中国农村贫困地区照养人抑郁风险现状及其对养育行为的影响

doi:10.16382/j.cnki.1000-5560.2019.03.008

摘要/Abstract

摘要：

抑郁风险是儿童照养人常见的心理障碍，可能对其养育行为产生负面影响，不利于儿童的健康发展。该研究以我国西部农村贫困地区1798名6-24月龄儿童的照养人为研究对象，使用《抑郁-焦虑-压力量表》（DASS-21）及自制家庭量表，分析照养人抑郁风险现状及其对养育行为的影响。结果表明：（1）我国农村贫困地区照养人整体抑郁风险比例为22.90%，高于5.2%至16.2%的一般人群中抑郁风险发生率；祖母作为最主要照养人时抑郁比例比母亲作为第一照养人时高出10.11%；（2）照养人的受教育程度、家庭资产水平与其是否存在抑郁风险显著负相关，照养人年龄与其是否存在抑郁风险显著正相关；男童、大月龄及存在语言发展滞后风险的儿童，其照养人抑郁风险比例显著更高；（3）照养人抑郁风险会使其积极养育行为显著减少，使其消极养育行为显著增加。因此，相关部门及社会各界应重视我国农村学龄前儿童照养人的心理健康状况，为儿童发展创造一个良好的环境。

关键词: 照养人, 抑郁风险, 养育行为, 西部农村贫困, 儿童发展

Abstract:

Depression is a common psychological disorder among caregivers of young children, which can adversely affect their parenting behavior and disrupt healthy early child development. In order to assess the prevalence of caregiver depression and analyze its effects on parenting behavior, we conducted a large-scale survey with 1,798 caregivers with children aged 6-24 months in China's Qinba Mountain region. Participants were asked to complete both the Depression Anxiety and Stress Scale (DASS-21) as well as household surveys describing their socioeconomic backgrounds and caregiving behaviors. We had three main findings. First, the overall depression rate of caregivers is 22.90%, with depression among grandmothers as the principal caregivers 10.11% higher than that of mothers as principal caregivers. Second, the education level and family assets of caregivers were significantly negatively correlated with depression, and the age of caregivers was significantly positively correlated with depression. Children who were male, older, or had lagging language development were also significantly more likely to have caregivers who had depression. Third, caregiver depression significantly reduced positive parenting behaviors and increased negative parenting behaviors. Our results confirm the high prevalence of caregiver depression and its effects on caregiver behaviors, which may have significant consequences on early child development in China. Thus, policies and strategies comprehensively addressing the varied socioeconomic risk factors for caregiver depression, especially age and education, are needed.

Key words: caregiver Depression, parenting behavior, poor rural China, children development

杨洁, 蒋琪, 岳爱, 汤蕾, 聂景春. 中国农村贫困地区照养人抑郁风险现状及其对养育行为的影响[J]. 华东师范大学学报(教育科学版), 2019, 37(3): 97-106.

Yang Jie Jiang Qi Yue Ai Tang Lei Nie Jingchun. Effects of Caregiver Depression on Parenting Behaviors in Poor Rural China[J]. Journal of East China Normal University(Educationa, 2019, 37(3): 97-106.

参考文献

安德鲁斯. (2002). 精神障碍的处理. 上海科学技术出版社.
陈福美, 苑春永, 张彩, 黎亚军, 王耘. (2015). 母亲抑郁, 父母冲突与幼儿问题行为:有调节的中介效应. 中国临床心理学杂志, 23(6), 1049-1052.
李晓巍, 谢娟, 宋雅婷. (2016). 祖辈-父辈共同养育的特点及其与母亲养育压力, 幼儿问题行为的关系. 中国特殊教育, 4, 011.
李燕芳, 刘丽莎, 刘丽君, 徐良苑. (2014). 母亲风险因素对儿童早期发展的影响:教养行为的中介作用. 中国特殊教育, 5, 66-75.
刘爱芳, 王美芳, 张杰, 邢晓沛. (2009). 家庭情绪表露与幼儿焦虑的关系. 中国临床心理学杂志, (4), 465-467.
刘丽莎, 李燕芳. (2013). 母亲抑郁和惩罚对儿童早期问题行为的影响及父亲的保护作用. 心理发展与教育, 29(5), 533-540.
舒良. (1999). 抑郁症的评定与治疗. 中华医学杂志, 79(5), 398-400.
田丹, 时景璞, 常慧, 任旭, 张晓丹, 张驰等. (2009). 凤城市农村妇女抑郁现况及影响因素. 中国公共卫生, 25(10), 1166-1167.
郁琴芳, 林存华. (2008). 家庭教育研究近三十年的发展特点与趋势. 上海教育科研, (10), 20-23.
张杰, 王美芳. (2009). 母亲心理健康, 教养行为与幼儿焦虑的关系. 中国心理卫生杂志, 23(5), 353-357.
Almond, D., & Currie, J. (2011). Killing me softly:The fetal origins hypothesis. Journal of Economic Perspectives, 25(3), 153-72.
Bornstein, M. H. (2005). Handbook of Parenting:Volume 3 Being and Becoming A Parent. Psychology Press.
Cabrera, N. J., Fagan, J., Wight, V., & Schadler, C. (2011). Influence of mother, father, and child risk on parenting and children's cognitive and social behaviors. Child Development, 82(6), 1985-2005.
Campbell, F. A., Pungello, E. P., Miller-Johnson, S., Burchinal, M., & Ramey, C. T. (2001). The development of cognitive and academic abilities:growth curves from an early childhood educational experiment. Developmental Psychology, 37(2), 231.
Chao, R. K. (1994). Beyond parental control and authoritarian parenting style:Understanding Chinese parenting through the cultural notion of training. Child Development, 65(4), 1111-1119.
Cummings, E. M., & Kouros, C. D. (2009). Maternal depression and its relation to children's development and adjustment. Encyclopedia on Early Childhood Development, 1-6.
Feil, E. G., Severson, H. H., & Walker, H. M. (1995). Identification of critical factors in the assessment of preschool behavior problems. Education and Treatment of Children, 261-271.
Goodman, S. H. (2007). Depression in mothers. Family Medicine, 3(8), 487.
Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers:A developmental model for understanding mechanisms of transmission. Psychological Review, 106(3), 458.
Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology:A meta-analytic review. Clinical Child and Family Psychology Review, 14(1), 1-27.
Gotlib, I. H., & Hammen, C. L. (2009). Handbook of Depression:Second Edition. New York:The Guilford Press, 1-17.
Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior:A meta-analytic review. Clinical Psychology Review, 20(5), 561-592.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states:Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavior Research and Therapy, 33(3), 335-343.
Luo, R., Jia, F., Yue, A., Zhang, L., Lyu, Q., Shi, Y.,... & Rozelle, S. (2017). Passive parenting and its association with early child development. Early Child Development and Care, 1-15.
Smith, S. (2012). Do parenting practices mediate the relation between maternal depression and child adaptive behaviors? An examination of outcomes for children from varying socioeconomic status groups. International Journal of Advertising, forthcoming (1), 421-446.
Sohr-Preston, S. L., & Scaramella, L. V. (2006). Implications of timing of maternal depressive symptoms for early cognitive and language development. Clinical Child and Family Psychology Review, 9(1), 65-83.
Yue, A., Sylvia, S., Bai, Y., Shi, Y., Luo, R., & Rozelle, S. (2016). The effect of maternal migration on early childhood development in rural china. Social Science Electronic Publishing.

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