Bonner Margaret S, Ramsey Rachelle R, Ryan Jamie L, Fedele David A, Mullins Larry L, Wagner Janelle L, Jarvis James N, Chaney John M
Oklahoma State University, USA
Oklahoma State University, USA.
J Child Health Care. 2015 Mar;19(1):63-72. doi: 10.1177/1367493513496910. Epub 2013 Aug 12.
Studies demonstrate a link between parental distress, youth illness appraisals, and depression symptoms in youth with juvenile rheumatic diseases. However, the exclusive use of broadband (i.e. general) measures of parental distress in these studies has resulted in conceptual and clinical imprecision regarding the parent-child adjustment process. Our aim was to reanalyze previously published data (i.e. Wagner et al., 2003) using a depression-specific scale derived from the general adult distress measure in the original study. Parents completed the Brief Symptom Inventory (BSI), youth completed the Child Depression Inventory (CDI), and the Illness Intrusiveness Scale (IIS-C). Thirteen Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) depression-specific items from the BSI comprised the parent measure of Depressive Symptoms Scale (DS). Consistent with Wagner et al. (2003), adult DS scores were associated with youth CDI scores. However, youth illness appraisals had unique effects on the parent-child depression relation. Elevated youth perceptions of illness intrusiveness amplified the negative effect of parent depressive symptoms on youth depressive symptoms; decreased illness intrusiveness buffered the negative effect of parent depression. The empirical and clinical implications of assessing parent and youth adjustment in a domain-specific manner are discussed.
研究表明，在患有青少年风湿性疾病的青少年中，父母的痛苦、青少年对疾病的评估与抑郁症状之间存在联系。然而，在这些研究中仅使用宽泛的（即一般性的）父母痛苦测量方法，导致在亲子适应过程方面出现概念和临床方面的不精确性。我们的目的是使用从原始研究中的一般成人痛苦测量方法衍生出的特定于抑郁的量表，重新分析先前发表的数据（即瓦格纳等人，2003年）。父母完成了简明症状量表（BSI），青少年完成了儿童抑郁量表（CDI）和疾病侵扰量表（IIS-C）。简明症状量表中13项符合《精神障碍诊断与统计手册》（第四版）特定于抑郁的条目构成了抑郁症状量表（DS）的父母测量指标。与瓦格纳等人（2003年）一致，成人抑郁症状量表得分与青少年儿童抑郁量表得分相关。然而，青少年对疾病的评估对亲子抑郁关系有独特影响。青少年对疾病侵扰的认知增强会放大父母抑郁症状对青少年抑郁症状的负面影响；疾病侵扰认知降低则会缓冲父母抑郁的负面影响。本文讨论了以特定领域方式评估父母和青少年适应情况的实证和临床意义。
