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患有重度抑郁症母亲的子女的推理方式与抑郁症状之间的前瞻性关系。

Prospective Relations Between Inferential Styles and Depressive Symptoms Among Children of Mothers with Major Depression.

作者信息

Shankar Pooja, Gibb Brandon E

机构信息

Department of Psychology, Binghamton University, State University of New York.

出版信息

J Clin Child Adolesc Psychol. 2024 Oct 18:1-10. doi: 10.1080/15374416.2024.2414437.

Abstract

OBJECTIVE

Current models of depression risk in children include both family history and cognitive models of risk; however, these models are rarely integrated. This study aimed to address this gap by examining how cognitive vulnerabilities featured in the hopelessness theory of depression - negative inferential styles for the causes, consequences, and self-characteristic implications of negative events - may increase risk for the intergenerational transmission of depression. Specifically, we examined whether children of mothers with a history of major depressive disorder (MDD), compared to children of never-depressed mothers, exhibit more negative inferential styles and whether maternal history of MDD moderates prospective relations between children's inferential styles and depressive symptoms.

METHOD

Participants were 251 children (ages 8-14 at baseline; 51% girls; 81% Non-Hispanic White) of mothers with ( = 129) or without ( = 122) a history of MDD. Children's inferential styles and depressive symptoms were assessed at baseline and then every 6 months for 2 years.

RESULTS

Using random intercept cross-lagged panel models (RI-CLPMs), we found that children of mothers with a history of MDD, compared to children of never-depressed mothers, had more negative inferential styles for the causes and consequences of negative events, but not for self-characteristics, and higher depressive symptom levels, across the follow-up. In addition, there were reciprocal, transactional relations between children's inferential styles for causes and their depressive symptoms across the follow-up, with no evidence for moderation by maternal MDD.

CONCLUSIONS

Children's inferential styles for the causes of negative events may be a useful marker of risk for the intergenerational transmission of depression, which could be targeted to reduce risk for depression.

摘要

目的

当前儿童抑郁风险模型包括家族史和风险认知模型;然而,这些模型很少被整合。本研究旨在通过考察抑郁无望理论中的认知易感性——对负面事件的原因、后果及自我特征影响的消极推理风格——如何增加抑郁代际传递的风险,来填补这一空白。具体而言,我们考察了有重度抑郁症(MDD)病史的母亲的子女与从未患抑郁症的母亲的子女相比,是否表现出更多的消极推理风格,以及母亲的MDD病史是否会调节儿童推理风格与抑郁症状之间的前瞻性关系。

方法

参与者为251名儿童(基线时年龄8 - 14岁;51%为女孩;81%为非西班牙裔白人),其母亲有(n = 129)或无(n = 122)MDD病史。在基线时评估儿童的推理风格和抑郁症状,然后在2年时间里每6个月评估一次。

结果

使用随机截距交叉滞后面板模型(RI - CLPMs),我们发现,与从未患抑郁症的母亲的子女相比,有MDD病史的母亲的子女在随访期间对负面事件的原因和后果有更多消极推理风格,但对自我特征没有,且抑郁症状水平更高。此外,在随访期间,儿童对原因的推理风格与其抑郁症状之间存在相互的、交互的关系,没有证据表明母亲的MDD病史起到调节作用。

结论

儿童对负面事件原因的推理风格可能是抑郁代际传递风险的一个有用指标,可将其作为降低抑郁风险的目标。

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本文引用的文献

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Intergenerational Transmission of Depression.抑郁症的代际传递。
Annu Rev Clin Psychol. 2020 May 7;16:213-238. doi: 10.1146/annurev-clinpsy-071519-113915. Epub 2020 Jan 21.
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Offspring of Depressed Parents: 30 Years Later.抑郁父母的后代:30 年后
Am J Psychiatry. 2016 Oct 1;173(10):1024-1032. doi: 10.1176/appi.ajp.2016.15101327. Epub 2016 Apr 26.
6
The Hopelessness Theory of Depression: A Quarter Century in Review.抑郁的绝望理论:回顾二十五年
Clin Psychol (New York). 2015 Dec 1;22(4):345-365. doi: 10.1111/cpsp.12125. Epub 2015 Nov 24.
7
Chronic and Episodic Stress in Children of Depressed Mothers.抑郁母亲的孩子所面临的慢性和间歇性压力。
J Clin Child Adolesc Psychol. 2016;45(3):270-8. doi: 10.1080/15374416.2014.963859. Epub 2014 Dec 12.

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