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有抑郁风险的青少年中同伴受害与抑郁症状之间的交互关系:性别差异证据

Transactional Relations Between Peer Victimization and Depressive Symptoms Among Youth at Risk of Developing Depression: Evidence for Gender Differences.

作者信息

Israel Elana S, Gibb Brandon E

机构信息

Department of Psychology, Binghamton University, State University of New York, 13902-6000, Binghamton, NY, USA.

出版信息

Res Child Adolesc Psychopathol. 2023 May;51(5):625-637. doi: 10.1007/s10802-023-01032-5. Epub 2023 Feb 4.

Abstract

Offspring of mothers with a history of major depressive disorder (MDD) are at high risk of developing the disorder themselves, yet specific mechanisms of risk remain unclear. One hypothesized mechanism is interpersonal stress, which has been shown to be elevated in offspring of mothers with a history of MDD. The goal of this study was to examine the role of a specific form of interpersonal stress, peer victimization (overt and relational). In doing so, we not only examined the impact of peer victimization on changes in youth depression, but also youth depression on changes in peer victimization, consistent with stress generation models. Participants were 251 mothers with (n = 129) or without (n = 122) a history of MDD and their child (aged 8-14 years at baseline) who were assessed every six months for two years. Using random intercepts cross-lagged panel models (RI-CLPM), we were able to separate between-subject effects (mother MDD group differences in average levels of peer victimization and offspring depressive symptoms) and within-subject effects (transactional influences between within-subject fluctuations in peer victimization and depressive symptoms among offspring over time). Overall, these effects were stronger for relational victimization than for overt victimization and stronger for girls than boys. These results support the role of peer victimization, particularly relational victimization, as a risk factor among offspring of mothers with MDD, particularly girls, and highlight transactional relations between relational victimization and depressive symptoms in girls over time, which may create a vicious cycle of risk.

摘要

有重度抑郁症(MDD)病史的母亲的后代自身患该疾病的风险很高,但具体的风险机制仍不清楚。一种假设的机制是人际压力,研究表明,有MDD病史的母亲的后代的人际压力会升高。本研究的目的是检验一种特定形式的人际压力——同伴受害(公开和关系型)的作用。在此过程中,我们不仅研究了同伴受害对青少年抑郁变化的影响,还研究了青少年抑郁对同伴受害变化的影响,这与压力产生模型一致。参与者为251名有(n = 129)或无(n = 122)MDD病史的母亲及其孩子(基线年龄为8 - 14岁),他们在两年内每六个月接受一次评估。使用随机截距交叉滞后面板模型(RI - CLPM),我们能够区分组间效应(母亲MDD组在同伴受害平均水平和后代抑郁症状方面的差异)和组内效应(同伴受害的组内波动与后代抑郁症状随时间的相互影响)。总体而言,关系型受害的影响比公开型受害更强,女孩受到的影响比男孩更强。这些结果支持了同伴受害,尤其是关系型受害,作为有MDD病史母亲的后代,尤其是女孩的一个风险因素的作用,并突出了关系型受害与女孩抑郁症状随时间的相互关系,这可能会形成一个风险恶性循环。

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