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青春期早期母亲抑郁/焦虑症状与儿童抽动频率之间的纵向双向关系。

Longitudinal Bidirectional Relationships Between Maternal Depressive/Anxious Symptoms and Children's Tic Frequency in Early Adolescence.

作者信息

Yagi Tomoko, Ando Shuntaro, Usami Satoshi, Yamasaki Syudo, Morita Masaya, Kiyono Tomoki, Hayashi Noriyuki, Endo Kaori, Iijima Yudai, Morimoto Yuko, Kanata Sho, Fujikawa Shinya, Koike Shinsuke, Kano Yukiko, Hiraiwa-Hasegawa Mariko, Nishida Atsushi, Kasai Kiyoto

机构信息

Department of Child Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Front Psychiatry. 2021 Nov 24;12:767571. doi: 10.3389/fpsyt.2021.767571. eCollection 2021.

Abstract

Previous studies have revealed an association between maternal depressive/anxious symptoms and children's tics. However, the longitudinal relationships between these symptoms remain unclear. We examined the longitudinal relationships between maternal depressive/anxious symptoms and children's tic frequency in early adolescence with a population-based sample. The participants consisted of 3,171 children and their mothers from the Tokyo Teen Cohort (TTC) study, a population-representative longitudinal study that was launched in Tokyo in 2012. Maternal depressive/anxious symptoms and children's tics were examined using self-report questionnaires at the ages of 10 (time 1, T1) and 12 (time 2, T2). A cross-lagged model was used to explore the relationships between maternal depressive/anxious symptoms and children's tic frequency. Higher levels of maternal depressive/anxious symptoms at T1 were related to an increased children's tic frequency at T2 (β = 0.06, < 0.001). Furthermore, more frequent children's tics at T1 were positively related to maternal depressive/anxious symptoms at T2 (β = 0.06, < 0.001). These findings suggest a longitudinal bidirectional relationship between maternal depressive/anxious symptoms and children's tic frequency in early adolescence that may exacerbate each other over time and possibly create a vicious cycle. When an early adolescent has tics, it might be important to identify and treat related maternal depressive/anxious symptoms.

摘要

先前的研究揭示了母亲的抑郁/焦虑症状与儿童抽动之间的关联。然而,这些症状之间的纵向关系仍不清楚。我们以基于人群的样本研究了母亲的抑郁/焦虑症状与青少年早期儿童抽动频率之间的纵向关系。参与者包括来自东京青少年队列(TTC)研究的3171名儿童及其母亲,该研究是一项具有人群代表性的纵向研究,于2012年在东京启动。在10岁(时间1,T1)和12岁(时间2,T2)时使用自我报告问卷对母亲的抑郁/焦虑症状和儿童的抽动情况进行了调查。采用交叉滞后模型来探究母亲的抑郁/焦虑症状与儿童抽动频率之间的关系。T1时母亲抑郁/焦虑症状水平较高与T2时儿童抽动频率增加有关(β = 0.06,<0.001)。此外,T1时儿童抽动频率较高与T2时母亲的抑郁/焦虑症状呈正相关(β = 0.06,<0.001)。这些发现表明,在青少年早期,母亲的抑郁/焦虑症状与儿童抽动频率之间存在纵向双向关系,随着时间的推移,二者可能会相互加剧,进而可能形成恶性循环。当青少年出现抽动时,识别并治疗相关的母亲抑郁/焦虑症状可能很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74ad/8652242/a8d1bb03f6ab/fpsyt-12-767571-g0001.jpg

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