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代际抑郁连续性:时变效应、母亲共病健康风险行为和儿童性别重要性。

Intergenerational Continuity in Depression: The Importance of Time-Varying Effects, Maternal Co-morbid Health Risk Behaviors and Child's Gender.

机构信息

Department of Criminal Justice, College of Public Policy, The University of Texas at San Antonio, 4.220 Durango Building, 501W. Cesar Chavez Blvd., San Antonio, TX, 78207, USA.

Department of Psychology, Colorado State University, 337 Behavioral Sciences Building, Fort Collins, CO, 80525, USA.

出版信息

J Youth Adolesc. 2018 Oct;47(10):2143-2168. doi: 10.1007/s10964-017-0805-2. Epub 2018 Jan 12.

Abstract

Intergenerational continuity in depressive symptoms is well established between mother and child, but there are still important facets of this relationship that are underexplored. We examine intergenerational continuity in depressive symptoms between mother-child dyads as a flexible function of child age and account for the potential moderating role of maternal co-morbid health risk behaviors. Using prospective, self-report data collected yearly from 413 mother-child dyads (210 mother-son dyads and 203 mother-daughter dyads) between child ages 12-17, the results indicate that the effect of maternal depressive symptoms on daughters' depressive symptoms steadily increases throughout adolescence whereas the effect of maternal depressive symptoms on sons' depressive symptoms is relatively small, stable, and non-significant during mid-adolescence before increasing in effect in later adolescence. A positive interactive effect between maternal depressive symptoms and intimate partner violence is observed for sons and maternal depressive symptoms and substance use for daughters. A negative interactive effect of maternal depressive symptoms and substance use is observed among sons. Overall, this study identifies particular subgroups for whom intervention programming is most beneficial and suggests targeting health risk behaviors of mothers to lessen the impact of maternal depressive symptoms on offspring.

摘要

代际间抑郁症状的连续性在母子之间已经得到了充分证实,但这种关系仍有许多重要方面尚未得到充分探索。我们考察了母子对子代抑郁症状的代际连续性是如何作为儿童年龄的一个灵活函数的,并考虑了母亲共病健康风险行为的潜在调节作用。使用前瞻性、自我报告的数据,从儿童年龄在 12-17 岁的 413 对母子(210 对母子和 203 对母子)中每年收集一次,结果表明,母亲抑郁症状对女儿抑郁症状的影响在整个青春期稳步增加,而母亲抑郁症状对儿子抑郁症状的影响相对较小,在青春期中期相对稳定且不显著,然后在后期青春期增加。对于儿子,观察到母亲抑郁症状和亲密伴侣暴力之间存在积极的交互作用,对于女儿,观察到母亲抑郁症状和物质使用之间存在积极的交互作用。在儿子中观察到母亲抑郁症状和物质使用之间的负交互作用。总的来说,这项研究确定了最有益于干预计划的特定亚组,并建议针对母亲的健康风险行为,以减轻母亲抑郁症状对后代的影响。

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