Messer S C, Gross A M
Developmental Epidemiology Program, Duke University, Medical Center, Durham, NC 27710.
Behav Res Ther. 1994 Jul;32(6):663-77. doi: 10.1016/0005-7967(94)90023-x.
The purpose of the present study was to: (a) evaluate the comorbidity of depression and aggression in a community sample of school-age children; (b) demonstrate the use of confirmatory factor analysis as a statistical tool in the assessment of the construct validity of childhood depression and aggression measures; and (c) using multisample analysis and structural equation modeling, examine the generalizability of comorbidity across two potential moderating or mediating variables (i.e. gender and peer unpopularity). A series of hypothetical models was tested to identify the number of factors represented by the data, the convergent and discriminant validity of the measures, the relationship between the latent variables of childhood depression and aggression, the influence of method-specific variation, and structural relationships among the latent constructs. Results supported a two-factor comorbidity model (childhood depression and aggression) and the presence of method effects (i.e. rater bias). Though the basic measurement model identified substantial comorbid symptoms and was generally invariant across gender, boys' self-reports of symptomatology evidenced poor validity. The structural equation models supported the independent effects of peer aggression and unpopularity on depression for both boys and girls, though aggression may be somewhat more strongly related to unpopularity among girls. Results were consistent with psychiatric investigations of comorbid depressive and aggressive disorders and emerging developmental psychopathology research on the socioemotional development of aggression and depression in youth.
(a) 在一个学龄儿童社区样本中评估抑郁与攻击行为的共病情况;(b) 展示验证性因素分析作为一种统计工具在评估儿童抑郁和攻击行为测量工具的结构效度中的应用;以及 (c) 使用多样本分析和结构方程模型,检验共病情况在两个潜在的调节或中介变量(即性别和同伴不受欢迎程度)之间的普遍性。测试了一系列假设模型,以确定数据所代表的因素数量、测量工具的收敛效度和区分效度、儿童抑郁和攻击行为的潜在变量之间的关系、特定方法变异的影响以及潜在结构之间的结构关系。结果支持了一个双因素共病模型(儿童抑郁和攻击行为)以及方法效应(即评分者偏差)的存在。尽管基本测量模型识别出了大量共病症状,并且在性别上总体不变,但男孩对症状的自我报告显示效度较差。结构方程模型支持同伴攻击行为和不受欢迎程度对男孩和女孩的抑郁都有独立影响,尽管攻击行为在女孩中可能与不受欢迎程度的关系更强一些。研究结果与对抑郁和攻击行为共病障碍的精神病学调查以及关于青少年攻击行为和抑郁的社会情感发展的新兴发展心理病理学研究一致。