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Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies

Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies
Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies
Background: Most evidence for associations between childhood adversity and adult mental illness is retrospective.

Aims: To evaluate prospective evidence of associations between poor parent–child relationships and common psychiatric disorders in later life.

Method: Systematic review of studies published between 1970 and 2008 including: (a) more than 100 participants; (b) measures of relationships in the home during childhood; (c) at least 10 years between assessment of exposures; and (d) measures of anxiety, depression, suicide, suicidal ideation or post-traumatic stress disorder (PTSD). Analysis was by narrative synthesis.

Results: Twenty-three papers were identified reporting data from 16 cohorts. Abusive relationships predicted depression, anxiety and PTSD. Maternal emotional unavailability in early life predicted suicide attempts in adolescence. Results of studies investigating less severe relationship problems were suggestive but not conclusive of causal association, due partly to methodological heterogeneity.

Conclusions: Given the prevalence and disabling nature of common psychiatric problems, these studies highlight the need to minimise harm associated with dysfunctional parent–child relationships
0007-1250
392-398
Weich, Scott
2980d4bb-cd1d-4aa8-9861-99ef4f2dee18
Patterson, Jacoby
333f5aed-0ed1-446d-9cdf-e64c3b60504e
Shaw, Richard
298c2aed-130e-4580-af23-1032d29e16f7
Stewart-Brown, Sarah
eef3bd01-a8b8-42fb-9d1b-3ee9c5e37e61
Weich, Scott
2980d4bb-cd1d-4aa8-9861-99ef4f2dee18
Patterson, Jacoby
333f5aed-0ed1-446d-9cdf-e64c3b60504e
Shaw, Richard
298c2aed-130e-4580-af23-1032d29e16f7
Stewart-Brown, Sarah
eef3bd01-a8b8-42fb-9d1b-3ee9c5e37e61

Weich, Scott, Patterson, Jacoby, Shaw, Richard and Stewart-Brown, Sarah (2009) Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies. The British Journal of Psychiatry, 194, 392-398. (doi:10.1192/bjp.bp.107.042515). (PMID:19407266)

Record type: Article

Abstract

Background: Most evidence for associations between childhood adversity and adult mental illness is retrospective.

Aims: To evaluate prospective evidence of associations between poor parent–child relationships and common psychiatric disorders in later life.

Method: Systematic review of studies published between 1970 and 2008 including: (a) more than 100 participants; (b) measures of relationships in the home during childhood; (c) at least 10 years between assessment of exposures; and (d) measures of anxiety, depression, suicide, suicidal ideation or post-traumatic stress disorder (PTSD). Analysis was by narrative synthesis.

Results: Twenty-three papers were identified reporting data from 16 cohorts. Abusive relationships predicted depression, anxiety and PTSD. Maternal emotional unavailability in early life predicted suicide attempts in adolescence. Results of studies investigating less severe relationship problems were suggestive but not conclusive of causal association, due partly to methodological heterogeneity.

Conclusions: Given the prevalence and disabling nature of common psychiatric problems, these studies highlight the need to minimise harm associated with dysfunctional parent–child relationships

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Published date: 2009

Identifiers

Local EPrints ID: 182991
URI: https://eprints.soton.ac.uk/id/eprint/182991
ISSN: 0007-1250
PURE UUID: a1b1c95c-5288-4e0d-a87c-72cbf44ff58c

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Date deposited: 28 Apr 2011 13:21
Last modified: 16 Jul 2019 23:41

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Contributors

Author: Scott Weich
Author: Jacoby Patterson
Author: Richard Shaw
Author: Sarah Stewart-Brown

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