Boyd Rhonda C, Tervo-Clemmens Brenden
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Pennsylvania, USA.
J Depress Anxiety. 2013 Jun 9;2(129). doi: 10.4172/2167-1044.1000129.
Comorbid depression and anxiety disorders are commonly experienced in mothers. Both maternal depression and anxiety as well as their comorbidity has been shown to increase psychopathology in children, however, there is limited research focusing on African American families. The aim of this study is to examine whether comorbid anxiety disorders are associated with maternal depression severity, kinship support, and child behavioral problems in a sample of African American mothers with depression. African American mothers (n = 77) with a past year diagnosis of a depressive disorder and a child between the ages of ages 8-14 were administered a clinician interview and measures of maternal depression severity, kinship support, and child behavior problems (internalizing and externalizing) in a cross-sectional design. Results showed that more than half (58%) of the mothers had a comorbid anxiety disorder and a third had Posttraumatic Stress Disorder (PTSD). Regression analyses showed that comorbid PTSD and Social Phobia were positively associated with maternal depression severity. Maternal comorbid Obsessive Compulsive Disorder (OCD) was associated with child internalizing symptoms. The findings are consistent with other research demonstrating negative outcomes with maternal comorbidity of depression and anxiety, however, there is limited research focused on maternal depression and OCD or PTSD. The study suggests that it is important to consider comorbid anxiety and cultural issues when conceptualizing, studying, and treating mothers with depression and their families.
患有共病性抑郁和焦虑症的情况在母亲中很常见。研究表明，母亲的抑郁和焦虑以及它们的共病都会增加孩子的精神病理学问题，然而，针对非裔美国家庭的研究却很有限。本研究的目的是在患有抑郁症的非裔美国母亲样本中，检验共病性焦虑症是否与母亲抑郁严重程度、亲属支持以及孩子的行为问题有关。对过去一年被诊断患有抑郁症且孩子年龄在8至14岁之间的非裔美国母亲（n = 77）进行了临床访谈，并采用横断面设计测量了母亲抑郁严重程度、亲属支持以及孩子的行为问题（内化和外化问题）。结果显示，超过一半（58%）的母亲患有共病性焦虑症，三分之一的母亲患有创伤后应激障碍（PTSD）。回归分析表明，共病性PTSD和社交恐惧症与母亲抑郁严重程度呈正相关。母亲共病的强迫症（OCD）与孩子的内化症状有关。这些发现与其他研究一致，即母亲的抑郁和焦虑共病会产生负面结果，然而，针对母亲抑郁与OCD或PTSD的研究有限。该研究表明，在对患有抑郁症的母亲及其家庭进行概念化、研究和治疗时，考虑共病性焦虑和文化问题很重要。
