Kroeger Rhiannon A, Umberson Debra, Powers Daniel A, Forrest Danequa L
Louisiana State University, Baton Rouge, LA, USA.
University of Texas at Austin, Austin, TX, USA.
Soc Ment Health. 2020 Nov;10(3):237-256. doi: 10.1177/2156869319859402. Epub 2019 Jun 28.
Attention-deficit/hyperactivity disorder (ADHD) is tied to higher levels of depression, but the social factors that shape these associations are not well understood. This study considers whether family transitions affect depressive symptoms differently for young adults with and without childhood symptoms of ADHD at subthreshold or diagnostic levels. Between-within regression analysis of nationally representative longitudinal survey data shows that transitions into cohabitation and parenthood affect depressive symptoms differently for young adults with and without childhood symptoms of ADHD. Specifically, within-person effects indicate that transitions into cohabitation and parenthood are tied to decreases in depressive symptoms, but only for young adults without childhood symptoms of ADHD. In contrast, transitions into marriage are tied to decreases in depressive symptoms, and transitions out of coresidential unions are tied to increases in depressive symptoms, regardless of childhood symptoms of ADHD. The results suggest that some family transitions may work to widen ADHD disparities in depression, under-scoring the importance of family contexts for shaping mental health throughout the life course.
注意力缺陷多动障碍（ADHD）与较高水平的抑郁相关，但影响这些关联的社会因素尚未得到充分理解。本研究探讨了家庭转变对有或没有亚阈值或诊断水平ADHD童年症状的年轻人的抑郁症状的影响是否不同。对具有全国代表性的纵向调查数据进行组内组间回归分析表明，同居和为人父母的转变对有或没有ADHD童年症状的年轻人的抑郁症状影响不同。具体而言，个体内部效应表明，同居和为人父母的转变与抑郁症状的减轻有关，但仅适用于没有ADHD童年症状的年轻人。相比之下，无论是否有ADHD童年症状，结婚转变与抑郁症状的减轻有关，而离开核心居住家庭的转变与抑郁症状的增加有关。结果表明，一些家庭转变可能会扩大ADHD在抑郁方面的差异差距，突出了家庭环境在塑造一生心理健康方面的重要性。
