新加坡 14-35 岁青少年临床样本中父母亲情与健康相关生活质量之间的关系。

Singapore medical journal Pub Date : 2024-10-01 Epub Date: 2024-07-11 DOI:10.4103/singaporemedj.SMJ-2023-223
Yoke Boon Tan, Eng Hong Tay, Shazana Shahwan, Yunjue Zhang, Rajeswari Sambasivam, Mythily Subramaniam
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引用次数: 0

摘要

导言患有精神障碍的人往往表示,他们早年与父母的关系较差。这些人的生活质量通常也较低。本研究调查了临床青少年样本中父母亲情与健康相关生活质量(HRQOL)之间的关系。研究假设,父母的高度关爱和低度过度保护将与较高的 HRQOL 水平相关:数据来自一项大型横断面研究。样本由 400 名精神病门诊患者组成:191名患者的年龄为14-21岁(平均±标准差为18.1±2.22)岁,209名患者的年龄为22-35岁(28.0±4.33)岁。父母关系测量工具用于测量父母的关爱和过度保护。简表-12测量了HRQOL的身体健康(身体部分摘要[PCS])和心理健康(心理部分摘要[MCS])部分,8项患者健康问卷评估了抑郁症状。这些量表和一份社会人口调查表均为自填。分析采用多变量线性回归法:约有一半的样本报告称母亲(46.6%)和父亲(45.9%)缺乏亲情控制。在控制了社会人口学变量后,没有发现父母亲子关系的各个方面与 PCS 分数之间有明显的关系。母亲关怀与 MCS 分数(β = 0.32,P < 0.01)和 PHQ-8 分数(β = -0.12,P < 0.05)相关:我们的研究结果表明,经历过母亲优质照顾的青少年尽管有临床诊断,但他们的心理健康功能却更好,这表明母亲的早期照顾具有长期的整体保护作用。促进积极养育方式的早期父母教育可以改善成年后个人的整体 HRQOL,尽管他们有临床诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations between parental bonding and health-related quality of life in a clinical sample of youths aged 14-35 years in Singapore.

Introduction: Individuals with psychiatric disorders tend to report having poorer bonds with their parents during their early years. These individuals often experience lower quality of life as well. This study investigated the associations between aspects of parental bonding and health-related quality of life (HRQOL) in a clinical sample of youths. It was hypothesised that high parental care and low parental overprotectiveness would be associated with higher levels of HRQOL.

Methods: Data were obtained from a larger cross-sectional study. The sample consisted of 400 psychiatric outpatients: 191 patients aged 14-21 (mean ± standard deviation 18.1 ± 2.22) years and 209 patients aged 22-35 (28.0 ± 4.33) years. The Parental Bonding Instrument was used to measure parental care and overprotectiveness. Short Form-12 measured physical health (physical component summary [PCS]) and mental health (mental component summary [MCS]) components of HRQOL, and the 8-item Patient Health Questionnaire assessed depressive symptoms. These scales and a sociodemographic form were self-administered. Multivariable linear regression was used for analysis.

Results: About half of the sample reported affectionless control for mothers (46.6%) and fathers (45.9%). After controlling for sociodemographic variables, no significant relationship was found between aspects of parental bonding and PCS scores. Maternal care was associated with MCS scores (β = 0.32, P < 0.01) and PHQ-8 scores (β = -0.12, P < 0.05).

Conclusion: Our results suggest that youths who experienced quality care from their mothers exhibit better mental health functioning despite their clinical diagnoses, which suggests that early maternal care exerts an overall long-term protective effect. Early parental education that promotes positive parenting practices could improve the overall HRQOL of individuals in adulthood despite their clinical diagnoses.

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