Department of Educational Studies, College of Education, Purdue University.
Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine.
J Fam Psychol. 2021 Oct;35(7):886-896. doi: 10.1037/fam0000849. Epub 2021 Apr 19.
Early onset of depression predicts unfavorable psychosocial and health outcomes, and depression often co-occurs for children and their parents, yet family profiles of depression trajectories are not fully examined. This population-based longitudinal prospective cohort study included 2,111 families drawn from the Chinese Family Panel Study (CFPS) with biannual assessments from 2010 to 2018. Group-based multitrajectory modeling was used to identify depression trajectories of children, fathers, and mothers. Six distinct profiles of depression symptoms were identified. Based upon multitrajectory findings of family depression profiles, when adolescents are at risk for depression, there is likely at least one parent concurrently at risk for depression, but not vice versa. Families with social disadvantages and children of delayed developmental milestones are at elevated risk for depression. Even when children are at low risk for depression, depression in parents can spill over to impact other psychosocial and health outcomes. These findings suggest examining depression and its associating psychosocial factors could help identify trajectories of varying onset and continuity, which can inform early prevention and intervention from a family system perspective. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
早期抑郁发作预示着不利的心理社会和健康结局,儿童及其父母经常同时出现抑郁,但抑郁轨迹的家庭特征尚未得到充分研究。这项基于人群的纵向前瞻性队列研究包括来自中国家庭追踪调查(CFPS)的 2111 个家庭,从 2010 年到 2018 年每两年评估一次。采用基于群组的多轨迹建模来识别儿童、父亲和母亲的抑郁轨迹。确定了六种不同的抑郁症状特征。基于家庭抑郁特征的多轨迹研究结果,当青少年有抑郁风险时,至少有一位父母同时有抑郁风险,但反之则不然。社会劣势家庭和发育迟缓儿童的家庭处于更高的抑郁风险中。即使儿童没有抑郁风险,父母的抑郁也会蔓延到其他心理社会和健康结果上。这些发现表明,检查抑郁及其相关心理社会因素可以帮助识别不同发病和连续性的轨迹,从而可以从家庭系统的角度为早期预防和干预提供信息。