母子关系在母亲养育压力与学龄前儿童情绪行为问题关联中的作用

doi:10.7499/j.issn.1008-8830.2210053

摘要
图/表
参考文献(25)
相关文章 (15)
点击分布统计
下载分布统计

全文: PDF (574 KB) [HTML]
输出: BibTeX | EndNote (RIS) 背景资料

摘要目的探讨母子关系在母亲养育压力与学龄前儿童情绪行为问题关联中的调节作用，为学龄前儿童情绪行为问题的防控提供参考。方法采用分层整群抽样方法，于2021年11—12月抽取安徽省芜湖市共12所幼儿园2 049名学龄前儿童作为研究对象。采用儿童优势与困难问卷（Strength and Difficulties Questionnaire）评估学龄前儿童的情绪行为问题。采用Pearson相关分析评估母亲养育压力、母子关系与儿童情绪行为问题之间的关联。采用PROCESS插件分析母子关系在母亲养育压力与学龄前儿童情绪行为问题关联中的调节作用。结果母亲养育压力与学龄前儿童情绪症状、品行问题、多动问题、同伴交往问题4个维度得分及困难总分均呈正相关（P<0.001）；亲密性母子关系与学龄前儿童品行问题、多动问题、同伴交往问题3个维度得分及困难总分均呈负相关（P<0.001）；冲突性母子关系和依赖性母子关系与学龄前儿童情绪症状、品行问题、多动问题、同伴交往问题4个维度得分及困难总分均呈正相关（P<0.001）。控制相关混杂因素后，冲突性母子关系（β=0.05，P=0.001）及依赖性母子关系（β=0.04，P=0.012）在母亲养育压力与学龄前儿童情绪行为问题困难总分关联中均存在调节作用。结论不良母子关系在母亲养育压力与学龄前儿童情绪行为问题间起调节作用，应从减少母亲养育压力和改善不良母子关系两个方面来预防学龄前儿童情绪行为问题的发生。［中国当代儿科杂志，2023，25（4）：394-400］

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	何海燕
	余敏
	宁曼
	崔晓晨
	贾丽媛
	李若瑜
	万宇辉

关键词 ：情绪行为问题, 养育压力, 母子关系, 调节效应, 学龄前儿童

Abstract：Objective To study the moderating effect of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children, and to provide reference for the prevention and control of emotional and behavioral problems in preschool children. Methods Using a stratified cluster sampling method, 2 049 preschool children were surveyed from November to December 2021, who sampled from 12 kindergartens in Wuhu City, Anhui Province. The emotional and behavioral problems of preschool children were assessed with the Strength and Difficulties Questionnaire. Pearson correlation analysis was used to evaluate the relationship of maternal parenting stress and mother-child relationship with children's emotional and behavioral problems. The PROCESS Macro was used to analyze the moderating effect of conflicted and dependent mother-child relationships in the association between maternal parenting stress and emotional and behavioral problems in these preschool children. Results Among these preschool children, maternal parenting stress was positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); intimate mother-child relationships were negatively correlated with the scores of conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); conflicted and dependent mother-child relationships were positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001). After controlling for relevant confounding factors, conflicted mother-child relationship (β=0.05, P=0.001) and dependent mother-child relationship (β=0.04, P=0.012) were found to have a moderating effect on the association between maternal parenting stress and total difficulty scores in these preschool children. Conclusions Negative mother-child relationships play a moderating role in the association between maternal parenting stress and emotional and behavioral problems in preschool children. Prevention of emotional and behavioral problems in preschool children should focus on reducing maternal parenting stress and improving negative mother-child relationships. Citation:Chinese Journal of Contemporary Pediatrics, 2023, 25(4): 394-400

Key words： Emotional and behavioral problem Parenting stress Mother-child relationship Moderating effect Preschool child

收稿日期: 2022-10-12

基金资助:国家自然科学基金（82273652）；安徽省自然科学基金（2208085Y23）。

通讯作者: 万宇辉，男，教授。Email：2004500039@ahmu.edu.cn。 E-mail: 2004500039@ahmu.edu.cn

作者简介: 何海燕，女，学士，主任医师；

引用本文:

何海燕,余敏,宁曼等. 母子关系在母亲养育压力与学龄前儿童情绪行为问题关联中的作用[J]. 中国当代儿科杂志, 2023, 25(4): 394-400.

HE Hai-Yan,YU Min,NING Man et al. The role of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children[J]. CJCP, 2023, 25(4): 394-400.

链接本文:

http://www.zgddek.com/CN/10.7499/j.issn.1008-8830.2210053 或 http://www.zgddek.com/CN/Y2023/V25/I4/394

	Bach SL, Molina ML, Amaral PLD, et al. Emotional and behavioral problems: a school-based study in southern Brazil[J]. Trends Psychiatry Psychother, 2019, 41(3): 211-217. PMID: 31390457. DOI: 10.1590/2237-6089-2017-0119.
	Tedg?rd E, Tedg?rd U, R?stam M, et al. Parenting stress and its correlates in an infant mental health unit: a cross-sectional study[J]. Nord J Psychiatry, 2020, 74(1): 30-39. PMID: 31553257. DOI: 10.1080/08039488.2019.1667428.
	3 Abidin RR. The determinants of parenting behavior[J]. J Clin Child Psychol, 1992, 21(4): 407-412. DOI: 10.1207/s15374424jccp2104_12.
	Sher-Censor E, Shulman C, Cohen E. Associations among mothers' representations of their relationship with their toddlers, maternal parenting stress, and toddlers' internalizing and externalizing behaviors[J]. Infant Behav Dev, 2018, 50: 132-139. PMID: 29277061. DOI: 10.1016/j.infbeh.2017.12.005.
	Yorke I, White P, Weston A, et al. The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents: a systematic review and meta-analysis[J]. J Autism Dev Disord, 2018, 48(10): 3393-3415. PMID: 29777471. PMCID: PMC6153902. DOI: 10.1007/s10803-018-3605-y.
	Gleason MM. Relationship assessment in clinical practice[J]. Child Adolesc Psychiatr Clin N Am, 2009, 18(3): 581-591. PMID: 19486839. DOI: 10.1016/j.chc.2009.02.006.
	Essler S, Christner N, Paulus M. Longitudinal relations between parental strain, parent-child relationship quality, and child well-being during the unfolding COVID-19 pandemic[J]. Child Psychiatry Hum Dev, 2021, 52(6): 995-1011. PMID: 34426893. PMCID: PMC8382101. DOI: 10.1007/s10578-021-01232-4.
	8 刘静, 樊亚奇, 李辛婷. 亲子关系对学龄前儿童行为问题的影响[J]. 中国实用医药, 2021, 16(15): 170-173. DOI: 10.14163/j.cnki.11-5547/r.2021.15.064.
	9 章景丽, 陈瑞美, 陈秋, 等. 家庭因素与学龄前儿童情绪与行为问题的关联研究[J]. 中华疾病控制杂志, 2019, 23(2): 168-171. DOI: 10.16462/j.cnki.zhjbkz.2019.02.009.
	Reitman D, Currier RO, Stickle TR. A critical evaluation of the Parenting Stress Index-Short Form (PSI-SF) in a head start population[J]. J Clin Child Adolesc Psychol, 2002, 31(3): 384-392. PMID: 12149976. DOI: 10.1207/S15374424JCCP3103_10.
	11 Pianta RC. Child-Parent Relationship Scale[M]. Charlottesville: University of Virginia, 1992: 1-12.
	12 寇建华, 杜亚松, 夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J]. 上海精神医学, 2005, 17(1): 25-28. DOI: 10.3969/j.issn.1002-0829.2005.01.007.
	13 方红英, 汤银霞. 铜陵市学龄前儿童情绪和行为问题调查及其影响因素分析[J]. 中国儿童保健杂志, 2016, 24(6): 632-634. DOI: 10.11852/zgetbjzz2016-24-06-23.
	Christov-Moore L, Simpson EA, Coudé G, et al. Empathy: gender effects in brain and behavior[J]. Neurosci Biobehav Rev, 2014, 46 Pt 4(Pt 4): 604-627. PMID: 25236781. PMCID: PMC5110041. DOI: 10.1016/j.neubiorev.2014.09.001.
	Philipp J, Zeiler M, Waldherr K, et al. Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention[J]. Soc Psychiatry Psychiatr Epidemiol, 2018, 53(12): 1325-1337. PMID: 30159723. PMCID: PMC6267139. DOI: 10.1007/s00127-018-1586-y.
	16 Trumello C, Ballarotto G, Ricciardi P, et al. Mothers and fathers of pre-school children: a study on parenting stress and child's emotional-behavioral difficulties[J]. Curr Psychol, 2022. Epub ahead of print. PMID: 36035250. PMCID: PMC9395769. DOI: 10.1007/s12144-022-03599-6.
	Li N, Peng J, Li Y. Effects and moderators of triple P on the social, emotional, and behavioral problems of children: systematic review and meta-analysis[J]. Front Psychol, 2021, 12: 709851. PMID: 34512467. PMCID: PMC8427298. DOI: 10.3389/fpsyg.2021.709851.
	Naveed S, Saboor S, Zeshan M. An overview of attachment patterns: psychology, neurobiology, and clinical implications[J]. J Psychosoc Nurs Ment Health Serv, 2020, 58(8): 18-22. PMID: 32744643. DOI: 10.3928/02793695-20200717-01.
	Scott JK, Nelson JA, Dix T. Interdependence among mothers, fathers, and children from early to middle childhood: parents' sensitivity and children's externalizing behavior[J]. Dev Psychol, 2018, 54(8): 1528-1541. PMID: 29927264. DOI: 10.1037/dev0000525.
	20 Collins WA, Russell G. Mother-child and father-child relationships in middle childhood and adolescence: a developmental analysis[J]. Dev Rev, 1991, 11(2): 99-136. DOI: 10.1016/0273-2297(91)90004-8.
	21 宋煜静. 父母教养压力对儿童青少年问题行为的影响: 有调节的中介模型[D]. 太原: 山西大学, 2021.
	22 徐怀冰. 母亲育儿压力、教养态度与儿童问题行为的关系[D]. 哈尔滨: 哈尔滨工程大学, 2014.
	23 谢晶, 李世峰. 教养方式对幼儿情绪调节及亲子关系的影响[J]. 甘肃教育, 2022(11): 44-48.
	Cyr M, Pasalich DS, McMahon RJ, et al. The longitudinal link between parenting and child aggression: the moderating effect of attachment security[J]. Child Psychiatry Hum Dev, 2014, 45(5): 555-564. PMID: 24287581. DOI: 10.1007/s10578-013-0424-4.
	Gaumon S, Paquette D, Cyr C, et al. Anxiety and attachment to the mother in preschoolers receiving psychiatric care: the father-child activation relationship as a protective factor[J]. Infant Ment Health J, 2016, 37(4): 372-387. PMID: 27333431. DOI: 10.1002/imhj.21571.