Valdes Viviane, Craighead Linda W, Nelson Charles A, Bosquet Enlow Michelle
Boston Children's Hospital (Division of Developmental Medicine), Harvard Medical School (Department of Pediatrics), Boston, Massachusetts, USA.
Emory University (Department of Psychology), Atlanta, Massachusetts, USA.
Infancy. 2025 Jan-Feb;30(1):e12628. doi: 10.1111/infa.12628. Epub 2024 Sep 28.
In the current study we identified salient parental factors for child anxiety symptoms by considering the role of stressful life events, maternal anxiety symptoms, maternal depressive symptoms, and maternal neuroticism. Families (N = 399) in an urban area in the United States were participants in a longitudinal study beginning in infancy. Mothers completed measures of stressful life events (Revised Life Events Questionnaire at all visits), maternal anxiety and depressive symptoms (State-Trait Anxiety Inventory and Beck Depression Inventory, respectively, at infancy between 5 and 12 months, at 2 years, and at 3 years), maternal neuroticism (NEO Five-Factor Inventory at infancy), and child anxiety symptoms (Child Behavior Checklist 1.5-5 at 5 years). Linear mixed models (LMMs) were used in analyses. Maternal depressive symptoms from infancy through 3 years were associated with child anxiety symptoms; other main effects modeled (stressful life events, maternal anxiety symptoms, maternal neuroticism) were not associated with child anxiety symptoms. There was a significant interaction effect between stressful life events and maternal depression. Stressful events from infancy through 5 years of age increased risk for child anxiety symptoms at 5 years if the child's mother had a mild mood disturbance or depression, but not for children with non-depressed mothers.
在本研究中,我们通过考量应激性生活事件、母亲焦虑症状、母亲抑郁症状和母亲神经质的作用,确定了与儿童焦虑症状相关的显著的父母因素。美国一个市区的家庭(N = 399)参与了一项从婴儿期开始的纵向研究。母亲们完成了对应激性生活事件(每次访视时填写修订版生活事件问卷)、母亲焦虑和抑郁症状(分别在婴儿期5至12个月、2岁和3岁时填写状态-特质焦虑量表和贝克抑郁量表)、母亲神经质(婴儿期填写大五人格量表)以及儿童焦虑症状(5岁时填写儿童行为量表1.5 - 5)的测量。分析中使用了线性混合模型(LMMs)。从婴儿期到3岁,母亲的抑郁症状与儿童焦虑症状相关;其他建模的主要效应(应激性生活事件、母亲焦虑症状、母亲神经质)与儿童焦虑症状无关。应激性生活事件与母亲抑郁之间存在显著的交互效应。如果孩子的母亲有轻度情绪障碍或抑郁,那么从婴儿期到5岁的应激事件会增加孩子5岁时出现焦虑症状的风险,但对于母亲无抑郁症状的孩子则不然。