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症状网络分析在寻求治疗的青少年中父母-子女抑郁和焦虑。

Symptom network analysis of parent-child depression and anxiety in treatment-seeking youth.

机构信息

Department of Psychology, University of Miami.

出版信息

J Fam Psychol. 2024 Sep;38(6):921-932. doi: 10.1037/fam0001233. Epub 2024 May 16.

Abstract

Youth of parents who are experiencing psychopathology are more likely to develop emotional concerns, and these mental health symptoms can have a deleterious impact on parents' mental health. However, the relationship between the presentation of specific symptoms in parents and youth is infrequently examined. Symptom network analysis is an analytic approach that is increasingly being used to better understand the relationship of symptoms within and between disorders and can also be used to examine symptom relations within a dyad. The present study used symptom network analysis to examine bidirectional relationships among depressive and anxiety psychopathology in a transdiagnostic sample of treatment-seeking youth and their primary caregiver. Parental anhedonia and child worthlessness exhibited the greatest centrality within the network, suggesting that these may act as risk and maintenance factors for parent-child psychopathology and may be important intervention targets. Findings support the use of symptom network analysis to inform an understanding of the complex relationships among parent and child depressive and anxiety symptoms. Future research should consider the use of network analytic methods to examine the temporal relationships between parent and child psychopathology and to inform joint parent-child interventions for those with internalizing concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

父母经历精神病理学的年轻人更有可能出现情绪问题,这些心理健康症状会对父母的心理健康产生有害影响。然而,父母表现出的特定症状与年轻人之间的关系很少被检查。症状网络分析是一种分析方法,越来越多地用于更好地理解障碍内和障碍之间症状的关系,也可用于检查对子内的症状关系。本研究使用症状网络分析来检查寻求治疗的青年及其主要照顾者的跨诊断样本中抑郁和焦虑精神病理学之间的双向关系。父母快感缺失和儿童无价值感在网络中表现出最大的中心性,这表明它们可能是亲子精神病理学的风险和维持因素,可能是重要的干预目标。研究结果支持使用症状网络分析来了解父母和儿童抑郁和焦虑症状之间的复杂关系。未来的研究应考虑使用网络分析方法来检查父母和儿童精神病理学之间的时间关系,并为有内化问题的人提供联合的父母-儿童干预措施。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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