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母亲抑郁与青少年受欺凌:2004 年佩洛塔斯队列研究结果。

Maternal depression and bullying victimization among adolescents: Results from the 2004 Pelotas cohort study.

机构信息

Department of Nutrition, School of Medicine, Federal University of Uberlandia, Uberlândia/MG, Brazil.

Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil.

出版信息

Depress Anxiety. 2017 Oct;34(10):897-907. doi: 10.1002/da.22662. Epub 2017 Jun 20.

Abstract

BACKGROUND

Maternal depression impacts on several detrimental outcomes during a child's life course, and could increase their risk of victimization. This longitudinal study examined the association between antenatal maternal depression, postnatal trajectories, and current maternal depression and offspring bullying victimization at 11 years.

METHODS

We included 3,441 11-year-old adolescents from the 2004 Pelotas Cohort Study. Antenatal maternal depression, postnatal trajectories, and current maternal depression data were assessed during the follow-up waves. Bullying victimization was self-reported by the adolescents. We used ordinal logistic regression to estimate the odds ratio (OR) and 95% confidence intervals (CIs), for the association between maternal depression and offspring bullying victimization.

RESULTS

The most prevalent type of bullying was verbal victimization (37.9%). We observed a positive association between antenatal maternal depression, postnatal trajectories, and current maternal depression and physical bullying victimization. Maternal mood symptoms during pregnancy were associated with physical (OR = 1.30, 95%CI = 1.11-1.53), verbal (OR = 1.29, 95%CI = 1.12-1.49), and any victimization (OR = 1.22, 95%CI = 1.05-1.41). Severe current maternal depression was associated with physical (OR = 1.34, 95%CI = 1.10-1.62), social manipulation (OR = 1.29, 95%CI = 1.08-1.53), attacks on property (OR = 1.30, 95%CI = 1.08-1.57) and any victimization (OR = 1.32, 95%CI = 1.12-1.56). Regarding maternal depression trajectories, the "chronic-high" group was associated with higher risk of social manipulation, attacks on property and any victimization, than the "low" group.

CONCLUSIONS

Our results strengthen the evidence of association between maternal depression and offspring bullying victimization, and physical victimization appears to be the main component. Further studies are warranted to confirm our findings and to elucidate the theoretical pathways for this longitudinal association.

摘要

背景

母亲的抑郁会对孩子一生中的几个不利结果产生影响,并可能增加他们受害的风险。这项纵向研究考察了产前母亲抑郁、产后轨迹和当前母亲抑郁与 11 岁时子女受欺凌之间的关系。

方法

我们纳入了 2004 年佩洛塔斯队列研究中的 3441 名 11 岁青少年。在随访期间评估了产前母亲抑郁、产后轨迹和当前母亲抑郁的数据。欺凌受害情况由青少年自行报告。我们使用有序逻辑回归来估计母亲抑郁与子女受欺凌之间的比值比(OR)和 95%置信区间(CI)。

结果

最常见的欺凌形式是言语欺凌(37.9%)。我们发现产前母亲抑郁、产后轨迹和当前母亲抑郁与身体欺凌受害之间存在正相关关系。怀孕期间母亲的情绪症状与身体(OR=1.30,95%CI=1.11-1.53)、言语(OR=1.29,95%CI=1.12-1.49)和任何受害(OR=1.22,95%CI=1.05-1.41)有关。严重的当前母亲抑郁与身体(OR=1.34,95%CI=1.10-1.62)、社会操纵(OR=1.29,95%CI=1.08-1.53)、财产攻击(OR=1.30,95%CI=1.08-1.57)和任何受害(OR=1.32,95%CI=1.12-1.56)有关。关于母亲抑郁轨迹,“慢性高”组与社会操纵、财产攻击和任何受害的风险较高有关,而“低”组则较低。

结论

我们的结果加强了母亲抑郁与子女受欺凌之间的关联证据,且身体受欺凌似乎是主要组成部分。需要进一步的研究来证实我们的发现,并阐明这一纵向关联的理论途径。

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