Janssens Karin A M, Oldehinkel Albertine J, Rosmalen Judith G M
Interdisciplinary Center for Psychiatric Epidemiology and Graduate School for Behavioral and Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
J Pediatr. 2009 Jun;154(6):918-23.e1. doi: 10.1016/j.jpeds.2008.12.023. Epub 2009 Feb 1.
To examine whether parental overprotection contributes to the development of functional somatic symptoms (FSS) in young adolescents. In addition, we aimed to study whether this potential effect of parental overprotection is mediated by parenting distress and/or moderated by the adolescent's sex.
FSS were measured in 2230 adolescents (ages 10 to 12 years from the Tracking Adolescents' Individual Lives Survey) by the Somatic Complaints subscale of the Youth Self Report at baseline and at follow-up 2 1/2 years later. Parental overprotection as perceived by the child was assessed by means of the EMBU-C (Swedish acronym for my memories of upbringing-child version). Parents completed the Parenting Stress Index. Linear regression analyses were performed adjusted for FSS at baseline and sex.
Parental overprotection was a predictor of the development of FSS in young adolescents (beta = 0.055, P < .01). Stratified analyses revealed that maternal overprotection was a predictor of the development of FSS in girls (beta = 0.085, P < .02), whereas paternal overprotection was a predictor of the development of FSS in boys (beta = 0.072, P < .01). A small (5.7%) but significant mediating effect of maternal parenting stress in the relationship between parental overprotection and FSS was found.
Parental overprotection may play a role in the development of FSS in young adolescents.
探讨父母过度保护是否会促使青少年出现功能性躯体症状(FSS)。此外,我们旨在研究父母过度保护的这种潜在影响是否通过育儿压力介导和/或受青少年性别的调节。
通过青少年自我报告中的躯体主诉分量表,在基线时以及2年半后的随访中,对2230名青少年(来自追踪青少年个体生活调查,年龄为10至12岁)的FSS进行测量。通过EMBU-C(瑞典语中“我对养育的记忆 - 儿童版”的首字母缩写)评估孩子所感知到的父母过度保护。父母完成育儿压力指数评估。进行线性回归分析,并对基线时的FSS和性别进行调整。
父母过度保护是青少年出现FSS的一个预测因素(β = 0.055,P <.01)。分层分析显示,母亲的过度保护是女孩出现FSS的一个预测因素(β = 0.085,P <.02),而父亲的过度保护是男孩出现FSS的一个预测因素(β = 0.072,P <.01)。发现母亲育儿压力在父母过度保护与FSS之间的关系中具有小但显著的中介作用(5.7%)。
父母过度保护可能在青少年FSS的发生中起作用。