Child and Adolescent Psychiatry Section, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, CF24 4HQ, UK; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2BN, UK.
Child and Adolescent Psychiatry Section, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, CF24 4HQ, UK; Rudd Centre for Adoption Research and Practice, School of Psychology, University of Sussex, Brighton, BN1 9QH, UK.
J Adolesc. 2018 Jun;65:207-218. doi: 10.1016/j.adolescence.2018.03.016. Epub 2018 Apr 7.
This study examines the role of paternal emotional support as a resilience promoter in offspring of mothers with depression by considering the role of fathers' mental health and the quality of the couple relationship. Two hundred and sixty-five mothers with recurrent unipolar depression, partners and adolescents from Wales were assessed. Paternal emotional support, couple relationship quality, and paternal depression were assessed at baseline; adolescent mental health symptoms were assessed using the Child and Adolescent Psychiatric Assessment at follow-up. Results showed evidence of an indirect pathway whereby couple relationship quality predicted paternal emotional support (β = -.21, 95% CI [-.34, -.08]; p = .002) which in turn predicted adolescent depression (β = -.18, 95% CI [-.33, -.04]; p = .02), but not disruptive behaviours (β = -.08, 95% CI [-.22, .07]; p = .30), after controlling for relevant confounders. The findings highlight that fathers and the broader family system play an important role in enhancing resilience to depression symptoms in at-risk adolescents.
本研究通过考察父亲的心理健康和夫妻关系质量，探讨了父亲情感支持作为抑郁母亲后代的韧性促进因素的作用。在威尔士评估了 265 名患有复发性单相抑郁症的母亲、伴侣和青少年。在基线时评估了父亲的情感支持、夫妻关系质量和父亲的抑郁情况；在随访时使用儿童和青少年精神科评估评估了青少年的心理健康症状。结果表明，夫妻关系质量预测父亲情感支持（β=-.21，95%CI [-.34，-.08]；p=0.002），进而预测青少年抑郁（β=-.18，95%CI [-.33，-.04]；p=0.02）存在间接途径，这是有证据支持的，但对破坏性行为（β=-.08，95%CI [-.22，.07]；p=0.30）没有影响，这在控制了相关混杂因素后仍然成立。研究结果强调了父亲和更广泛的家庭系统在增强处于风险中的青少年对抑郁症状的适应力方面发挥着重要作用。
