Father

父亲
  • 文章类型: Journal Article
    自杀是25-44岁男性死亡的主要原因,通常与成为父亲相吻合的年龄。这篇综述旨在综合围产期父亲自杀和自残观念流行的证据,产后和早期育儿期。
    搜索了五个数据库(PsycINFO,Medline,WebofScience,PubMed和Cochrane系统评论数据库),以确定2000年1月1日至2023年3月9日之间发表的论文。在纳入的研究中,进行了荟萃分析以估计自杀和自残观念的患病率。进行亚组和敏感性分析以探索异质性的潜在来源。
    共确定了4215篇文章,14项研究纳入审查。自杀和自残观念的合并患病率为4.2%(95%CI[2.6%,6.2%])。自残观念的患病率估计值更高,为5.1%(95%CI[2.6%,6.2%])比3%的自杀率(95%CI[0.9%,6.1%])。
    这项审查发现,相当比例的父亲在养育子女的早期经历过自杀和自残的想法。然而,缺乏严格的患病率研究表明,迫切需要在这一领域进行进一步的研究。
    UNASSIGNED: Suicide is a leading cause of death in males aged 25-44 years, an age which often coincides with becoming a father. This review aims to synthesise the evidence of the prevalence of suicidal and self-harm ideation in fathers during the perinatal, postnatal and early parenting period.
    UNASSIGNED: Five databases were searched (PsycINFO, Medline, Web of Science, PubMed and the Cochrane Database of Systematic Reviews) to identify papers published between 1 January 2000 and 9 March 2023. A meta-analysis was conducted to estimate the prevalence of suicidality and self-harm ideation across the included studies. Subgroup and sensitivity analyses were conducted to explore potential sources of heterogeneity.
    UNASSIGNED: A total of 4215 articles were identified, with 14 studies included in the review. The combined pooled prevalence of suicidal and self-harm ideation was 4.2% (95% CI [2.6%, 6.2%]). Prevalence estimates were higher for self-harm ideation at 5.1% (95% CI [2.6%, 6.2%]) than for suicidality at 3% (95% CI [0.9%, 6.1%]).
    UNASSIGNED: This review found that a considerable proportion of fathers experience suicidal and self-harm ideation during the early years of parenting. However, the paucity of rigorous prevalence studies indicates that further research in this area is needed urgently.
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  • 文章类型: Journal Article
    关于自闭症特征父亲的育儿研究很少。为了调查这个问题,我们使用来自全国出生队列研究的数据,研究了具有自闭症特征的父亲的育儿类型,日本环境与儿童研究。孩子2岁时,母亲或照顾者对父亲的养育方式进行了评估。父亲的自闭症特征是使用日本版本的自我管理自闭症频谱商进行测量的。采用Logistic回归分析对数据进行统计学分析。具有自闭症特征的父亲为孩子准备饭菜和帮助他们吃饭的可能性显着降低(调整后的OR(aOR):1.11,95%置信区间(CI):1.01-1.23),帮助孩子换衣服(aOR:1.17,95%CI:1.04-1.31)。然而,一些育儿行为和自闭症特征之间没有关联(不是换尿布,不和孩子一起洗澡,而不是和孩子一起玩)。父亲的沟通技巧困难与自闭症特征相关的较低倾向于执行所有类型的育儿。有趣的是,社交技能或注意力转移的困难与更多的换尿布之间存在关联。这些结果表明,尊重有自闭症倾向的父亲能够做到的育儿方式很重要,同时支持他们抚养孩子,他们的能力明显低于没有自闭症倾向的父亲。
    There are few studies on the parenting of fathers with autism traits. To investigate this issue, we examined the type of parenting performed by fathers with autism traits using data from a nationwide birth cohort study, the Japan Environment and Children\'s Study. Paternal parenting was evaluated by mothers or caregivers when the child was 2 years old. Father\'s autism traits were measured using the Japanese version of the self-administered Autism Spectrum Quotient. Logistic regression analysis was performed to statistically analyze the data. Fathers with autism traits were significantly less likely to prepare meals for their child and helping them eat (adjusted OR (aOR): 1.11, 95% confidence interval (CI): 1.01-1.23), to helping the child change clothes (aOR: 1.17, 95% CI: 1.04-1.31). However, there were no associations between some parenting behaviors and autism traits (not changing diapers, not bathing with the child, and not playing with the child). Father\'s communication skill difficulties by autism traits associated with a lower tendency to perform all types of parenting. Interestingly, there were association between difficulties with social skills or attention-switching and more performing change diapers. These results indicate it is important to respect the child-rearing that fathers with autistic tendencies are able to do, while supporting them in child-rearing that they are significantly less able to do than fathers without autistic tendencies.
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  • 文章类型: Journal Article
    背景:越来越多的证据表明,父亲在母乳喂养过程中起着重要作用,父亲需要有关母乳喂养的教育。在我们技术飞速发展的时代,在父亲教育中使用新的教学技术将提供更有效的结果。
    目的:在本研究中,研究了使用数字讲故事方法进行母乳喂养教育对父亲母乳喂养自我效能的影响。
    方法:本研究是一项前测后随机对照试验。这项研究是对80名孕妇的丈夫进行的,这些孕妇被送往一家州立医院的分娩准备班。该研究包括对照组和使用数字讲故事技术对教育视频进行干预。从医院产前班招募父亲,并随机分为两组之一。个人信息表和父亲母乳喂养自我效能量表-简表用于数据收集。每位父亲在研究开始时和产后3个月时填写了数据收集表。计算分析中使用的独立组和依赖组t检验方法的显著差异的η2效应大小。
    结果:干预组和对照组的父亲的测验后得分之间存在显着差异(p<0.05)。当分析效果大小时,结果发现,干预组(t=-24.342)的增加高于对照组(t=-8.385)。
    结论:在当前的研究中,发现在母乳喂养教育中使用数字讲故事方法对父亲母乳喂养自我效能的影响显着高于常规教育。建议将这种新方法用于教育和咨询,并进行研究以检查其对母乳喂养行为和父亲母乳喂养支持的影响。
    BACKGROUND: There is growing evidence that fathers play an important role in the breastfeeding process and that fathers need education about breastfeeding. In our age of rapidly developing technology, the use of new teaching techniques in the education of fathers will provide more effective results.
    OBJECTIVE: In this study, the effect of breastfeeding education given with digital storytelling method on fathers\' breastfeeding self-efficacy was examined.
    METHODS: The study is a pretest-posttest randomized controlled trial. The study was conducted with the husbands of 80 pregnant women admitted to the childbirth preparation class of a state hospital. The study included a control group and an intervention of educational videos using a digital storytelling technique. Fathers were recruited from hospital antenatal classes and randomized to one of the two groups. Personal Information Form and Paternal Breastfeeding Self-Efficacy Scale-Short Form were used for data collection. Each father completed data collection forms at the beginning of the study and at 3 months postpartum. The η2 effect size was calculated for significant differences in the independent and dependent groups t test methods used in the analysis.
    RESULTS: There was a significant difference between the posttest scores of the fathers in the intervention and control groups (p < 0.05). When the effect sizes were analysed, it was found that the increase in the intervention group (t = -24.342) was higher than the control group (t = -8.385).
    CONCLUSIONS: In the current study, the effect of using digital storytelling method in breastfeeding education on fathers\' breastfeeding self-efficacy was found to be significantly higher than routine education. It is recommended that this new method be used in education and counselling and that studies be conducted to examine its effect on breastfeeding behaviour and fathers\' breastfeeding support.
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  • 文章类型: Journal Article
    背景:第一个孩子的到来是精神疾病的已知危险因素,然而,对父亲心理健康的调查是有限的。在向父亲过渡的九年中,我们对父亲的抑郁和焦虑进行了纵向调查。
    方法:使用法国男性的国家队列(CONSTANCES,n=6299),我们调查了首次为父亲的精神病患病率和相关危险因素.对流行病学研究中心抑郁症(CES-D)和12项一般健康问卷(GHQ-12)量表的反应用于识别临床上有意义的症状评分。参与者也报告了自我宣布的精神疾病。基于组的建模用于识别两种措施的潜在轨迹组。
    结果:自我宣称的焦虑水平(平均为父亲前4.9%,7.8%的帖子)超过了抑郁症(1.9%的婚前生活,3.3%后)或其他疾病。然而,临床显著症状评分(17-27%)的比率始终较高.参与者的心理健康似乎在孩子出生前两年恶化,在孩子出生后两年有所改善。我们确定了父亲自我宣布的精神疾病的三个轨迹组:低稳定(90.3%);低风险高暂时增加(5.6%);和持续高风险(4.1%)。与心理健康轨迹恶化相关的风险因素是失业,不和一个人的伴侣住在一起,由于经济原因,有不良的童年经历和放弃医疗保健。
    结论:所有精神疾病的测量都依赖于参与者的自我报告,因此存在偏见。
    结论:这项研究揭示了初为人父的心理脆弱性增加的重要时期,强调需要增加和更好地适应父亲的心理健康筛查。
    BACKGROUND: The arrival of one\'s first child is a known risk factor for mental illness, yet investigations on fathers\' mental health are limited. We conducted a longitudinal investigation on paternal depression and anxiety in the nine years surrounding the transition to fatherhood.
    METHODS: Using a national cohort of French men (CONSTANCES, n = 6299), we investigated the prevalence and associated risk factors of mental illness amongst first-time fathers. Responses to the Center for Epidemiological Studies Depression (CES-D) and 12-item General Health Questionnaire (GHQ-12) scales were used to identify clinically significant symptom scores. Self-declared mental illness was also reported by participants. Group-based modelling was used to identify latent trajectory groups for both measures.
    RESULTS: Levels of self-declared anxiety (averaging 4.9 % pre-fatherhood, 7.8 % post) exceeded that of depression (1.9 % pre- fatherhood, 3.3 % post) or other disorders. However, rates of clinically significant symptom scores (17-27 %) were consistently higher. Participants\' mental health appeared to worsen from two-years prior to their child\'s arrival and improve from two-years after. We identified three trajectory groups for fathers\' self-declared mental illness: Low stable (90.3 %); Low risk with high temporary increase (5.6 %); and Consistent high risk (4.1 %). Risk factors associated with worsening mental health trajectories were unemployment, not living with one\'s partner, having had adverse childhood experiences and foregoing healthcare due to financial reasons.
    CONCLUSIONS: All measures of mental illness relied on participant self-reports and are thus subject to bias.
    CONCLUSIONS: This study reveals an important period of heightened psychological vulnerability amongst first-time fathers, emphasising the need for increased and better adapted paternal mental health screening.
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  • 文章类型: Journal Article
    有智力和发育障碍的儿童的家庭经常面临独特的挑战,这些挑战极大地影响了他们的生活质量。了解家庭生活质量(FQOL)的预测因素对于开发有效的支持系统和干预措施至关重要。
    目的:这项研究调查了可能影响有残疾成员的家庭对其生活质量(FQOL)的看法的预测因素。
    方法:样本由来自沙特阿拉伯利雅得地区的320名家庭成员组成。
    结果:总体结果显示,参与者对FQOL的满意度处于中等水平。进一步的结果表明,与严重程度相关的变量,残疾类型,母亲的年龄和受教育程度是FQOL的重要预测因素。
    结论:这些结果强调了考虑影响FQOL的变量的重要性,比如残疾的严重程度和类型,和母亲的相关变量,当指导支持有残疾成员的家庭时。讨论了该研究的建议和局限性。
    Families of children with intellectual and developmental disabilities often face unique challenges that significantly impact their quality of life. Understanding the predictors of family quality of life (FQOL) is crucial for developing effective support systems and interventions.
    OBJECTIVE: This study investigated the predictors that might influence the perception of families having a member with a disability regarding their quality of life (FQOL).
    METHODS: The sample consisted of 320 family members from the Riyadh region of Saudi Arabia.
    RESULTS: The overall results showed that participants\' satisfaction with FQOL was at a moderate level. Further results indicated that variables associated with severity, type of disability, and the mother\'s age and education were significant predictors of the FQOL.
    CONCLUSIONS: These results emphasize the importance of considering the variables that impact FQOL, such as the severity and type of disability, and mother\'s related variables, when directing support to families with a member with a disability. The recommendations and limitations of the study were discussed.
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  • 文章类型: Journal Article
    Objective.儿童超重/肥胖是一个严重的全球公共卫生问题,要求父母参与扭转趋势。尽管父亲扮演关键的育儿角色,关于父亲和儿童超重/肥胖的研究是有限的。本范围审查审查了有关父亲的营养知识和儿童超重/肥胖的喂养方式的文献。方法。遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,和Arksey和O\'Malley(2005)框架,搜索了多个数据库。符合条件的父子相关研究侧重于父亲的营养知识,喂养实践,和儿童超重/肥胖。结果。在26篇符合条件的文章中,52%来自美国,44%的人专注于父子二叉。大多数研究是横断面的(64%)和基于调查的(68%)。Further,11.5%评估父亲的营养知识,和儿童喂养习惯(53.4%)。结论。有关儿童超重/肥胖的父亲营养知识和喂养方法的文献有限。鼓励扩大父亲参与儿童营养研究,以设计整体干预措施。
    Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers\' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers\' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O\'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers\' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers\' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers\' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers\' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.
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  • 文章类型: Journal Article
    目的:关于父母心血管危险因素与后代肥胖风险的关系知之甚少。我们旨在调查父母理想心血管健康(ICVH)状态是否与年轻/成年后代的一般和中心性肥胖风险相关。
    结果:参加德黑兰脂质和葡萄糖研究2012-15期的个人,在这项横断面研究中,选择了2395对年龄≥6岁的父母未婚后代。一般和中心性肥胖是根据年龄≤18岁的后代的伊朗BMI百分位参考数据定义的。对于年龄≥19岁的受试者,中心性肥胖的定义是基于引入的伊朗成年人的分界点。我们采用了美国心脏协会的ICVH的2020年影响目标标准。父亲和母亲的平均±SD年龄分别为55.4±9.79和48.4±9.88。大约55%的后代年龄超过19岁。母亲对ICVH评分较高的依从性与女性后代超重/肥胖风险较低相关(Q1-Q4的OR:1,0.56,0.57,0.37,所有四分位数P<0.05)。在ICVH组件中,在父亲中,只有理想的BMI状态与男性后代的超重/肥胖风险较低相关.随着母亲ICVH总分的增加,雌性后代的腹部肥胖风险降低。
    结论:父母对ICVH及其组成部分的依从性较高,其后代患一般肥胖和腹部肥胖的风险较低。我们的发现表明,母子关系比父子关系强。
    OBJECTIVE: Little is known about the association of parental cardiovascular risk factors with the risk of obesity in offspring. We aimed to investigate whether parental ideal cardiovascular health (ICVH) status was associated with the risk of general and central obesity in their young/adult offspring.
    RESULTS: Of individuals who participated in the 2012-15 phase of the Tehran Lipid and Glucose Study, 2395 pairs of parent-unmarried offspring aged ≥6 years were selected in this cross-sectional study. General and central obesity were defined based on Iranian BMI percentile reference data for offspring aged ≤18 years. For subjects aged ≥19 years, central obesity was defined based on the introduced cut-off points for Iranian adults. We employed the American Heart Association\'s 2020 impact goal criteria of ICVH. The mean ± SD age of fathers and mothers were respectively 55.4 ± 9.79 and 48.4 ± 9.88. About 55% of offspring were older than 19 years. Higher adherence to ICVH score in mothers was associated with lower risk of overweight/obesity in female offspring (OR for Q1-Q4: 1, 0.56, 0.57, 0.37, P < 0.05 for all quartiles). Among ICVH components, only ideal BMI status in fathers was observed to be associated with a lower risk of overweight/obesity in their male offspring. The risk of abdominal obesity decreased in female offspring with increasing total ICVH score in mothers.
    CONCLUSIONS: Higher adherence of parents to ICVH and its components was positively associated with a lower risk of general and abdominal obesity in their offspring. Our findings demonstrate that maternal-offspring relationship was stronger than paternal-offspring association.
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  • 文章类型: Journal Article
    背景:生活方式和习惯,心血管危险因素(CRF),骨骼和心理健康,饮食习惯,身体活动,其中一些是在童年和青春期发展起来的。家庭环境在这些结果中发挥着重要作用。然而,亲子关系的生活习惯和健康参数是否会受到身体活动模式的影响仍不清楚.本研究的目的是纵向监测和调查父母和子女之间的生活习惯之间的关联。以及验证是否在更活跃的父母中,与生活习惯的可能关联不同于那些被认为不太活跃的父母。
    方法:样本将由父母组成(父亲,母亲,或两者)和他们的孩子/青少年。参与者将通过遍布城市所有地区的传单以及社交媒体通过公众电话招募。健康参数将包括心血管(心脏自主神经调制,血压和静息心率),骨矿物质密度,人体测量指数,握力,心理健康(生活质量,焦虑和抑郁症状和压力),自我报告的发病率和肌肉骨骼疼痛。生活方式习惯将包括身体活动水平,久坐的行为,睡眠参数,饮食模式,吸烟和饮酒。年龄的社会人口统计学变量,性别,种族和社会经济地位将被视为协变量。数据收集的后续访问将安排在基线评估的12个月后,每12个月进行一次。
    结论:家庭环境有很大的潜力决定儿童和青少年的生活习惯。根据本研究的结果,我们希望在家庭环境中更好地设计健康促进行动。
    BACKGROUND: Lifestyle and habits, cardiovascular risk factors (CRF), bone and mental health, dietary habits, physical activity, among others are developed in childhood and adolescence. Family environment has shown to play an important role in these outcomes. However, whether the parent-child relationship lifestyle habits and health parameters can be influenced by physical activity patterns still unclear. The objective of this study will be to monitor and investigate the associations between lifestyle habits between parents and their children longitudinally, as well as verify whether in more active parents, the possible associations with lifestyle habits are different from those of parents considered less active.
    METHODS: The sample will consist of parents (father, mother, or both) and their children /adolescents. The participants will be recruited through public call by flyers spread across all the regions of the city and also through social media. The health parameters will include cardiovascular (cardiac autonomic modulation, blood pressure and resting heart rate), bone mineral density, anthropometric indices, handgrip strength, mental health (quality of life, anxiety and depression symptoms and stress), self-reported morbidities and musculoskeletal pain. Lifestyle habits will include physical activity levels, sedentary behavior, sleep parameters, eating patterns, smoking and alcohol consumption. Sociodemographic variables of age, sex, ethnicity and socioeconomic status will be considered as covariates. The follow-up visits of data collection will be scheduled after a period of 12 months from the baseline assessment during every twelve months.
    CONCLUSIONS: The family environment has great potential to determine lifestyle habits in children and adolescents. Based on the results presented in the present study, we hope that health promotion actions can be better designed in the family environment.
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  • 文章类型: Journal Article
    背景/目的:产后抑郁症通常被定义为分娩后不久发生的严重抑郁发作。这种情况最常见于女性;然而,父系产后抑郁症已经开始引起更多的研究关注。这项研究旨在确定用于测量这种心理健康问题的不同工具,并检测危险因素以及父亲产后抑郁症的主要韧性来源。方法:采用PRISMA方法进行文献综述。结果:在分析了10篇文章后,确定爱丁堡产后抑郁量表是女性人群中使用最广泛的产后抑郁诊断工具,经过几次研究,它已经在男性中得到了验证。在分析了几项研究以强调父亲产后抑郁症的主要危险因素后,已经确定,影响最大的因素是男性性别角色压力。这些发现凸显了当今父亲的传统角色。大多数卫生专业人员将母亲视为优先事项。结论:父亲抑郁症是当今父母的主要问题,以及新生儿。随着时间的推移,越来越需要将父亲纳入当前和未来的心理健康计划,以便能够提供必要的支持。
    Background/Objectives: Postpartum depression is usually defined as a major depressive episode that occurs shortly after childbirth. This condition is most commonly found in females; however, paternal postpartum depression has begun to attract more research attention. This study aims to identify different instruments for measuring this mental health problem and to detect risk factors as well as the main sources of resilience in paternal postpartum depression. Methods: A literature review was conducted following the PRISMA method. Results: After analyzing 10 articles, it was determined that the Edinburgh Postpartum Depression Scale is the most widely used instrument for the diagnosis of postpartum depression in the female population, and after several studies, it has already been validated for the male sex. After several studies were analyzed to highlight the main risk factors for paternal postpartum depression, it was established that the most influential factor is male gender role stress. These findings highlight the traditional role of fathers today. Most health professionals see the mother as the priority. Conclusions: Paternal depression is a major problem for mothers and fathers today, as well as for the newborn. As time goes on, there is a growing need to incorporate fathers into current and future mental health programs to be able to provide the necessary support.
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  • 文章类型: Journal Article
    本研究旨在通过使用配置分析来探讨影响中国西部ASD儿童父亲育儿效能的核心因素和配置。
    了解父亲抚养ASD儿童的父母功效相关的推拉因素,可以支持ASD儿童的父亲参与教育事务,提高家庭教育质量,这对个人和社会都非常重要。这项研究从中国招募了156名ASD儿童的父亲。
    结果表明,在患有ASD的孩子的父亲中,有不止一种(子)配置可以实现高水平的育儿效能。(b)配置可总结为以下三种主要类型:\“在系统内工作*灵活的工作时间,\"\"高水平的教育*高水平的其他支持,\"和\"严重残疾*与妻子的互动较少。“(c)两个变量,“家庭收入”和“社区支持”,“不像以前的研究所显示的那样重要,它们的影响通常取决于它们如何与其他变量相互作用。
    研究结果强调了部署配置分析(基于生态系统理论)以建立自变量与ASD儿童父亲的育儿效能之间的关系的有效性。多个配置的发现导致了关于多种因素如何影响育儿效能的新共识。对从业者提出了启示,政策制定者,和未来的研究一样。
    UNASSIGNED: This study aimed to explore the core factors and configurations influencing parenting efficacy for fathers of children with ASD in Western China by using a configuration analysis.
    UNASSIGNED: Understanding the push-pull factors related to parenting efficacy for fathers raising children with ASD can support the fathers of children with ASD to participate in education affairs and improve the quality of family education, which is of significant importance to both individuals and society. This study recruited 156 fathers of children with ASD from China.
    UNASSIGNED: The results suggested that there was more than one (sub) configuration for achieving a high level of parenting efficacy among fathers of children with ASD. (b) The configurations could be summarized into three main types as follows: \"working within the system*flexible working time,\" \"high level of education*high level of other support,\" and \"severe disability*fewer interaction with wife.\" (c) The two variables, \"family income\" and \"community support,\" were not as important as they were shown in previous studies, and their effects often depended on how they interact with other variables.
    UNASSIGNED: Findings highlighted the validity of deploying configuration analysis (based on the ecosystem theory) to establish the relationship between independent variables and the parenting efficacy of fathers of children with ASD. The discovery of more than one configuration led to a new consensus on how multiple factors influence parenting efficacy. Implications were suggested for practitioners, policymakers, and future research alike.
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