Beck C T
School of Nursing, University of Connecticut, Storrs 06269, USA.
J Adv Nurs. 1999 Mar;29(3):623-9. doi: 10.1046/j.1365-2648.1999.00943.x.
Children of depressed mothers are not only at risk for the development of psychopathology, but also for behaviour problems. A meta-analysis of 33 studies was conducted to determine the magnitude of the relationship between maternal depression and behaviour problems in children 1 year of age and older. Substantive, methodological, and miscellaneous variables were extracted and coded by both the researcher and a research assistant. The initial inter-rater agreement reached in coding these variables ranged from 85% to 100%. Effect sizes were calculated in three ways: unweighted, weighted by sample size, and weighted by quality index score. The mean effect size for the r index ranged from 0.29 when weighted by sample size to 0.35 when unweighted, indicating a moderate relationship between maternal depression and child behaviour problems. Children between the ages of 1-18 whose mothers were depressed displayed more conduct behaviour problems than children whose mothers were not depressed. The magnitude of this relationship covaried significantly with the predictors of sample size and quality index scores. Implications for future research are addressed.
母亲患有抑郁症的孩子不仅有出现精神病理学问题的风险,还存在行为问题的风险。我们对33项研究进行了荟萃分析,以确定1岁及以上儿童的母亲抑郁与行为问题之间关系的程度。研究人员和一名研究助理提取并编码了实质性、方法性和其他各类变量。在对这些变量进行编码时,最初的评分者间一致性在85%至100%之间。效应大小通过三种方式计算:未加权、按样本量加权以及按质量指数得分加权。r指数的平均效应大小范围从按样本量加权时的0.29到未加权时的0.35,表明母亲抑郁与儿童行为问题之间存在中等程度的关系。母亲患有抑郁症的1至18岁儿童比母亲未患抑郁症的儿童表现出更多的品行行为问题。这种关系的程度与样本量和质量指数得分的预测因素显著相关。文中还探讨了对未来研究的启示。