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母亲抑郁症状可预测儿童精神病理学中的一般责任。

Maternal Depressive Symptoms Predict General Liability in Child Psychopathology.

机构信息

Department of Psychology, University of Denver.

Department of Psychology, Brandeis University.

出版信息

J Clin Child Adolesc Psychol. 2022 Jan-Feb;51(1):85-96. doi: 10.1080/15374416.2020.1723598. Epub 2020 Mar 27.

Abstract

: The current study examines how maternal depressive symptoms relate to child psychopathology when structured via the latent bifactor model of psychopathology, a new organizational structure of psychopathological symptoms consisting of a general common psychopathology factor (-factor) and internalizing- and externalizing-specific risk.: Maternal report of depressive symptoms (Beck Depression Inventory - II) and child psychopathological symptoms (Child Behavior Checklist and Children's Behavior Questionnaire) were provided by 554 mother-child pairs. Children in the sample were 7.7 years old on average ( = 1.35, range = 5-11 years), and were 49.8% female, 46% Latinx, and 67% White, 6% Black, 5% Asian/Pacific Islander, and 21% multiracial.: Maternal depressive symptoms were positively associated with the child -factor but not with the internalizing- or externalizing-specific factors. We did not find evidence of sex/gender or race/ethnicity moderation when using latent factors of psychopathology. Consistent with past research, maternal depressive symptoms were positively associated with internalizing and externalizing composite scores on the Child Behavior Checklist.: Findings suggest that maternal depressive symptoms are associated with transdiagnostic risk for broad child psychopathology (-factor). Whereas the traditional Achenbach-style approach of psychopathological assessment suggests that maternal depressive symptoms are associated with both child internalizing and externalizing problems, the latent bifactor model suggests that these associations may be accounted for by risk pathways related to the -factor rather than internalizing or externalizing specific risk. We discuss clinical and research implications of using a latent bifactor structure of psychopathology to understand how maternal depression may impact children's mental health.

摘要

当前研究通过精神病理学潜在双因素模型来考察母亲抑郁症状与儿童精神病理学之间的关系,这是一种新的精神病理学症状组织结构,由一个一般的常见精神病理学因素(-因素)和内化-外化特定风险组成。

母亲的抑郁症状报告(贝克抑郁量表-第二版)和儿童精神病理学症状(儿童行为检查表和儿童行为问卷)由 554 对母子提供。样本中的儿童平均年龄为 7.7 岁(= 1.35,范围为 5-11 岁),49.8%为女性,46%为拉丁裔,67%为白人,6%为黑人,5%为亚洲/太平洋岛民,21%为多种族。

母亲的抑郁症状与儿童 -因素呈正相关,但与内化或外化特定因素无关。我们在使用精神病理学潜在因素时没有发现性别/性别或种族/族裔的调节作用。与过去的研究一致,母亲的抑郁症状与儿童行为检查表上的内化和外化综合评分呈正相关。

研究结果表明,母亲的抑郁症状与广泛的儿童精神病理学(-因素)的跨诊断风险相关。虽然传统的阿肯巴克式精神病理学评估方法表明,母亲的抑郁症状与儿童的内化和外化问题都有关,但潜在的双因素模型表明,这些关联可能是由与-因素相关的风险途径而不是内化或外化特定风险来解释的。我们讨论了使用精神病理学潜在双因素结构来理解母亲的抑郁如何影响儿童心理健康的临床和研究意义。

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