社会经济地位能否调节冲突家庭环境对儿童和青少年大脑结构和外化-内化行为的影响?

IF 3.6 3区 医学 Q1 PSYCHIATRY
Elizabeth Trejos-Castillo, Ann Mastergeorge, Hugo Cogo-Moreira, Vinicius Oliveira Santana, André Zugman, Célia Maria de Araújo, Pedro Mario Pan, Felipe Picon, Luis Augusto Paim Rohde, Andrea P Jackowski
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引用次数: 0

摘要

目的:本研究探讨了社会经济地位(SES)作为家庭冲突对外化和内化行为以及海马体和杏仁核体积影响的可能调节因素的影响。方法:对714名儿童和青少年(平均年龄11.2岁;46.2%女性)使用巴西儿童精神疾病高危队列研究(BHRC)的数据进行。在基线时,父母/监护人完成家庭环境量表和巴西SES问卷。基线后三年,同样的参与者接受了脑磁共振成像,并进行了儿童行为检查表(CBCL)。使用FreeSurfer v.5.1软件对杏仁核和海马进行自动分割。结果:基线时的家庭冲突可预测随访时的内化和外化行为。关于家庭冲突和社会地位对大脑结构的影响以及家庭冲突对社会地位条件下的精神病理和脑结局的调节作用的证据缺乏。结论:这些结果与新出现的证据一致,即家庭冲突是青少年行为外化和内化的风险因素。这些发现值得进一步关注,重点放在预防和干预工作以及社会政策的制定上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can Socioeconomic Status Moderate the Effect of a Conflictive Family Environment on Brain Structure and Externalising-Internalising Behaviour in Children and Adolescents?

Objective: This study examines the effects of socioeconomic status (SES) as a possible moderator of the effects of family conflict on externalising and internalising behaviours, and hippocampal and amygdala volumes.

Methods: A longitudinal complete-case analysis of 714 children and adolescents (mean age: 11.2 years; 46.2% females) was conducted using data from the Brazilian High-Risk Cohort Study for Psychiatric Disorders in Childhood (BHRC). At baseline, parents/guardians completed the Family Environment Scale and the Brazilian SES Questionnaire. Three years after baseline, the same participants underwent brain magnetic resonance imaging, and the Child Behaviour Checklist (CBCL) was administered. Automated segmentation of the amygdala and hippocampus was performed using FreeSurfer v.5.1 software.

Results: Family conflict at baseline predicted internalising and externalising behaviours at follow-up. Evidence regarding the effects of family conflict and SES on brain structure and the moderating effects of family conflict on psychopathology and brain outcomes conditioned on SES was lacking.

Conclusion: These results are consistent with emerging evidence that family conflict is a risk factor for externalising and internalising youth behaviour. These findings warrant further attention, focusing on prevention and intervention efforts and social policy development.

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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
期刊介绍: The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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