Abraham Eyal, Letkiewicz Allison M, Wickramaratne Priya J, Bunyan Maya, van Dijk Milenna T, Gameroff Marc J, Posner Jonathan, Talati Ardesheer, Weissman Myrna M
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
Dev Psychopathol. 2022 Dec;34(5):1997-2011. doi: 10.1017/S0954579421000420. Epub 2021 Jun 8.
In this three-generation longitudinal study of familial depression, we investigated the continuity of parenting styles, and major depressive disorder (MDD), temperament, and social support during childrearing as potential mechanisms. Each generation independently completed the Parental Bonding Instrument (PBI), measuring individuals' experiences of and received from parents during childhood. MDD was assessed prospectively, up to 38 years, using the semi-structured Schedule for Affective Disorders and Schizophrenia (SADS). Social support and temperament were assessed using the Social Adjustment Scale - Self-Report (SAS-SR) and Dimensions of Temperament Scales - Revised, respectively. We first assessed transmission of parenting styles in the generation 1 to generation 2 cycle (G1→G2), including 133 G1 and their 229 G2 children (367 pairs), and found continuity of both care and overprotection. G1 MDD accounted for the association between G1→G2 experiences of care, and G1 social support and temperament moderated the transmission of overprotection. The findings were largely similar when examining these psychosocial mechanisms in 111 G2 and their spouses (G2+S) and their 136 children (G3) (a total of 223 pairs). Finally, in a subsample of families with three successive generations (G1→G2→G3), G2 experiences of overprotection accounted for the association between G1→G3 experiences of overprotection. The results of this study highlight the roles of MDD, temperament, and social support in the intergenerational continuity of parenting, which should be considered in interventions to "break the cycle" of poor parenting practices across generations.
在这项关于家族性抑郁症的三代纵向研究中,我们调查了养育方式的连续性,以及作为潜在机制的重度抑郁症(MDD)、气质和社会支持在育儿过程中的情况。每一代都独立完成了父母教养方式问卷(PBI),该问卷测量个体在童年时期从父母那里获得的经历以及给予父母的经历。使用半结构化的情感障碍和精神分裂症访谈表(SADS)对MDD进行前瞻性评估,随访时间长达38年。分别使用社会适应量表-自我报告(SAS-SR)和修订后的气质维度量表评估社会支持和气质。我们首先评估了第一代到第二代循环(G1→G2)中养育方式的传递情况,包括133名第一代及其229名第二代子女(共367对),发现关爱和过度保护都具有连续性。第一代的MDD解释了第一代与第二代之间关爱经历的关联,第一代的社会支持和气质调节了过度保护的传递。在检查111名第二代及其配偶(G2+S)以及他们的136名子女(G3)(共223对)中的这些心理社会机制时,研究结果基本相似。最后,在一个包含连续三代(G1→G2→G3)的家庭子样本中,第二代的过度保护经历解释了第一代与第三代之间过度保护经历的关联。这项研究的结果突出了MDD、气质和社会支持在养育方式代际连续性中的作用,在旨在“打破”代际不良养育行为“循环”的干预措施中应予以考虑。