Early parent–child relationships and risk of mood disorder in a Canadian sample of offspring of a parent with bipolar disorder: findings from a 16‐year prospective cohort study

作者: Sarah Doucette , Adrian Levy , Gordon Flowerdew , Julie Horrocks , Paul Grof

DOI: 10.1111/EIP.12195

关键词: PsychosocialEmotionalityPsychiatryPsychologyBipolar disorderOffspringMood disordersClinical psychologyNeglectMoodTemperament

摘要: Aim Exposure to parental bipolar disorder (BD) early in life may increase the risk of developing a mood disorder. However, impact parent–child relationships when parent is affected and how this impacts an offspring's remains unclear. The primary objective study was determine association between offspring parents with BD and, secondly, interaction temperament stress on association. Methods Two hundred thirty-three completed annual clinical assessments following Kiddie Schedule for Affective Disorders (KSADS) format interviews as part ongoing Canadian prospective cohort conducted from 1996 2013. Offspring measures adversity, temperament. Clinical data were prospectively collected over first decade their using SADS interviews. Results Higher perceived neglect mother emotionality significantly associated hazard (hazard ratio (HR): 1.1, 95% confidence interval (CI): 1.0–1.2 HR: 1.7, CI: 1.0–3.1, respectively). Duration exposure interacted predict (P = 0.01). Further, high (P = 0.02). Conclusions Neglect significant predictor at familial emotional sensitivity. Psychosocial support interventions high-risk families could be beneficial reducing maternal subsequent disorders offspring.

参考文章(50)
N. Smith, D. Lam, A. Bifulco, S. Checkley, Childhood Experience of Care and Abuse questionnaire (CECA.Q): Validation of a screening instrument for childhood adversity in clinical populations Social Psychiatry and Psychiatric Epidemiology. ,vol. 37, pp. 572- 579 ,(2002) , 10.1007/S00127-002-0589-9
Robert Plomin, Arnold H. Buss, Temperament: Early Developing Personality Traits ,(1984)
L. Daruy-Filho, E. Brietzke, B. Lafer, R. Grassi-Oliveira, Childhood maltreatment and clinical outcomes of bipolar disorder Acta Psychiatrica Scandinavica. ,vol. 124, pp. 427- 434 ,(2011) , 10.1111/J.1600-0447.2011.01756.X
Constance Hammen, Patricia A. Brennan, Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry. ,vol. 60, pp. 253- 258 ,(2003) , 10.1001/ARCHPSYC.60.3.253
David Axelson, Boris J. Birmaher, David Brent, Susan Wassick, Christine Hoover, Jeffrey Bridge, Neal Ryan, A preliminary study of the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children mania rating scale for children and adolescents. Journal of Child and Adolescent Psychopharmacology. ,vol. 13, pp. 463- 470 ,(2003) , 10.1089/104454603322724850
Jean Endicott, A Diagnostic Interview Archives of General Psychiatry. ,vol. 35, pp. 837- 844 ,(1978) , 10.1001/ARCHPSYC.1978.01770310043002
Ian Goodyer, Caroline Wright, Patricia Altham, The friendships and recent life events of anxious and depressed school-age children. British Journal of Psychiatry. ,vol. 156, pp. 689- 698 ,(1990) , 10.1192/BJP.156.5.689
Anne Duffy, Martin Alda, Tomas Hajek, Simon B. Sherry, Paul Grof, Early stages in the development of bipolar disorder Journal of Affective Disorders. ,vol. 121, pp. 127- 135 ,(2010) , 10.1016/J.JAD.2009.05.022
Carla Martins, E. A. Gaffan, Effects of Early Maternal Depression on Patterns of Infant‐Mother Attachment: A Meta‐analytic Investigation Journal of Child Psychology and Psychiatry. ,vol. 41, pp. 737- 746 ,(2000) , 10.1111/1469-7610.00661
Richard Rowe, Emily Simonoff, Judy L. Silberg, Psychopathology, temperament and unintentional injury: cross-sectional and longitudinal relationships Journal of Child Psychology and Psychiatry. ,vol. 48, pp. 71- 79 ,(2007) , 10.1111/J.1469-7610.2006.01674.X