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应对方式和应激反应作为调节母亲抑郁症状与青少年内外化问题的中介变量。

Coping and Stress Reactivity as Moderators of Maternal Depressive Symptoms and Youth's Internalizing and Externalizing Symptoms.

机构信息

Department of Psychology & Human Development, Vanderbilt University, Peabody 552, 230 Appleton Place, Nashville, TN, 37203, USA.

出版信息

J Youth Adolesc. 2019 Aug;48(8):1580-1591. doi: 10.1007/s10964-019-01033-y. Epub 2019 May 27.

Abstract

Youth's responses to stress are a central feature of risk and resilience across development. The current study examined whether youth coping and stress reactivity moderate the association of current maternal depressive symptoms with youth's internalizing and externalizing symptoms. Mothers (M = 41.58, SD = 6.18) with a wide range of depressive symptoms and their children ages 9-15 (M = 12.25, SD = 1.89, 45.3% girls) completed measures of youth symptoms and coping and automatic responses to stress. Mothers also completed a self-report measure of depressive symptoms. Youth's primary and secondary control coping, stress reactivity, and involuntary disengagement moderated the association between current maternal depressive symptoms and youth symptoms. Maternal depressive symptoms were associated with youth's internalizing and externalizing symptoms when youth used low as opposed to high levels of primary and secondary control coping. Conversely, maternal depressive symptoms were associated with youth symptoms for youth with high levels of stress reactivity and involuntary disengagement. The findings suggest interventions focused on improving the use of primary and secondary control coping skills and reducing reactivity and involuntary disengagement to stress may benefit youth with mothers who are experiencing high levels of depressive symptoms.

摘要

青少年应对压力的方式是其在整个发展过程中风险和适应能力的核心特征。本研究旨在探讨青少年应对方式和压力反应是否能调节当前母亲抑郁症状与青少年内化和外化症状之间的关系。研究对象为具有不同抑郁症状严重程度的母亲(M=41.58,SD=6.18)及其 9-15 岁的子女(M=12.25,SD=1.89,45.3%为女孩)。这些青少年及其母亲填写了青少年症状、应对方式和压力自动反应的量表,母亲还填写了一份关于抑郁症状的自评量表。青少年的初级和次级控制应对、压力反应和无意识脱离调节了当前母亲抑郁症状与青少年症状之间的关系。当青少年使用低水平而非高水平的初级和次级控制应对方式时,母亲的抑郁症状与青少年的内化和外化症状有关。相反,对于高水平压力反应和无意识脱离的青少年,母亲的抑郁症状与青少年症状有关。研究结果表明,专注于提高青少年初级和次级控制应对技能、降低反应性和无意识脱离的干预措施可能会使有高抑郁症状母亲的青少年受益。

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