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儿童早期的破坏性行为预示着母亲日后的强制行为和酗酒。

Children's Early Disruptive Behavior Predicts Later Coercive Behavior and Binge Drinking by Mothers.

作者信息

Pagani Linda S, Fitzpatrick Caroline

机构信息

School of Psycho-Education, Sainte-Justine's Hospital Research Center, Brain Health Division, University of Montreal, Canada.

School of Psycho-Education, Sainte-Justine's Hospital Research Center, Brain Health Division, University of Montreal, Canada; Université Sainte-Anne, Church Point, Canada; PERFORM Centre, Concordia University, Montreal, Canada.

出版信息

J Pediatr Nurs. 2018 Mar-Apr;39:15-20. doi: 10.1016/j.pedn.2017.12.011. Epub 2017 Dec 28.

Abstract

PURPOSE

We examined the prospective influence of early child problematic behavior on later coercive interactions and binge drinking by mothers.

DESIGN AND METHODS

Canadian participants are from the Quebec Longitudinal Study of Child Development, born between spring 1997 and 1998, which allowed a longitudinal birth cohort design. At the 41months, 628 parents reported on children's oppositional, aggressive, turbulent, and inattentive/hyperactive behavior. Mothers then reported on their own coercive and binge drinking behavior at the 60month follow-up.

RESULTS

We estimated a series of ordinary least-squares regressions to examine the relationship between early child behavior problems and later parental coercion and binge drinking, above and beyond many key pre-existing/concurrent confounding factors including prior parenting stress and binge alcohol use. Oppositional, aggressive, and turbulent child behaviors at 41months predicted harsh, negative parenting at 60months. Early inattentive/hyperactive child behavior also forecasted later binge alcohol use by mothers within the same time frame.

CONCLUSION

Negative preschool behavior predicted harsh, negative maternal behavior kindergarten entry. Early inattentive/hyperactive behavior also forecasted later binge alcohol use by mothers. Coercive parenting and alcohol use are clinically signs of adult distress. Such parents might use alcohol excessively because of its perceived stress-dampening effects and mental evasion from their life difficulties and frustration experiences.

PRACTICE IMPLICATIONS

Problematic preschool behavior can lead to less effective child-rearing and unhealthy parental behavior. Such at-risk mothers would benefit from professional caring practices. Practitioners can inspire change, especially using interaction interventions which encourage positive parent-child relations that, in turn, diminish parental distress.

摘要

目的

我们研究了儿童早期问题行为对母亲后来的强制互动和暴饮行为的前瞻性影响。

设计与方法

加拿大参与者来自魁北克儿童发展纵向研究,出生于1997年春季至1998年之间,采用纵向出生队列设计。在41个月时,628名家长报告了孩子的对立、攻击、多动和注意力不集中/多动行为。然后,母亲们在60个月的随访中报告了自己的强制和暴饮行为。

结果

我们估计了一系列普通最小二乘回归,以检验儿童早期行为问题与后来父母的强制行为和暴饮行为之间的关系,排除了许多关键的预先存在/同时存在的混杂因素,包括先前的育儿压力和暴饮酒精行为。41个月时孩子的对立、攻击和多动行为预测了60个月时严厉、消极的育儿方式。早期孩子注意力不集中/多动行为也预测了同一时期母亲后来的暴饮行为。

结论

学前负面行为预测了幼儿园入学时母亲严厉、消极的行为。早期注意力不集中/多动行为也预测了母亲后来的暴饮行为。强制育儿和饮酒是成人困扰的临床迹象。这样的父母可能会过度饮酒,因为他们认为酒精有减轻压力的作用,能让他们逃避生活中的困难和挫折经历。

实践意义

有问题的学前行为可能导致育儿效果不佳和父母的不健康行为。这类有风险的母亲将从专业护理实践中受益。从业者可以激发改变,特别是使用互动干预措施,鼓励积极的亲子关系,进而减少父母的困扰。

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