父母不良童年经历与学龄前儿童情绪和行为问题的关系

Association of maternal and paternal adverse childhood experiences with emotional and behavioral problems among preschool children

父母不良童年经历与学龄前儿童情绪和行为问题的关系

Authors: Ruoyu Li, Liyuan Jia, Jinhong Zha, Xiaoyan Wang, Yongling Huang, Xingyong Tao, Yuhui Wan.

Source:  Eur Child Adolesc Psychiatry.024 Aug 10.

doi: 10.1007/s00787-024-02542-3. 

Abstract

Although maternal adverse childhood experiences (ACEs) are known to be related to the emotional and behavioral problems (EBPs) of offspring, few studies have surveyed the intergenerational effects of paternal ACEs. In addition, no study has yet explored the combination and interaction effects of maternal and paternal ACEs on preschool children's EBPs in China, and the gender differences in these relationships also remain to be explored. A total of 3,575 preschool children from 12 preschools from Hefei city of Anhui province were included in this study. We used a binomial logistic regression to examine the relationship between maternal ACEs, paternal ACEs and children's EBPs. Logistic regression analysis indicated that maternal and paternal ACEs were significantly related to EBPs in children, respectively. The high maternal ACEs + high paternal ACEs group had the greatest association with children's EBPs. Interaction analysis results showed that, compared with the reference group (low maternal ACEs×low paternal ACEs), the other group (high maternal ACEs×high paternal ACEs ) were significantly related to children's EBPs (OR = 1.84, 95%CI: 1.55-2.19). We found that there were no gender differences in the combination and interaction effects (P>0.05). When fathers and mothers were jointly exposed to high levels of ACEs, children had a higher risk of developing EBPs than when they were exposed independently. Future studies should fully explore the intergenerational health effects of parental ACEs so that references for promoting the physical and mental health of preschool children can be developed.

Keywords:  Emotional and behavioral problems; Maternal adverse childhood experiences; Paternal adverse childhood experiences; Preschool children.

摘要

尽管已知母体童年不良经历（ACEs）与后代的情绪和行为问题（EBP）有关，但很少有研究调查父系 ACEs 的代际影响。此外，目前还没有研究探讨中国母系和父系 ACEs 对学龄前儿童 EBPs 的联合效应和交互作用，这些关系中的性别差异也有待探讨。本研究共纳入来自安徽省合肥市 12 所幼儿园的 3,575 名学龄前儿童。我们使用二项式 logistic 回归来检查母系 ACE 、父系 ACE 和儿童 EBP 之间的关系。Logistic 回归分析显示，母系和父系 ACEs 分别与儿童 EBPs 显著相关。高母系 ACEs + 高父系 ACEs 组与儿童 EBP 的相关性最大。交互分析结果显示，与参考组（低母体 ACEs×低父系 ACEs）相比，另一组（高母体 ACEs×高父系 ACEs）与儿童 EBPs 显著相关（OR = 1.84,95%CI： 1.55-2.19）。我们发现组合效应和交互效应没有性别差异（P>0.05）。当父亲和母亲共同暴露于高水平的 ACEs 时，儿童患 EBP 的风险高于独立暴露时。未来的研究应充分探讨父母 ACEs 对代际健康的影响，以便为促进学龄前儿童的身心健康提供参考。虽然母亲的不良童年经历（ACE）被认为是与后代的情绪和行为问题（EBP），很少有研究调查了父亲ACE的代际影响。此外，在中国还没有研究探讨母亲和父亲ACE对学龄前儿童EBP的组合和交互作用，这些关系的性别差异也有待探讨。本研究以安徽省合肥市12所幼儿园的3,575名学龄前儿童为研究对象。我们使用二项逻辑回归来研究母亲ACE，父亲ACE和儿童EBPs之间的关系。Logistic回归分析显示，母亲和父亲ACE分别与儿童EBPs显著相关。母亲高ACE+父亲高ACE组与儿童EBP的相关性最大。交互作用分析结果显示，与对照组（母亲ACE低×父亲ACE低）相比，另一组（母亲ACE高×父亲ACE高）与儿童EBP显著相关（OR = 1.84，95%CI：1.55-2.19）。我们发现，在联合和交互作用方面没有性别差异（P>0.05）。当父亲和母亲共同暴露于高水平的ACE时，儿童患EBP的风险高于单独暴露时。未来的研究应充分探讨父母ACE的代际健康效应，为促进学龄前儿童身心健康提供参考。

关键词：情绪和行为问题；母亲的不良童年经历；父亲的不良童年经历；学龄前儿童。