母亲情绪症状与学龄前儿童情绪行为问题的关联

目的 探讨母亲情绪症状与学龄前儿童情绪行为问题的关联，为预防和干预学龄前儿童情绪行为问题提供参考。方法 采用分层整群抽样方法，于2021年6月选择安徽省阜阳市3个区12所幼儿园4 100名3～6岁儿童为研究对象，通过长处和困难问卷(SDQ)、抑郁-焦虑-压力量表(DASS-21)分别调查学龄前儿童情绪行为问题和母亲情绪症状。结果 学龄前儿童情绪症状、品行问题、多动、同伴交往问题、亲社会行为、困难总分异常的检出率分别为15.7%,17.4%,20.0%,32.3%,15.1%和15.8%,母亲抑郁、焦虑、压力症状的检出率分别为7.9%,12.7%,4.8%。多因素Logistic回归分析结果显示，与母亲无抑郁、焦虑、压力症状的儿童相比，母亲有抑郁、焦虑、压力症状的儿童情绪症状、品行问题、多动、同伴交往问题和困难总分异常检出率均增大(OR=1.76～6.35,P值均<0.01),其中母亲情绪症状对儿童情绪症状的影响作用最大，而母亲有压力症状与儿童亲社会行为的关联无统计学意义(OR=1.40,P>0.05)。母亲情绪症状与儿童情绪行为问题关联的性别差异无统计学意义(ROR=0.7...

Relationship between maternal emotional symptoms and emotional and behavioral problems of preschool offspring

  Objective  To explore the relationship between maternal emotional symptoms and emotional and behavioral problems (EBPs) of preschool offspring, and to provide reference for prevention and intervention of emotional and behavior problems in preschool children.  Methods  A total of 4 100 preschool children aged 3-6 in Fuyang City were enrolled by stratified cluster sampling method in June 2021. The Strengths and Difficulties Questionnaire (SDQ) and Depression Anxiety and Stress Scale (DASS-21) were used to investigate preschool children's EBPs and maternal emotional symptoms, respectively.  Results  The detection rates of preschool children's emotional symptoms, conduct problems, hyperactivity, peer interaction problems, prosocial behavior and difficulty scores were 15.7%, 17.4%, 20.0%, 32.3%, 15.1% and 15.8%, respectively. The detection rates of mother's depression, anxiety and stress symptoms were 7.9%, 12.7% and 4.8%, respectively. Multivariate Logistic regression analysis showed that, compared with children of mothers with no depression, anxiety and stress symptoms, offspring of mothers reported depression, anxiety and stress symptoms had significantly higher risks of emotional symptoms, conduct problems, hyperactivity, peer problems and total difficulties (OR=1.76-6.35, P < 0.01). Maternal emotional symptoms had the most significant effect on children's emotional symptoms, and there was no significant correlation between maternal stress symptoms and children's prosocial behavior (OR=1.40, P>0.05). There was no significant gender difference in the relationship between maternal emotional symptoms and children's emotional and behavioral problems (ROR=0.73-1.07, P>0.05). For only children whose mothers reported stress symptoms showed a higher risk of emotional and behavior problems than non-singleton children (ROR=2.03, P < 0.05).  Conclusion  Maternal emotional symptoms are related to preschool children's emotional and behavioral problems. Early identification and intervention of mother's negative emotional symptoms, are beneficial to the prevention of preschool children's emotional and behavioral problems.