School of Public Health, Curtin University, Perth, WA, Australia.
Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia.
J Ment Health. 2021 Jun;30(3):349-357. doi: 10.1080/09638237.2021.1875423. Epub 2021 Feb 1.
There are limited studies on the risk of depressive symptoms in adolescent offspring exposed to parental mental health problems in middle childhood.
We investigated the association between parental mental health problems, particularly paternal emotional problems and maternal symptoms of anxiety and depression, and the risk of depressive symptoms in adolescent offspring aged 17.
The study included 995 parent-offspring pairs from the 1989-91 birth cohort (the Raine Study) in Western Australia. Log-binomial regression was used to assess the associations.
An increased risk of depression symptoms was observed in the adolescent offspring of mothers with depressive [RR 1.45, 95% CI 1.13-1.86] as well as anxiety symptoms [RR 1.43, 95% CI 1.09-1.87].Compared to those non-exposed, offspring whose mothers reported comorbid anxiety and depressive symptoms were more likely to have developed depressive symptoms by late adolescence [RR 1.63, 95%CI 1.11-2.38]. An increased risk of depressive symptoms was also seen in the offspring of fathers with emotional problems [RR 1.29, 95%CI 1.01-1.53].
Our findings suggest an increased risk of depressive symptoms in the adolescent offspring of parents with mental health problems, specifically paternal emotional problems (29%) and maternal anxiety (43%), depression (45%), as well as comorbid anxiety and depressive symptoms (63%).
在儿童中期暴露于父母心理健康问题的青少年子女中,抑郁症状的风险相关研究有限。
我们调查了父母心理健康问题,特别是父亲的情绪问题和母亲的焦虑和抑郁症状,与 17 岁青少年子女抑郁症状风险之间的关联。
本研究纳入了来自西澳大利亚州 1989-1991 年出生队列(Raine 研究)的 995 对父母-子女对。采用对数二项式回归来评估关联。
患有抑郁症状的母亲[RR 1.45,95%CI 1.13-1.86]以及焦虑症状[RR 1.43,95%CI 1.09-1.87]的母亲的青少年子女抑郁症状风险增加。与未暴露的子女相比,母亲报告同时存在焦虑和抑郁症状的子女在青少年晚期更有可能出现抑郁症状[RR 1.63,95%CI 1.11-2.38]。父亲有情绪问题的子女也出现抑郁症状风险增加[RR 1.29,95%CI 1.01-1.53]。
我们的研究结果表明,父母心理健康问题,特别是父亲的情绪问题(29%)和母亲的焦虑(43%)、抑郁(45%)以及同时存在焦虑和抑郁症状(63%),会增加青少年子女出现抑郁症状的风险。