Kiss Eniko
Szegedi Tudományegyetem, Altalános Orvostudományi Kar, Gyermekgyógyászati Klinika, Gyermekpszichiátriai Osztály, Szeged.
Orv Hetil. 2010 Jan 3;151(1):29-36. doi: 10.1556/OH.2010.28758.
Mother-child agreement and influencing factors were studied in depressed and non-depressed children.
We hypothesized that age and gender of the child and maternal depression influenced mother-child agreement; parents of depressed children underestimated the quality of life of their children; agreement was better in older and non-depressed children.
We studied depressed children with Major Depressive Disorder (n = 354, mean age = 11.69 +/- 2.05 years), and non-depressed school-age children (n = 1695, mean age = 10.34 +/- 2.19 years). Psychiatric diagnosis was obtained by a semi-structured interview; depressive symptoms and quality of life were measured by self-reported questionnaires.
Mother-child agreement about depressive symptoms increased as children got older. Mother-son reports showed significant difference, mother-daughter reports were similar. Depressed mothers reported more serious symptoms for their children. Depressed children's parent rated lower quality of life than children for themselves. Agreement was influenced by depression of the child and only marginally by age.
Age and psychiatric illness of the examined person influences agreement, which finding may well be important in practice.
对抑郁和非抑郁儿童的母婴一致性及影响因素进行了研究。
我们假设儿童的年龄和性别以及母亲的抑郁状况会影响母婴一致性;抑郁儿童的父母低估了其子女的生活质量;年龄较大和非抑郁的儿童一致性更好。
我们研究了患有重度抑郁症的抑郁儿童(n = 354,平均年龄 = 11.69 ± 2.05岁)和非抑郁学龄儿童(n = 1695,平均年龄 = 10.34 ± 2.19岁)。通过半结构化访谈获得精神科诊断;通过自我报告问卷测量抑郁症状和生活质量。
随着儿童年龄增长,母婴关于抑郁症状的一致性增加。母子报告显示出显著差异,母女报告相似。抑郁的母亲报告其子女的症状更严重。抑郁儿童的父母对其生活质量的评分低于儿童自评。一致性受儿童抑郁状况的影响,仅略微受年龄影响。
被检查者的年龄和精神疾病会影响一致性,这一发现可能在实践中很重要。