Rice Frances, Lifford Kate J, Thomas Hollie V, Thapar Anita
Drs. Rice and Thomas, Ms. Lifford, and Professor Thapar are with the Department of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, Wales..
Drs. Rice and Thomas, Ms. Lifford, and Professor Thapar are with the Department of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, Wales.
J Am Acad Child Adolesc Psychiatry. 2007 Sep;46(9):1162-1170. doi: 10.1097/chi.0b013e3180cc255f.
To assess the value of maternal and self-ratings of adolescent depression by investigating the extent to which these reports predicted a range of mental health and functional outcomes 4 years later. The potential influence of mother's own depressed mood on her ratings of adolescent depression and suicidal ideation on adolescent outcome was also tested.
A longitudinal population-based study of 842 adolescents ages 11 to 16 at the baseline assessment and 15 to 20 at follow-up (62% retention).
Both mother- and adolescent-rated depressive symptoms predicted future depression, antisocial behavior, impairment, health service use, and regular tobacco use in the adolescent. The odds ratios obtained for maternal and adolescent ratings of depressive symptoms as predictors of future psychopathology were not significantly different. Mothers' own depressive symptoms were not significantly associated with adolescent depression, health service use, or substance use at follow-up. Depression that was accompanied by adolescent-rated suicidal thoughts was significantly more strongly associated with impairment at follow-up than depression alone.
It is possible to obtain clinically useful information on adolescent depression from the child's mother. However, information on suicidal ideation was rarely endorsed by mothers, suggesting that maternal report of adolescent suicidal thoughts shows less sensitivity than adolescent report.
通过调查母亲和青少年自身对青少年抑郁的评定在多大程度上能够预测4年后一系列心理健康和功能结局，来评估这些评定的价值。同时也测试了母亲自身的抑郁情绪对其对青少年抑郁的评定以及青少年自杀意念对青少年结局的潜在影响。
一项基于人群的纵向研究，基线评估时有842名11至16岁的青少年，随访时为15至20岁（保留率62%）。
母亲和青少年评定的抑郁症状均能预测青少年未来的抑郁、反社会行为、功能损害、医疗服务利用以及经常吸烟情况。母亲和青少年评定的抑郁症状作为未来精神病理学预测指标的优势比无显著差异。母亲自身的抑郁症状与随访时青少年的抑郁、医疗服务利用或物质使用无显著关联。伴有青少年评定的自杀念头的抑郁与随访时的功能损害的关联比单纯抑郁更强。
从孩子母亲那里获取有关青少年抑郁的临床有用信息是可能的。然而，母亲很少认可有关自杀意念的信息，这表明母亲报告的青少年自杀念头的敏感性低于青少年报告。
