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母亲早期抑郁症状与孩子一年级适应的关系:儿童退缩作为中介的交互分析。

Mothers' early depressive symptoms and children's first-grade adjustment: a transactional analysis of child withdrawal as a mediator.

机构信息

Human Development and Family Sciences, University of Texas at Austin, Austin, TX, USA.

出版信息

J Child Psychol Psychiatry. 2014 May;55(5):495-504. doi: 10.1111/jcpp.12189. Epub 2013 Dec 28.

Abstract

BACKGROUND

The depression-inhibition hypothesis suggests that mothers' depressive symptoms undermine development because they lead children to withdraw from social contact. To test this, this study examined whether poor first-grade adjustment among children of mothers with depressive symptoms is mediated by the emergence of child withdrawal in early development.

METHOD

Based on 1,364 dyads, four waves of data spanning from 24 months to first grade (7 years) were used to examine paths by which children's withdrawal mediates relations between mothers' early depressive symptoms and three first-grade outcomes: social competence, academic performance, and externalizing behavior problems.

RESULTS

Structural equation modeling revealed three principal paths. First, direct relations were observed: Mothers' depressive symptoms predicted early child withdrawal and increases in child withdrawal over time, which predicted poor first-grade adjustment. Second, reciprocal relations were observed: Mothers' depressive symptoms predicted child withdrawal, which predicted increases in depressive symptoms. Third, relations via mother-child mutual responsiveness were observed: Depression-related increases in child withdrawal predicted declines in mutual responsiveness, which predicted poor first-grade adjustment.

CONCLUSION

The findings suggest that, due to its interdependence with maternal depression and low mother-child mutual responsiveness over time, child withdrawal may play an important role in the poor first-grade adjustment of children whose mothers are high in depressive symptoms.

摘要

背景

抑郁抑制假说认为,母亲的抑郁症状会破坏孩子的发展,因为这会导致孩子从社交中退缩。为了验证这一点,本研究考察了母亲抑郁症状的儿童在一年级时出现的发展性退缩是否会影响其较差的一年级适应情况。

方法

基于 1364 对母子对,研究使用了从 24 个月到一年级(7 岁)的四个时间点的数据,来检验儿童退缩在多大程度上会影响母亲早期抑郁症状与三种一年级结果(社交能力、学业表现和外化行为问题)之间的关系。

结果

结构方程模型揭示了三条主要路径。首先,观察到了直接关系:母亲的抑郁症状预测了儿童早期的退缩和随时间的增加,而儿童的退缩又预测了较差的一年级适应情况。其次,观察到了相互关系:母亲的抑郁症状预测了儿童的退缩,而儿童的退缩又预测了抑郁症状的增加。第三,观察到了通过母子相互反应性的关系:儿童退缩与抑郁相关的增加预测了相互反应性的下降,而相互反应性的下降又预测了较差的一年级适应情况。

结论

研究结果表明,由于儿童退缩与母亲抑郁和母子间相互反应性随时间的变化有关,因此它可能在母亲抑郁症状较高的儿童的一年级适应不良中起着重要作用。

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