Department of Psychology, University of Illinois-Urbana Champaign, Champaign, IL, USA.
Medical University of South Carolina, Charleston, SC, USA.
Res Child Adolesc Psychopathol. 2023 Jun;51(6):885-903. doi: 10.1007/s10802-023-01046-z. Epub 2023 Mar 22.
Stress is one candidate mechanism posited to contribute to the intergenerational risk of psychopathology. However, the ways in which parent and child stress are related across adolescence, and the role that co-occurring parent and child stress may exert regarding bidirectional risk for internalizing symptoms, are not well understood. Using repeated measures data spanning 3-years, this study investigated (1) the extent to which trajectories of parent and child stress are related during adolescence, and (2) whether co-occurring parent and child stress trajectories mediate prospective, bidirectional associations between parent depression symptoms and child internalizing symptoms (depression, physical and social anxiety). Participants included 618 parent-adolescent dyads (age 8-16; 57% girls; 89% mothers). Parent depressive symptoms and child symptoms of depression, social anxiety, and physical anxiety were assessed via self-report questionnaire at baseline and 36 months later. Parent and child stress were assessed via self-report questionnaire every three months between 3- and 33-months (11 total assessments). Latent growth curve model (LGCM) analysis found that parent and child stress trajectories were positively related across development. Prospective LGCM mediation analysis showed that higher youth stress at 3-months partially mediated prospective relations between parental depressive symptoms at baseline and youth depressive, as well as physical and social anxiety symptoms at 36-months. Parent and child stress reinforce each other across adolescence and may lead to increased risk for psychopathology. Increases in child stress represent an important factor conferring transdiagnostic risk for internalizing among children of depressed parents.
压力是导致精神病理学代际风险的一个候选机制。然而,父母和孩子在青春期的压力是如何相互关联的,以及同时存在的父母和孩子的压力可能对内部症状的双向风险产生的作用,这些都还不太清楚。本研究使用跨越 3 年的重复测量数据,调查了:(1) 青春期期间父母和孩子压力轨迹之间相关的程度;(2) 同时存在的父母和孩子压力轨迹是否调节了父母抑郁症状和孩子内部症状(抑郁、身体和社交焦虑)之间的前瞻性双向关联。参与者包括 618 对父母-青少年对(年龄 8-16 岁;57%为女孩;89%为母亲)。父母的抑郁症状和孩子的抑郁、社交焦虑和身体焦虑症状通过基线和 36 个月后的自我报告问卷进行评估。父母和孩子的压力通过 3 至 33 个月之间的自我报告问卷每三个月评估一次(共 11 次评估)。潜在增长曲线模型(LGCM)分析发现,父母和孩子的压力轨迹在整个发展过程中呈正相关。前瞻性 LGCM 中介分析表明,3 个月时青少年的压力较高部分中介了基线时父母的抑郁症状与 36 个月时青少年的抑郁症状以及身体和社交焦虑症状之间的前瞻性关系。父母和孩子的压力在青春期相互加强,可能会增加精神病理学的风险。儿童压力的增加是一个重要因素,增加了抑郁父母的孩子出现内部症状的跨诊断风险。