中介作用,为有效干预儿童情绪和行为问题相关的风险因素提供参考.方法 采用分层整群抽样方法,选取安徽省芜湖市12所幼儿园小班儿童及其母亲为研究对象,于2021年6月开展基线调查,随后每半年开展1次随访,共随访3次,采用基线、第2次随访和第3次随访的调查数据,最终纳入有效问卷853份.采用抑郁-焦虑-压力量表简体中文版(DASS-21)、亲子冲突解决策略量表(CTSPC)及长处和困难问卷(SDQ)分别检测母亲情绪症状、心理攻击和躯体攻击及儿童情绪行为问题.结果 母亲对儿童的躯体攻击表现为男童高于女童(t=3.53,P<0.05).相关分析结果显示,母亲抑郁症状、焦虑症状、压力症状评分与心理攻击、躯体攻击、儿童SDQ评分均呈正相关,母亲心理攻击和躯体攻击得分与儿童SDQ评分均呈正相关(r值分别为0.20,0.21,0.18;0.24,0.22,0.10,0.26,0.25,0.18;0.12,0.16,P值均<0.01).中介分析显示,在控制相关混杂因素后,心理攻击在母亲抑郁症状与儿童情绪行为问题关联中起部分中介效应,中介效应比为8.05%;躯体攻击在母亲抑郁、焦虑及压力症状与儿童情绪行为问题关联中均起部分中介效应,中介效应比分别为15.94%,11.73%,12.54%(P值均<0.05).结论 心理攻击和躯体攻击在母亲情绪症状与儿童情绪行为问题关联中起部分中介作用,积极改善母亲情绪症状及其对子女的管教方式有助于降低学龄前儿童情绪行为问题的发生.
Effect of maternal emotional symptoms on emotional and behavioral problems in preschool children
Objective To explore the mediating role of psychological and physical aggression in the association between mater-nal emotional symptoms with emotional and behavioral problems in preschool children,so as to provide references for effective inter-vention of risk factors related to children's emotional and behavioral problems.Methods A longitudinal study was conducted to se-lect 12 kindergarten children and their mothers in Wuhu City,Anhui Province by using stratified clustering sampling.The baseline survey was carried out in June 2021,followed up every six months,and a total of 3 follow-ups were administered.Totally 853 valid questionnaires of junior class children were included by the survey data from baseline,second and thirl follow-ups.The Depression Anxiety and Stress Scale-21(DASS-21),the Parent-Child Conflict Tactics Scales(CTSPC)and the Strength and Difficulties Questionnaire(SDQ)were used to measure maternal emotional symptoms,psychological and physical aggression,and children's e-motional and behavioral problems,respectively.Results The physical aggression of mothers towards children in boys was higher than in girls(t=3.53,P<0.05).The results of correlation analysis showed that maternal depressive symptoms were positively corre-lated with psychological aggression,physical aggression and children's SDQ scores(r=0.20,0.21,0.18,P<0.01),maternal anxi-ety symptoms were positively correlated with psychological aggression,physical aggression and children's SDQ scores(r=0.24,0.22,0.10,P<0.01),respectively;maternal stress symptoms were positively correlated with psychological aggression,physical ag-gression.The SDQ scores were positively correlated(r=0.26,0.25,0.18,P<0.01),and the scores of maternal psychological ag-gression and physical aggression were positively correlated with the SDQ scores of children(r=0.12,0.16,P<0.01).The mediating analysis showed that after controlling for related confounding factors,psychological aggression played a partial mediating effect in the association between maternal depressive symptoms and children's emotional and behavioral problems,and the mediating effect ratio was 8.05%.Physical aggression played a partial mediating effect in the association between maternal depression,anxiety and stress symptoms and children's emotional and behavioral problems,which were 15.94%,11.73%and 12.54%(P<0.05),respectively.Conclusions Psychological and physical aggression play mediating roles in the association between maternal emotional symptoms and children's emotional and behavioral problems,and actively improving maternal emotional symptoms and their children's disci-pline methods can help reduce the occurrence of emotional and behavioral problems in preschool children.

EmotionalBehaviorMental healthMothersChild,preschool

朱敏、查金红、贾丽媛、李若瑜、余敏、何海燕、万宇辉

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安徽省芜湖市妇幼保健计划生育服务中心(芜湖市妇幼保健院),241000

安徽医科大学公共卫生学院

情绪 行为 精神卫生 母亲 儿童,学龄前

国家自然科学基金项目安徽省自然科学基金优青项目

822736522208085Y23

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(7)