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母亲照料与女孩的抑郁症状及反社会行为轨迹:对高危青少年的一项调查

Maternal caregiving and girls' depressive symptom and antisocial behavior trajectories: an examination among high-risk youth.

作者信息

Harold Gordon T, Leve Leslie D, Kim Hyoun K, Mahedy Liam, Gaysina Darya, Thapar Anita, Collishaw Stephan

机构信息

University of Sussex.

University of Oregon.

出版信息

Dev Psychopathol. 2014 Nov;26(4 Pt 2):1461-75. doi: 10.1017/S095457941400114X.

Abstract

Past research has identified maternal depression and family of origin maltreatment as precursors to adolescent depression and antisocial behavior. Caregiving experiences have been identified as a factor that may ameliorate or accentuate adolescent psychopathology trajectories. Using a multilevel approach that pools the unique attributes of two geographically diverse, yet complementary, longitudinal research designs, the present study examined the role of maternal caregiver involvement as a factor that promotes resilience-based trajectories related to depressive symptoms and antisocial behaviors among adolescent girls. The first sample comprises a group of US-based adolescent girls in foster care (n = 100; mean age = 11.50 years), each of whom had a history of childhood maltreatment and removal from their biological parent(s). The second sample comprises a group of UK-based adolescent girls at high familial risk for depression (n = 145; mean age = 11.70 years), with all girls having biological mothers who experienced recurrent depression. Analyses examined the role of maternal caregiving on girls' trajectories of depression and antisocial behavior, while controlling for levels of co-occurring psychopathology at each time point. Results suggest increasing levels of depressive symptoms for girls at familial risk for depression but decreasing levels of depression for girls in foster care. Foster girls' antisocial behavior also decreased over time. Maternal caregiver involvement was differentially related to intercept and slope parameters in both samples. Results are discussed with respect to the benefits of applying multilevel (multisample, multiple outcome) approaches to identifying family-level factors that can reduce negative developmental outcomes in high-risk youth.

摘要

过去的研究已将母亲抑郁和原生家庭虐待确定为青少年抑郁和反社会行为的先兆。照料经历已被确定为一个可能改善或加剧青少年心理病理学轨迹的因素。本研究采用多层次方法,汇集了两个地理位置不同但相互补充的纵向研究设计的独特属性,考察了母亲照料者参与作为促进与青少年女孩抑郁症状和反社会行为相关的基于复原力轨迹的因素所起的作用。第一个样本包括一组在美国寄养的青少年女孩(n = 100;平均年龄 = 11.50岁),她们每个人都有童年虐待史且与亲生父母分离。第二个样本包括一组在英国有高抑郁家族风险的青少年女孩(n = 145;平均年龄 = 11.70岁),所有女孩的生母都有复发性抑郁症。分析考察了母亲照料对女孩抑郁和反社会行为轨迹的作用,同时控制每个时间点共病心理病理学的水平。结果表明,有抑郁家族风险的女孩抑郁症状水平上升,但寄养女孩的抑郁水平下降。寄养女孩的反社会行为也随时间减少。在两个样本中,母亲照料者的参与与截距和斜率参数存在差异相关。讨论了应用多层次(多样本、多结果)方法来确定可减少高危青年负面发展结果的家庭层面因素的益处。

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