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儿童和青少年期的抑郁症状学

Depressive symptomatology in childhood and adolescence.

作者信息

Duggal S, Carlson E A, Sroufe L A, Egeland B

机构信息

University of Minnesota, Minneapolis, USA.

出版信息

Dev Psychopathol. 2001 Winter;13(1):143-64. doi: 10.1017/s0954579401001109.

Abstract

Antecedents of depressive symptomatology in childhood and adolescence were examined in a prospective longitudinal study of at-risk youth (n = 168) from families of lower socioeconomic status. Relations between family context factors, maternal depressive symptoms, and depressive symptoms in childhood and adolescence were examined, with a focus on early family relationship factors rarely available for analysis in longitudinal data sets. Results suggest the possibility of etiological differences between depressive symptoms in childhood and in adolescence. Depressive symptomatology in childhood was predicted by the overall family context. Cumulative effects of maternal depressive symptomatology, early care lacking in emotional supportiveness, abuse, and family stressors were observed. Depressive symptomatology in adolescence, on the other hand, was specifically associated with maternal depression and early care lacking in emotional supportiveness. Moreover, an intriguing sex difference emerged: maternal depressive symptomatology was strongly associated with depressive symptomatology in adolescence for females, but for males supportive early care appeared more relevant.

摘要

在一项对来自社会经济地位较低家庭的高危青少年(n = 168)进行的前瞻性纵向研究中,对儿童期和青少年期抑郁症状的前因进行了检查。研究了家庭环境因素、母亲抑郁症状与儿童期和青少年期抑郁症状之间的关系,重点关注纵向数据集中很少可供分析的早期家庭关系因素。结果表明儿童期和青少年期抑郁症状在病因上可能存在差异。儿童期的抑郁症状可由整体家庭环境预测。观察到母亲抑郁症状、缺乏情感支持的早期照料、虐待和家庭压力源的累积效应。另一方面,青少年期的抑郁症状与母亲抑郁以及缺乏情感支持的早期照料有特定关联。此外,出现了一个有趣的性别差异:母亲抑郁症状与女性青少年期的抑郁症状密切相关,但对男性而言,支持性的早期照料似乎更具相关性。

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