Effect of Caregiver Depressive Symptoms on the Concordance Between Caregiver and Youth Assessment of Youth Physical Health.
Effect of Caregiver Depressive Symptoms on the Concordance Between Caregiver and Youth Assessment of Youth Physical Health.
复制标题
照顾者抑郁症状对照顾者和青少年身体健康评估一致性的影响。
DOI：
10.1007/s10995-021-03273-6
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发表时间：
2021
影响因子：
2.3
通讯作者：
Negriff,Sonya
中科院分区：
文献类型：
--
作者：
Schneiderman,JanetU;PalmerMolina,Abigail;Mennen,FerolE;Negriff,Sonya
ObjectivesTo探讨如何照顾者（亲生父母，养父母，相对照顾者，和无关的照顾者）的抑郁症状温和的一致性之间的他们和他们的青年的评估青年的身体健康症状，疾病，和身体健康状况MethodsParticipants包括224名青年，平均年龄为18.0岁（SD = 1.3）和他们的照顾者。多组模型运行，以测试是否照顾者抑郁状态调节青年和照顾者的身体健康结果报告之间的一致性。模型比较了样本中高于抑郁平均值的照顾者（n = 62）与低于抑郁平均值的照顾者（n = 128）。结果在没有或较少抑郁症状的照顾者组中，年轻人和照顾者在过去30天内报告的疼痛与身体健康状况之间存在强相关性[r（128）= 0.29，p = 0.04; r（128）= 0.59，p < 0.01]，但在抑郁症状较重的照料者组，两者之间无显著相关性[r（62）=-0.27，p = 0.27; r（62）=-0.14，p = 0.57]实践的结论较高的照顾者抑郁症状与照顾者和青少年对青少年的评估之间的一致性较差有关。疼痛和身体健康状况。这两个健康问题不太明显，更主观，照顾者和青年之间的沟通可能会受到照顾者的抑郁症状的影响。由于照顾者和青年对青年身体健康的评估提供了最好的临床数据，因此保健提供者评估照顾者的心理健康状况可能有助于提供更完整的情况。
ObjectivesTo explore how caregivers’ (birth parents, adoptive parents, relative caregivers, and unrelated caregivers) depressive symptoms moderate the concordance between their and their youth’s assessment of the youth’s physical health symptoms, diseases, and physical health status.MethodsParticipants included 224 youth with mean age of 18.0 years (SD = 1.3) and their caregivers. Multiple-group models were run to test whether caregiver depression status moderated the concordance between youth and caregiver report of physical health outcomes. Models compared caregivers above the mean for depression in the sample (n = 62) with caregivers below the mean for depression in this sample (n = 128).ResultsThere was a strong correlation between youth and caregiver report of pain in the last 30 days and physical health status in the caregiver group with no/fewer depressive symptoms [r(128) = 0.29,p= 0.04;r(128) = 0.59, p < 0.01], but no significant correlation between the two in the caregiver group with higher depressive symptoms [r(62) = − 0.27,p= 0.27;r(62) = − 0.14, p = 0.57].Conclusions for PracticeHigher caregiver depressive symptoms was associated with worse concordance between caregiver and youth assessment of the youth’s pain and physical health status. These two health issues are less visible and more subjective and communication between caregiver and youth may be affected by the caregiver’s depressive symptoms. Since both caregiver and youth assessments of a youth’s physical health provide the best clinical data, it may be helpful for health providers to assess caregiver’s mental health status to provide a more complete picture.