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代际传递的抑郁和焦虑障碍:通过青少年人格的中介。

Intergenerational transmission of depressive and anxiety disorders: Mediation via youth personality.

机构信息

Department of Psychology.

Department of Epidemiology.

出版信息

J Psychopathol Clin Sci. 2022 Jul;131(5):467-478. doi: 10.1037/abn0000759. Epub 2022 Jun 2.

Abstract

Youth personality is hypothesized to mediate the intergenerational transmission of internalizing disorders. However, this has rarely been examined. We tested whether the intergenerational transmission of depressive and anxiety disorders is mediated by youth neuroticism and extraversion, and how parent personality influenced these relationships. Participants included 550 adolescent girls, aged 13-15 years at baseline (T1), and a coparticipating biological parent. Depressive and anxiety disorders were assessed by interview at T1, and adolescents were reinterviewed every 9 months for 3 years (T2-T5). Parent and youth personality was assessed at T1. Four path models examined direct and indirect effects of parent psychopathology and personality (neuroticism and extraversion) on youth outcomes, with youth neuroticism and extraversion as mediators in separate models. In the model examining the effects of parent psychopathology via T1 youth neuroticism, there were direct effects of parent depression on T2-T5 youth depressive disorders and indirect effects of parent anxiety disorders on T2-T5 youth depressive and anxiety disorders. When parent neuroticism was added, indirect effects of T1 parent anxiety disorders and neuroticism on T2-T5 youth depressive and anxiety disorders via T1 youth neuroticism were significant. In the model examining T1 youth extraversion as a mediator, there were significant direct effects of parent depressive and anxiety disorders on T2-T5 youth depressive and anxiety disorders, respectively. Finally, when adding parent extraversion, indirect effects of parent extraversion on T2-T5 youth depressive and anxiety disorders via youth extraversion were significant. Parent and youth personality play important roles in the intergenerational transmission of depressive and anxiety disorders. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

青少年人格被假设为内隐障碍代际传递的中介。然而,这一点很少被检验。我们测试了抑郁和焦虑障碍的代际传递是否通过青少年的神经质和外向性来介导,以及父母的个性如何影响这些关系。参与者包括 550 名 13-15 岁的青春期女孩,以及一个共同参与的生物学父母。在 T1 时通过访谈评估抑郁和焦虑障碍,青少年在接下来的 3 年中每 9 个月重新访谈一次(T2-T5)。在 T1 时评估父母和青少年的个性。四个路径模型检验了父母精神病理学和个性(神经质和外向性)对青少年结果的直接和间接影响,在单独的模型中,青少年的神经质和外向性作为中介。在通过 T1 青少年神经质来检验父母精神病理学影响的模型中,有父母抑郁对 T2-T5 青少年抑郁障碍的直接影响,以及父母焦虑障碍对 T2-T5 青少年抑郁和焦虑障碍的间接影响。当加入父母神经质时,T1 父母焦虑障碍和神经质通过 T1 青少年神经质对 T2-T5 青少年抑郁和焦虑障碍的间接影响是显著的。在检验 T1 青少年外向性作为中介的模型中,父母抑郁和焦虑障碍对 T2-T5 青少年抑郁和焦虑障碍有显著的直接影响。最后,当加入父母外向性时,父母外向性通过青少年外向性对 T2-T5 青少年抑郁和焦虑障碍的间接影响是显著的。父母和青少年的个性在抑郁和焦虑障碍的代际传递中起着重要作用。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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