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不利的儿童期经历对西班牙裔家庭的代际影响:父母抑郁和父母-青少年沟通的中介作用。

The Intergenerational Impact of Adverse Childhood Experiences on Hispanic Families: The Mediational Roles of Parental Depression and Parent-Adolescent Communication.

机构信息

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Schwartz Center for Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.

出版信息

Fam Process. 2022 Mar;61(1):422-435. doi: 10.1111/famp.12652. Epub 2021 Apr 21.

Abstract

Parental exposure to adverse childhood experiences (ACEs) has been documented as a strong risk factor for subsequent externalizing behaviors in their youth. Although studies have investigated ACEs and their intergenerational association with youth externalizing behaviors, this association has not been investigated in Hispanic families. Additionally, substantial gaps in the literature exist explaining the mechanisms by which this association occurs. The purpose of this study was to examine whether parent-adolescent communication and parental depressive symptomatology explain the relationship between parent's ACE score and adolescent externalizing behaviors. This secondary data analysis utilized baseline data from an ongoing randomized controlled trial evaluating the relative effectiveness of an online parenting intervention for Hispanic adolescents. The sample consisted of 456 parents and their adolescents between the ages of 12-16. Using path modeling, parental depressive symptomatology and parent-adolescent communication were simultaneously examined as mechanisms that may explain the intergenerational relationship between parental exposure to ACEs and externalizing behaviors in Hispanic youth. Parental depressive symptomatology and parent-adolescent communication both significantly mediated the association between parental exposure to ACEs and adolescent externalizing behaviors. Understanding the mechanisms explaining the intergenerational association between parental exposure to ACEs and adolescent externalizing behaviors may aid future research examining problematic behaviors in Hispanic youth.

摘要

父母经历不良的儿童期经历 (ACEs) 已被证明是其子女在青年期出现外化行为的一个强烈风险因素。尽管已有研究调查了 ACEs 及其与青年外化行为的代际关联,但尚未在西班牙裔家庭中对此关联进行研究。此外,文献中存在大量空白,无法解释这种关联发生的机制。本研究旨在探讨父母与青少年的沟通和父母的抑郁症状是否可以解释父母 ACE 评分与青少年外化行为之间的关系。本二次数据分析利用了一项正在进行的随机对照试验的基线数据,该试验评估了针对西班牙裔青少年的在线父母干预措施的相对有效性。样本包括 456 名父母及其年龄在 12-16 岁之间的青少年。通过路径建模,同时检查了父母的抑郁症状和父母与青少年的沟通,作为可能解释父母经历 ACEs 与西班牙裔青少年外化行为之间代际关系的机制。父母的抑郁症状和父母与青少年的沟通都显著中介了父母经历 ACEs 与青少年外化行为之间的关联。了解解释父母经历 ACEs 与青少年外化行为之间代际关联的机制可能有助于未来研究西班牙裔青少年的问题行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd08/9509697/e5b072597623/nihms-1833712-f0001.jpg

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Youth Risk Behavior Surveillance - United States, 2017.青少年风险行为监测 - 美国,2017 年。
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