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母亲的抑郁症状而非焦虑症状与儿童内化问题的积极母子报告差异相关:TRAILS 研究报告。

Maternal depressive symptoms, and not anxiety symptoms, are associated with positive mother-child reporting discrepancies of internalizing problems in children: a report on the TRAILS study.

机构信息

Department of Child and Adolescent Psychiatry, Erasmus Medical Center Rotterdam, Sophia Children's Hospital, Dr. Molewaterplein 60, 3015 GJ, Rotterdam, The Netherlands.

出版信息

Eur Child Adolesc Psychiatry. 2010 Apr;19(4):379-88. doi: 10.1007/s00787-009-0062-3. Epub 2009 Oct 13.

Abstract

Maternal internalizing problems affect reporting of child's problem behavior. This study addresses the relative effects of maternal depressive symptoms versus anxiety symptoms and the association with differential reporting of mother and child on child's internalizing problems. The study sample comprised a cohort of 1,986 10- to 12-year-old children and their mothers from the Dutch general population in a cross sectional setup. Children's internalizing problems were assessed with the DSM-IV anxiety and affective problem scales of the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). Current maternal internalizing problems were assessed with the depressive and anxiety symptom scales of the Depression Anxiety Stress Scale (DASS), while the TRAILS Family History Interview (FHI) measured lifetime maternal depression and anxiety. Results show that current and lifetime maternal depressive symptoms were associated with positive mother-child reporting discrepancies (i.e. mothers reporting more problems than their child). Considering the small amount of variance explained, we conclude that maternal depressive symptoms do not bias maternal reporting on child's internalizing problems to a serious degree. Studies concerning long term consequences of mother-child reporting discrepancies on child's internalizing problems are few, but show a risk for adverse outcome. More prognostic research is needed.

摘要

母亲的内化问题会影响其对孩子问题行为的报告。本研究旨在探讨母亲抑郁症状和焦虑症状的相对影响,以及与母子之间不同报告的关联,以了解其对孩子内化问题的影响。该研究样本包括来自荷兰普通人群的 1986 名 10-12 岁儿童及其母亲,采用横断面设计。采用儿童行为检查表(CBCL)和青少年自我报告(YSR)的 DSM-IV 焦虑和情感问题量表评估儿童的内化问题。采用抑郁焦虑压力量表(DASS)的抑郁和焦虑症状量表评估当前母亲的内化问题,而 TRAILS 家庭史访谈(FHI)则测量母亲的终生抑郁和焦虑。结果表明,当前和终生的母亲抑郁症状与积极的母子报告差异(即母亲报告的问题比孩子多)有关。考虑到解释的方差量较小,我们得出结论,母亲的抑郁症状不会严重影响母亲对孩子内化问题的报告。关于母子报告差异对孩子内化问题的长期后果的研究很少,但表明存在不良后果的风险。需要更多的预后研究。

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