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青少年时期的慢性家庭经济困难、家庭过程与身心症状的发展。

Chronic family economic hardship, family processes and progression of mental and physical health symptoms in adolescence.

机构信息

Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, 305 Sanford Drive, Athens, GA 30602-2622, USA.

出版信息

J Youth Adolesc. 2013 Jun;42(6):821-36. doi: 10.1007/s10964-012-9808-1. Epub 2012 Aug 29.

Abstract

Research has documented the relationship between family stressors such as family economic hardship and marital conflict and adolescents' mental health symptoms, especially depressive symptoms. Few studies, however, have examined the processes whereby supportive parenting lessens this effect and the progression of mental health and physical health symptoms in adolescence. The present study investigates the influences of chronic family economic hardship on adolescents' multiple health problem symptoms (i.e., symptoms of anxiety, and depression and physical complaints) through parents' marital conflict, and supportive parenting; it also examines how there adolescents' health problems mutually influence one another throughout adolescence. We used Structural Equation Modeling to analyze data from a longitudinal sample of European American mothers, fathers, and target adolescents (N = 451, 53% female) to examine direct and indirect effects. Findings generally supported the hypothesized model. Chronic family economic hardship contributed to mental and physical health problems of adolescents. This influence largely was mediated through supportive parenting. Moreover, supportive parenting buffered marital conflict on depressive symptoms of adolescents. Also, there was a tendency for females to show more stable depressive symptoms than males. The study demonstrates key mediating pathways and additional moderating influences based on the family stress model and also highlights the importance of improving health resources for adolescents.

摘要

研究记录了家庭压力源(如家庭经济困难和婚姻冲突)与青少年心理健康症状(尤其是抑郁症状)之间的关系。然而,很少有研究探讨支持性育儿如何减轻这种影响以及青少年心理健康和身体健康症状的发展过程。本研究通过父母婚姻冲突和支持性育儿,调查了慢性家庭经济困难对青少年多种健康问题症状(即焦虑、抑郁和身体抱怨症状)的影响;它还研究了青少年在整个青春期期间健康问题如何相互影响。我们使用结构方程模型分析了来自欧洲裔美国母亲、父亲和目标青少年(N=451,53%为女性)的纵向样本数据,以检验直接和间接效应。研究结果普遍支持假设模型。慢性家庭经济困难导致青少年的心理健康和身体健康问题。这种影响主要通过支持性育儿来实现。此外,支持性育儿缓冲了婚姻冲突对青少年抑郁症状的影响。而且,女性的抑郁症状往往比男性更稳定。该研究基于家庭压力模型展示了关键的中介途径和额外的调节影响,也强调了为青少年改善健康资源的重要性。

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