不幸福婚姻与儿童和青少年心理健康：一项在中国进行的大规模横断面研究。

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-06-22 DOI:10.1016/j.jad.2025.119725

Juan Wang , Yuqian He , Xuemei Li , Ziqian Wei , Xiaopeng Du , Yinzhe Wang , Tingting Lei , Dan Zhu , Xinyu Zhou

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引用次数: 0

摘要

背景：为了孩子和青少年，有些夫妇虽然不幸福，但仍然保持婚姻。然而，在婚姻不幸福的家庭中，儿童和青少年可能长期受到父母冲突的影响，这比离婚本身更有可能增加心理健康问题的风险。虽然这一假设是合理的，但很少有代表性数据的实证检验。方法：本大型横断面研究涉及中国重庆96,431对亲子。参与者根据父母的婚姻状况和父母之间的关系被分成七组。精神健康问题，包括抑郁和焦虑症状，非自杀性自伤（NSSI）和自杀风险，在二代内进行评估。采用多因素logistic回归比较不同人群的心理健康问题风险。结果：婚姻关系不幸福的父母继续婚姻的比例约为34.56% % ~ 41.56% %。父母关系不幸福但未离婚的那一组的儿童和青少年，与其他组的同龄人（包括那些父母离异但关系不同的孩子和青少年）相比，有更高的抑郁和焦虑症状、自伤和自杀风险。无论父母之间的关系是由儿童和青少年还是父母报告的，这些发现都是一致的。结论：应该提高公众意识，当父母关系不愉快时，离婚可能不是最糟糕的选择，至少在考虑到与孩子和青少年心理健康的潜在联系时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Staying in unhappy marriages and mental health of children and adolescents: A large-scale cross-sectional study in China

Background

Some couples remain married despite being unhappy, for the sake of their children and adolescents. However, children and adolescents in families with unhappy marriages may be chronically expose to parental conflict, potentially increasing the risk of mental health problems more than divorce itself. Although plausible, this hypothesis has rarely been empirically tested using representative data.

Methods

This large-scale cross-sectional study involved 96,431 parent-child dyads in Chongqing, China. Participants were divided into seven groups based on parental marital status and interparental relationships. Mental health problems, including depressive and anxiety symptoms, non-suicidal self-injury (NSSI) and suicide risk, was evaluated within dyads. Multivariate logistic regression was conducted to compare the risk of mental health problems among different groups.

Results

About 34.56 % to 41.56 % of parents in unhappy relationships continue their marriage. Children and adolescents in the unhappy-relationship-not-divorced parents group had higher odds of depressive and anxiety symptoms, NSSI and suicide risk compared to their peers in other groups, including those with divorced parents across different levels of interparental relationships. These findings were consistent regardless of whether the interparental relationship was reported by children and adolescents or the parents.

Conclusions

Public awareness should be raised that divorce may not be the worst option when parents are in an unhappy relationship, at least when considering the potential association with their child and adolescent mental health.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.