Department of Human Development and Family Studies, Purdue University, United States; Department of Statistics, Purdue University, United States.
Department of Human Development and Family Studies, Purdue University, United States.
Child Abuse Negl. 2017 Jul;69:151-162. doi: 10.1016/j.chiabu.2017.04.015. Epub 2017 May 3.
Adolescents receive psychological or emotional care from both parents and peers, which is crucial for mental health at this stage. Little research has been undertaken to evaluate the experience and consequences of caregiver psychological neglect during adolescence. Less is known about the unique and combined impacts of neglectful experiences with parents and peers. The purpose of this study was to evaluate the relationship between exposure to caregiver psychological neglect and isolation from peers with depression for a population of at-risk adolescents. A sample of 2776 adolescents who represent a cohort population of adolescents in contact with Child Protective Services in the U.S. was studied. Data come from the National Survey of Child and Adolescent Well-being (NSCAW) and are pooled across four waves representing seven years duration. Structural equation modeling with latent variables was used to estimate within-time associations. A two-stage-least squares path model was used to determine within-time reciprocal effects between depression and neglectful experiences. Adolescents who are emotionally neglected by their primary caregivers and are isolated from peers have substantially increased depression, a combined standardized effect of 0.78-0.91. Isolation from peers is more impactful for depression compared to psychological neglect by caregivers. The effects of deficits in these two primary sources of emotional support explain 40 percent of the variation in depression. The relationships between depression and peer isolation and depression and psychological neglect are reciprocal, but the primary direction of effect is from neglectful experiences to depression.
青少年同时从父母和同龄人那里获得心理或情感上的关怀，这对他们这个阶段的心理健康至关重要。很少有研究评估青少年时期照顾者心理忽视的经历和后果。对于父母和同龄人忽视经历的独特和综合影响，我们知之甚少。本研究旨在评估接触照顾者心理忽视与与同伴隔离与抑郁之间的关系，研究对象为处于高危环境中的青少年人群。研究对美国儿童保护服务机构接触的 2776 名青少年进行了样本分析。数据来自全国儿童和青少年健康调查（NSCAW），并跨越四个波次，历时七年进行了汇总。采用潜变量结构方程模型来估计同期关联。采用两阶段最小二乘法路径模型来确定抑郁和忽视经历之间同期的相互影响。情感上被主要照顾者忽视且与同伴隔离的青少年，其抑郁程度显著增加，综合标准化效应为 0.78-0.91。与照顾者的心理忽视相比，同伴隔离对抑郁的影响更大。这两个主要情感支持来源的缺失对抑郁的解释程度达到 40%。抑郁与同伴隔离以及抑郁与心理忽视之间的关系是相互的，但主要影响方向是从忽视经历到抑郁。
