Zaslow M J, Hair E C, Dion M R, Ahluwalia S K, Sargent J
Child Trends, Washington, DC 20008, USA.
Women Health. 2001;32(3):211-51. doi: 10.1300/J013v32n03_03.
This study examines the role of maternal depressive symptoms and low maternal literacy in predicting outcomes in two generations in families receiving welfare: mothers' employment and children's development. The sample consists of 351 African-American families, each with a preschool-age child, in which the mother had applied for or was receiving welfare. Close to the start of the study, 52.6 percent of the mothers in the sample had scores indicating lower literacy, 39.5 percent reported moderate to high levels of depressive symptoms, and 24.6 percent had a co-occurrence of these. Using continuous scores, in multivariate analyses of variance, neither level of literacy, extent of depressive symptoms, nor the interaction of these, were found to predict two measures of subsequent employment (any employment across the two year follow-up period, and current employment at the time of the follow-up). However, when cut points were used (low literacy; moderate to high depressive symptoms), mothers with low literacy were found less often to be employed approximately two years later. Multivariate analyses of variance examining the set of child outcomes (cognitive school readiness and behavior problems) in light of mothers' depressive symptoms and literacy level found a statistically significant interaction of literacy level and extent of depressive symptoms: children of mothers with more depressive symptoms had less favorable developmental outcomes only in the presence of low maternal literacy. Structural equation models provide evidence that parenting behavior mediates the relationship between the predictor variables and child outcomes, and that the pathways from depressive symptoms through parenting to child outcomes are stronger when maternal depressive symptoms co-occur with low maternal literacy.
母亲的就业情况和孩子的发育情况。样本包括351个非裔美国家庭,每个家庭都有一个学龄前儿童,其母亲已申请或正在接受福利救济。在研究即将开始时,样本中52.6%的母亲得分显示文化水平较低,39.5%报告有中度至高度抑郁症状,24.6%同时存在这两种情况。在多变量方差分析中,使用连续得分时,未发现文化水平、抑郁症状程度及其相互作用能预测随后就业的两项指标(两年随访期内的任何就业情况以及随访时的当前就业情况)。然而,当使用切点(低文化水平;中度至高度抑郁症状)时,发现文化水平低的母亲大约两年后就业的情况较少。在根据母亲的抑郁症状和文化水平对一组儿童结局(认知入学准备和行为问题)进行多变量方差分析时,发现文化水平和抑郁症状程度之间存在统计学上显著的相互作用:只有在母亲文化水平低的情况下,抑郁症状较多的母亲的孩子发育结局才较差。结构方程模型提供了证据,表明养育行为介导了预测变量与儿童结局之间的关系,并且当母亲抑郁症状与低文化水平同时出现时,从抑郁症状通过养育行为到儿童结局的路径更强。