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Estructura familiar en la infancia y trastornos de personalidad en la edad adulta
Published online by Cambridge University Press: 12 May 2020
Resumen
Antecedentes
Se estudió la asociación entre la estructura familiar en la infancia y las características sociodemográficas y los trastornos de la personalidad (TP) en una muestra de la población general.
Métodos
Este artículo es un subestudio del Estudio prospectivo Proyecto de la Cohorte de Nacimientos de 1966 del Norte de Finlandia con 1.588 sujetos jóvenes. Los métodos para encontrar casos según los criterios de TP del DSM-III-R fueron: (1) Entrevista Clínica Estructurada del DSM-III-R (SCID) para 321 casos que participaron en los estudios de campo de dos fases, (2) datos de Registro de Altas de los Hospitales Finlandeses y (3) análisis de las historias de los pacientes de la atención ambulatoria pública en 1982-1997. Se hicieron análisis estadísticos sobre la asociación entre el TP y los antecedentes familiares.
Resultados
En total, 110 sujetos (7%) tenían al menos un TP probable o claro. Después de ajustar las variables contaminantes (sexo, clase social de los padres y trastornos psiquiátricos de los padres), los resultados indicaron que la familia monoparental en la infancia se asociaba con un TP del Grupo B en la edad adulta. Ser hijo único en la infancia se asociaba con TP del Grupo A. No se encontraron factores especiales en la infancia de riesgo de TP del Grupo C.
Conclusiones
Los resultados sugieren que el tipo de familia monoparental en el nacimiento y ser hijo único en los años 1960 se asocian con TP en la edad adulta. Son necesarios nuevos estudios para explorar los aspectos psicosociales del ambiente familiar actual que pueden provocar vulnerabilidad a TP en la edad adulta.
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- Copyright © European Psychiatric Association 2008
References
Bibliografía
[1]Amato, PRLife-span adjustment of children to their parents' divorce. Future Child 1994;4:143–64.CrossRefGoogle ScholarPubMed
[2]Amato, PRChildren of divorce in the 1990s: an update of the Amato and Keith (1991) meta-analysis. J Am Psychol 2001;15:355–70.Google ScholarPubMed
[3]Amato, PRThe impact of family formation change on the cognitive, social, and emotional well-being of the next generation. Future Child 2005;15:75–96.CrossRefGoogle ScholarPubMed
[4]Amato, PRKeith, BParental divorce and the well-being of children: a meta-analysis. Psychol Bull 1991;110:26–46.CrossRefGoogle ScholarPubMed
[5]American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed. Washington, DC: APA; 1987. 1987 revisad (DSM-III-R).Google Scholar
[6]Bernstein, DPCohen, PSkodol, ABezirganian, SBrook, JSChildhood antecedents of personality disorders. Am J Psychiatry 1996;153:907–13.Google ScholarPubMed
[7]Bor, WMcGee, TRFagan, AAEarly risk factors for adolescent antisocial behaviour: an Australian longitudinal study. Aust N Z J Psychiatry 2004;38:365–72.CrossRefGoogle Scholar
[8]Cohen, PCrawford, TNJohnson, JGKasen, SThe children in the community study of developmental course of personality disorder. J Personal Disord 2005;19:466–86.CrossRefGoogle ScholarPubMed
[9]Christ, MALahey, BBFrick, PJRusso, MFMcBurnett, KLoeber, R et al. Serious conduct problems in the children of adolescent mothers: disentangling confounded correlations. J Consult Clin Psychol 1990;58:840–4.CrossRefGoogle ScholarPubMed
[10]Coid, JAetiological risk factors for personality disorders. Br J Psychiatry 1999;174:530–8.CrossRefGoogle ScholarPubMed
[11]Coid, JYan, MTyrer, PRoberts, AUllrich, SPrevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006;188:423–31.CrossRefGoogle ScholarPubMed
[12]Derogatis, LRLipman, RSCovi, LSCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull 1973;9:13–27.Google ScholarPubMed
[13]Dunn, JDeates-Deckard, KPickering, KO'Connor, TG, Golding, J the ALSPAC Study Tearn. Children's adjustment and prosocial behaviour in step-, single-parent, and non-stepfamily settings: findings from a community study. J Child Psychol Psychiatry 1998;39:1083–95.CrossRefGoogle ScholarPubMed
[14]Dunn, GPickles, ATansella, MVázquez-Barquero, JL. Two-phase epidemiological surveys in psychiatric research. Br J Psychiatry 1999;174:95–100.CrossRefGoogle ScholarPubMed
[15]Farrington, DPPsychosocial predictors of adult antisocial personality and adult convictions. Behav Sci Law 2000;18:605–22.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
[16]Goldstein, RBGrant, BFHuang, BSmith, SMStinson, FSDawson, DA et al. Lack of remarse in antisocial personality disorder: sociodemographic correlates, symptomatic presentation, and comorbidity with Axis I and Axis II disorders in the National Epidemiologic Survey on Alcohol and Related Conditions. Compr Psychiatry 2006;47:289–97.CrossRefGoogle ScholarPubMed
[17]Golomb, MFava, MAbraham, MRosenbaum, JFGender differences in personality disorders. Am J Psychiatry 1995;152:579–82.Google ScholarPubMed
[18]Grilo, CMMasheb, RMChildhood maltreatment and personality disorders in adult patients with binge eating disorder. Acta Psychiatr Scand 2002;106:183–8.CrossRefGoogle ScholarPubMed
[19]Hurtig, TTaanila, AEbeling, HMiettunen, JMoilanen, IAttention and behavioural problems of Finnish adolescents may be related to the family environment. Eur Child Adolesc Psychiatry 2005;14:471–8.CrossRefGoogle ScholarPubMed
[20]Isohanni, MMäkikyrö, TMoring, JRasanen, PHakko, HPartanen, U et al. A comparison of clinical and research DSM-III-R diagnoses of schizophrenia in a Finnish national birth cohort. Clinical and research diagnoses of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 1997;32:303–8.CrossRefGoogle Scholar
[21]Jaffee, SCaspi, AMoffit, TEBelsky, JSilva, PWhy are children bom to teen mothers at risk for adverse outcomes in young adulthood? Results from a 20-year longitudinal study. Dev Psychopathol 2001;13:377–97.CrossRefGoogle Scholar
[22]Johnson, JGCohen, PSkodol, AEOldham, JMKasen, SBrook, JSPersonality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Arch Gen Psychiatry 1999;56:805–11.CrossRefGoogle ScholarPubMed
[23]Johnson, JGCohen, PChen, HKasen, SBrook, JSParenting behaviours associated with risk for offspring personality disorder during adulthood. Arch Gen Psychiatry 2006;63:579–87.CrossRefGoogle ScholarPubMed
[24]Joukamaa, MLehtinen, VKarlsson, HRouhe, ESCL-25 and recognition of mental disorders reported by primary health care physicians. Acta Psychiatr Scand 1994;89:320–3.CrossRefGoogle ScholarPubMed
[25]Jarvelin, MRSovio, UKing, VLauren, LXu, BMcCarthy, MI et al. Early life factors and blood pressure at age 31 years in the 1966 northern Finland birth cohort. Hypertension 2004;44:291–7.CrossRefGoogle ScholarPubMed
[26]Karvonen, JTVeijola, JJokelainen, JLaksy, KJarvelin, MRJoukamaa, MSomatization disorder in young adult population. Gen Hosp Psychiatry 2004;26:9–12.CrossRefGoogle ScholarPubMed
[27]Kendler, KSNeale, MCKessler, RCHeath, ACLindon, JEChildhood parental loss and adult psychopathology in women. Arch Gen Psychiatry 1992;49:109–16.CrossRefGoogle ScholarPubMed
[28]Keskimäki, IAro, S. The accuracy of data on diagnoses procedures and accidents in the Finnish Hospital Discharge Register. Int J Health Sci 1991;2:15–21.Google Scholar
[29]Kim-Cohen, JCaspi, A, Rutter, M, Tomás, MP, Moffit, TE. The caregiving environments provided to children by depressed mothers with or without an antisocial history. Am J Psychiatry 2006;163:951–3.CrossRefGoogle ScholarPubMed
[30]Kim-Cohen, JMoffitt, TE, Taylor, A, Pawlby, SJ, Caspi, A. Maternal depression and children's antisocial behaviour: nature and nurture effects. Arch Gen Psychiatry 2005;62:173–81.CrossRefGoogle ScholarPubMed
[31]Leckman, JFSholomskas, DThompson, WDBelanger, AWeissman, MMBest estimate of lifetime psychiatric diagnosis: a methodological study. Arch Gen Psychiatry 1982;39:879–83.CrossRefGoogle ScholarPubMed
[32]Livesley, JThe implication of behavioural genetic research for concepts and models of personality. Eur Psychiatry 2002;17(Suppl. 1):85.CrossRefGoogle Scholar
[33]Miller, NMaruyana, GOrdinal position and peer popularity. J Pers Soc Psychol 1976;33:123–31.CrossRefGoogle Scholar
[34]Moilanen, IRantakallio, PThe single parent family and the child's mental health. Soc Sci Med 1988;27:181–6.CrossRefGoogle ScholarPubMed
[35]Moilanen, KVeijola, JLaksy, KMakikyro, TMiettunen, JKantojarvi, L et al. Reasons for the diagnostic discordance between clinicians and researchers in schizophrenia in the Northern Finland 1966 Birth Cohort. Soc Psychiatry Psychiatr Epidemiol 2003;38:305–10.CrossRefGoogle ScholarPubMed
[36]Maki, PHakko, HJoukamaa, MLaara, EIsohanni, MVeijola, JParental separation at birth and criminal behaviour in adulthood-a long-term follow-up of the Finnish Christmas Seal Home children. Soc Psychiatry Psychiatr Epidemiol 2003;38:354–9.CrossRefGoogle ScholarPubMed
[37]Mäkikyrö, T, Sauvola, A, Moring, J, Veijola, J, Nieminen, P, Jarvelin, M-R, et al. Hospital-treated psychiatric disorders in adults with a single-parent and two-parent family background: a 28-year followup of the 1966 Northern Finland Birth Cohort. Fam Process 1998;37:335–44.CrossRefGoogle Scholar
[38]Näyhä, S. Improved survival after acute myocardial infarction in Finland 1974-1985. Int J Epidemiol 1992;21:30–5.CrossRefGoogle ScholarPubMed
[39]Paris, JZweig-Frank, HGudzder, JRisk factors for borderline personality in male outpatients. J Nerv Ment Dis 1994;182:375–80.CrossRefGoogle ScholarPubMed
[40]Perth, LFerrier, MSaul, CParental loss before the age of 16 years: a comparative study of patients with personality disorder and patients with schizophrenia in a high secure hospital's population. Psychol Psychother 2004;77:403–7.CrossRefGoogle Scholar
[41]Pfiffner, LJMc, Bumett KRathouz, PJFather absence and familial antisocial characteristics. J Abnorm Child Psychol 2001 ,29:357–67.CrossRefGoogle ScholarPubMed
[42]Rantakallio, PGroups at risk in low birth weight infants and perinatal mortality. Acta Paediatr Scand 1969;193:1–71.Google ScholarPubMed
[43]Rantakallio, PSocial background of mothers who smoke during pregnancy and influence of these factors on the offspring. Soc Sci Med 1979;3A:423–9.Google Scholar
[44]Rantakallio, PA longitudinal study of the Northem Finland population birth cohort of 1966. Paediatr Perinat Epidemiol 1988;2:59–88.CrossRefGoogle Scholar
[45]Sandager, IMoum, TIngebrigtsen, GDahlgard, OSSorensen, TBruusgaard, DConcordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I. Soc Psychiatry Psychiatr Epidemiol 1998;33:345–54.CrossRefGoogle Scholar
[46]Smith, CAFarrington, DPContinuities in antisocial behavior and parenting across three generations. J Child Psychol Psychiatry 2004;45:230–47.CrossRefGoogle ScholarPubMed
[47]Spitzer, RLWilliams, JBWGibbon, MFirst, MBStructured clinical interview for DSM-III-R personality disorders (SCID-II, 9/1/89 Version). New York: Biometrics Research Department, New York State Psychiatric Institute; 1989.Google Scholar
[49]Taanila, ALaltinen, EMoilanen, IJarvelin, MREffects of family interaction on the child's behaviour in single parent or reconstructed familias. Fam Process 2002;41:693–708.CrossRefGoogle ScholarPubMed
[50]Tennart, CParental loss in childhood. It's effect in adult life. Arch Gen Psychiatry 1988;45:1045–50.CrossRefGoogle Scholar
[51]Veijola, JJokelainen, JLaksy, KKantojarvi, LKokkonen, PJarvelin, MR et al. The Hopkins Symptom Checklist-25 in screening DSM-III-R axis I disorders. Nord J Psychiatry 2003;57:119–23.CrossRefGoogle ScholarPubMed
[52]Veijola, JMaki, PJoukamaa, MJarvelin, M-RRantakallio, PIsohanni, MOffspring of depressed mother. Arch Gen Psychiatry 1998;55:949 [letter to editor].CrossRefGoogle Scholar