Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA.
Department of Psychology, University of California, Los Angeles, California, USA.
J Clin Psychol. 2023 Feb;79(2):431-448. doi: 10.1002/jclp.23417. Epub 2022 Jul 23.
Adolescent girls who grow up with mothers who are depressed are themselves highly vulnerable to developing depression (i.e., "intergenerational transmission of depression"). Stressor exposure is a strong risk factor for depression, and the transmission of depression risk from mothers to daughters is partly due to mothers experiencing more stressors, increasing daughters' stressor burden. However, research in this area has only assessed recent stressors, making the role of cumulative lifetime stressors unclear.
To address this issue, we recruited 52 dyads of mothers and adolescent daughters, of which 22 daughters were at high maternal risk for depression. Participants completed diagnostic interviews, and daughters additionally self-reported their depressive symptoms. Participants also completed the Stress and Adversity Inventory, a new-generation instrument for assessing cumulative lifetime history of acute and chronic stressors based on the contextual threat approach. We tested moderated mediation models evaluating the conditional indirect effects of mothers' lifetime stressors on high- versus low-risk daughters' depressive symptoms through daughters' lifetime stressors.
As hypothesized, mothers of high-risk (but not low-risk) adolescent daughters who reported more lifetime acute stressors had daughters who reported more lifetime acute stressors and current depressive symptoms. Moreover, this finding was driven specifically by mothers' stressors occurring after their daughters' births. There was also tentative evidence that high-risk daughters' lifetime chronic stressors potentiated the impact of daughters' acute stressors on their depressive symptoms.
These findings provide new insights into how stressful contexts are transmitted intergenerationally.
在患有抑郁症的母亲抚养下长大的少女本身极易患上抑郁症(即“抑郁症的代际传递”)。压力源暴露是抑郁症的一个强烈风险因素,而母亲将抑郁风险传递给女儿的部分原因是母亲经历了更多的压力源,增加了女儿的压力源负担。然而,该领域的研究仅评估了最近的压力源,因此不清楚累积终生压力源的作用。
为了解决这个问题,我们招募了 52 对母亲和青春期女儿的母女对,其中 22 名女儿有较高的母亲抑郁风险。参与者完成了诊断访谈,女儿还自我报告了她们的抑郁症状。参与者还完成了压力和逆境量表,这是一种基于情境威胁方法评估急性和慢性压力源累积终生史的新一代工具。我们测试了调节中介模型,评估了母亲终生压力源通过女儿终生压力源对高风险(而非低风险)女儿抑郁症状的条件间接效应。
正如假设的那样,报告有更多终生急性压力源的高风险(而非低风险)青春期女儿的母亲,其女儿报告的终生急性压力源和当前抑郁症状更多。此外,这一发现具体是由女儿出生后母亲发生的压力源驱动的。还有初步证据表明,高风险女儿的终生慢性压力源增强了女儿急性压力源对其抑郁症状的影响。
这些发现为压力源如何在代际间传递提供了新的见解。