Guo Nan, Yang Aiqun, Xu Ye, Liu Qi, Su Chuanshi, Wu Daxing
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Medical Psychological Institute of Central South University, Changsha, Hunan 410011, China; National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China; National Center for Mental Disorders (Xiangya), Changsha, Hunan 410011, China.
J Affect Disord. 2025 Nov 15;389:119761. doi: 10.1016/j.jad.2025.119761. Epub 2025 Jun 23.
Adolescent depression, comorbid with maladaptive traits, increases the risks of suicide and psychosocial dysfunction, yet intergenerational pathways linking parental childhood trauma, depression, anxiety, and adolescent maladaptive traits remain complex and unclear. This study aimed to use network analysis to investigate these transmission mechanisms in clinically depressed adolescents.
This study recruited 138 parent-adolescent pairs (M = 15.92, SD = 1.84 for adolescents; M = 43.65, SD = 5.37 for parents) to complete the assessment. Network analysis was applied to explore the associations between parental trauma, psychopathology, and adolescent maladaptive traits.
The results showed that: (1) parental childhood trauma subtypes were linked to adolescent maladaptive traits through parental depression/anxiety; (2) physical abuse and emotional neglect exhibited the highest strength centrality among parental traumas, while impulsive-need for stimulation was the most central maladaptive trait in adolescents; (3) parental depression and anxiety emerged as bridge symptoms, connecting the transmission from parental trauma to adolescent maladaptation.
Cross-sectional design limits causal inferences.
These results indicated that parental psychopathology mediated intergenerational transmission, with parental physical abuse, emotional neglect and adolescent impulsivity serving as network hubs. By identifying bridge symptoms and central traits, this study provides actionable targets for breaking intergenerational dysfunction, emphasizing that clinical interventions targeting parental depression/anxiety may more effectively disrupt transmission cycles than adolescent-focused therapies.
青少年抑郁症若与适应不良特质并存,会增加自杀及心理社会功能障碍的风险,但将父母童年创伤、抑郁、焦虑与青少年适应不良特质联系起来的代际路径仍复杂且不明确。本研究旨在运用网络分析来探究临床抑郁症青少年中的这些传播机制。
本研究招募了138对亲子(青少年:M = 15.92,SD = 1.84;父母:M = 43.65,SD = 5.37)来完成评估。运用网络分析来探索父母创伤、精神病理学与青少年适应不良特质之间的关联。
结果显示:(1)父母童年创伤亚型通过父母的抑郁/焦虑与青少年适应不良特质相联系;(2)在父母创伤中,身体虐待和情感忽视表现出最高的强度中心性,而冲动-对刺激的需求是青少年中最核心的适应不良特质;(3)父母的抑郁和焦虑成为桥梁症状,连接了从父母创伤到青少年适应不良的传播。
横断面设计限制了因果推断。
这些结果表明父母的精神病理学介导了代际传播,父母的身体虐待、情感忽视和青少年的冲动性是网络枢纽。通过识别桥梁症状和核心特质,本研究为打破代际功能障碍提供了可采取行动的目标,强调针对父母抑郁/焦虑的临床干预可能比以青少年为重点的治疗更有效地打破传播循环。