Department of Psychiatry, College of Physicians and Surgeons, Columbia University & Division of Epidemiology, New York State Psychiatric Institute, United States.
J Affect Disord. 2010 Sep;125(1-3):307-15. doi: 10.1016/j.jad.2010.01.003. Epub 2010 Feb 6.
Addressing the long-term reliability of retrospectively assessed parenting is underscored by the well-documented association between parenting behaviors, and mood disorders in offspring. The rarity of longitudinal research with follow-up periods exceeding 10 years creates a need for additional studies.
134 offspring of depressed and non-depressed parents were assessed on Parental Bonding Instrument (PBI) scores, lifetime major depression (MDD), and current depressive symptoms at four waves across 20 years. PBI rank order and mean level stability, individual trajectories, and the impact of baseline age, gender, and lifetime MDD on stability, were obtained using multiple regression and linear mixed model analyses.
Besides paternal overprotection which showed a 1.6-point average decrease, the PBI domains remained non-significant for mean level change over 20 years. However, there was a significant individual variation for all PBI domains. Lifetime MDD and age did not significantly impact retest correlations; older age at baseline was associated with higher average paternal overprotection. Sons had lower retest correlations than daughters, but did not differ from daughters on mean level stability. Current depressive symptoms were associated with PBI scores, but did not impact the effect of lifetime MDD, gender or age on mean level stability and individual trajectories.
Small sample sizes and measuring lifetime MDD as present or absent may have restricted our ability to detect effects of MDD history on PBI stability.
The PBI is a robust measure of an important environmental risk for depressive disorders, and can be variably sensitive to sample characteristics, the passage of time and mood fluctuations. However, this sensitivity does not appear to significantly bias the long-term stability of this instrument.
已有充分的文献证明,父母养育方式与子女情绪障碍之间存在关联,因此评估回溯性评估父母养育的长期可靠性尤为重要。由于缺乏随访时间超过 10 年的纵向研究,因此需要开展更多研究。
134 名抑郁和非抑郁父母的子女接受了父母养育方式问卷(PBI)评分、终生重性抑郁障碍(MDD)和当前抑郁症状评估,在 20 年的 4 个时间点进行了 4 次评估。使用多元回归和线性混合模型分析,获得了 PBI 等级顺序和平均水平稳定性、个体轨迹以及基线年龄、性别和终生 MDD 对稳定性的影响。
除了父亲过度保护(平均下降 1.6 分)外,PBI 各维度在 20 年内的平均水平变化均无统计学意义。然而,所有 PBI 维度均存在显著的个体差异。终生 MDD 和年龄并未显著影响重测相关性;基线年龄较大与父亲过度保护的平均水平较高相关。与女儿相比,儿子的重测相关性较低,但在平均水平稳定性上与女儿无差异。当前抑郁症状与 PBI 评分相关,但对终生 MDD、性别或年龄对平均水平稳定性和个体轨迹的影响没有影响。
样本量小,将终生 MDD 作为存在或不存在进行测量可能限制了我们检测 MDD 病史对 PBI 稳定性影响的能力。
PBI 是评估抑郁障碍重要环境风险的有力工具,对样本特征、时间流逝和情绪波动的变化具有可变的敏感性。然而,这种敏感性似乎不会显著影响该工具的长期稳定性。