前东德的幼儿保育与成年后的精神压力。

IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Lisa Braunheim, Ayline Heller, Claudia Helmert, Christoph Kasinger, Manfred E Beutel, Elmar Brähler
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引用次数: 0

摘要

背景:在德国,关于儿童早期在家庭外接受照料是否会对其成年后造成精神压力的问题仍存在争议。在德意志民主共和国(GDR--统一前的前东德),儿童通常从很小的时候起就在家庭之外接受照顾:为了确定儿童早期在家庭外接受照料与成年后精神压力之间的关系,我们对 1575 名在民主德国出生和社会化的人进行了调查。根据首次接受家庭外照料的年龄,他们被分为四个照料组。我们通过逻辑回归分析检验了这些人成年后抑郁、躯体化障碍和焦虑症的相关性。此外,还通过方差分析估算了特定护理群体在童年时期遭受虐待和忽视的发生率:将三岁前或三岁后在家庭外接受照料的人与学龄前在家庭内接受照料的人进行比较,发现两者在抑郁方面没有任何差异(几率比 [OR] = 0.95;95% 置信区间 [0.58;1.55];OR = 1.05 [0.63;1.74])、躯体化障碍(OR = 1.11 [0.74;1.67];OR = 1.09 [0.71;1.66])或焦虑症(OR = 0.87 [0.46;1.64];OR = 1.12 [0.59;2.10])。在遭受虐待和忽视的经历方面,也不存在任何群体间差异。文章还讨论了一小部分长期在家庭外接受照顾的儿童的某些特点:结论:东德日托中心的幼儿保育与成年后的精神压力之间没有关系。数据太少,无法对家庭外保育的具体方面(如质量或育儿规范)做出任何结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early Childhood Care in the Former East Germany and Mental Stress in Adulthood.

Background: It is still debated in Germany whether early childhood care outside the family might cause mental stress in adulthood. In the German Democratic Republic (GDR-the former East Germany before unification), children were often cared for outside the family from a very early age.

Methods: To determine the relation between early childhood care outside the family and mental stress in adulthood, we carried out a survey among 1575 persons who were born and socialized in the GDR. They were classified into four care groups according to the age at which they were first cared for outside the family. Associations with depressiveness, somatization disorders, and anxiety disorders in adulthood were tested with logistic regression analysis. Care group-specific prevalences of experiences of abuse and neglect in childhood were estimated with analysis of variance.

Results: Comparisons of persons cared for outside the family before the age of three, or from the age of three onward, with persons cared for within the family in their preschool years did not reveal any difference with respect to depressiveness (odds ratio [OR] = 0.95; 95% confidence interval [0.58; 1.55]; OR = 1.05 [0.63; 1.74]), somatization disorders (OR = 1.11 [0.74; 1.67]; OR = 1.09 [0.71; 1.66]), or anxiety disorders (OR = 0.87 [0.46; 1.64]; OR = 1.12 [0.59; 2.10]). Nor were there any intergroup differences with respect to experiences of abuse and neglect. Certain features of the very small group of children who had long-term care outside the family are discussed in the article.

Conclusion: No relation was found between earlychildhood care in day-care centers in the GDR and mental stress in adulthood. The data were too sparse for any conclusions about specific aspects of care outside the home (e.g., quality or child-rearing norms).

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来源期刊
Deutsches Arzteblatt international
Deutsches Arzteblatt international 医学-医学:内科
CiteScore
4.10
自引率
5.20%
发文量
306
审稿时长
4-8 weeks
期刊介绍: Deutsches Ärzteblatt International is a bilingual (German and English) weekly online journal that focuses on clinical medicine and public health. It serves as the official publication for both the German Medical Association and the National Association of Statutory Health Insurance Physicians. The journal is dedicated to publishing independent, peer-reviewed articles that cover a wide range of clinical medicine disciplines. It also features editorials and a dedicated section for scientific discussion, known as correspondence. The journal aims to provide valuable medical information to its international readership and offers insights into the German medical landscape. Since its launch in January 2008, Deutsches Ärzteblatt International has been recognized and included in several prestigious databases, which helps to ensure its content is accessible and credible to the global medical community. These databases include: Carelit CINAHL (Cumulative Index to Nursing and Allied Health Literature) Compendex DOAJ (Directory of Open Access Journals) EMBASE (Excerpta Medica database) EMNursing GEOBASE (Geoscience & Environmental Data) HINARI (Health InterNetwork Access to Research Initiative) Index Copernicus Medline (MEDLARS Online) Medpilot PsycINFO (Psychological Information Database) Science Citation Index Expanded Scopus By being indexed in these databases, Deutsches Ärzteblatt International's articles are made available to researchers, clinicians, and healthcare professionals worldwide, contributing to the global exchange of medical knowledge and research.
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