Maternal Depressive Symptoms During Childhood and Risky Adolescent Health Behaviors
Maternal Depressive Symptoms During Childhood and Risky Adolescent Health Behaviors
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DOI：
10.1542/peds.2014-0628
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发表时间：
2015-01-01
期刊：
影响因子：
8
通讯作者：
Colman, Ian
中科院分区：
文献类型：
--
作者：
Wickham, Maeve E.;Senthilselvan, Ambikaipakan;Colman, Ian
目的：母亲抑郁是青少年抑郁的危险因素；然而，儿童时期接触母亲抑郁对青少年参与健康风险行为（如药物使用、犯罪）的影响尚不清楚。方法：我们通过使用2910对具有全国代表性的加拿大前瞻性队列的母亲-青年对的数据，研究了母亲抑郁症状（4-15岁儿童）与16 - 17岁健康风险行为之间的关系。通过有限混合模型估计产妇抑郁轨迹，并通过多元回归分析检验产妇抑郁症状与参与各种健康风险行为（线性回归）和各种行为的首次出现年龄（Cox回归）之间的关系。结果：发现了5种母体抑郁症状轨迹：复发性母体症状、童年中期母体症状暴露、青春期母体症状暴露、轻度母体症状和轻度症状。在童年中期暴露于母亲抑郁症状的青少年更有可能使用普通物质（酒精、香烟、大麻），从事暴力和非暴力犯罪行为，并且更早开始使用香烟、酒精、大麻和致幻剂。结论：本研究的结果表明，暴露于母亲抑郁症状，特别是在童年中期，与更多和更早地参与健康风险行为有关。
OBJECTIVE: Maternal depression is a risk factor for adolescent depression; however, the effect of childhood exposure to maternal depression on adolescent engagement in health risk behaviors (eg, substance use, delinquency) is unclear.METHODS: We examined the relationship between maternal depressive symptoms (child's age 4-15) and engagement in health risk behaviors at age 16 to 17 by using data from 2910 mother-youth pairs in a nationally representative prospective Canadian cohort. Maternal depressive trajectories were estimated through finite mixture modeling, and multiple regression analyses examined the relationship between maternal depressive symptoms and engagement in various health risk behaviors (linear regression) and age of debut of various behaviors (Cox regression).RESULTS: Five trajectories of maternal depressive symptoms were found: recurrent maternal symptoms, midchildhood exposure to maternal symptoms, adolescent exposure to maternal symptoms, mild maternal symptoms, and low symptoms. Adolescents exposed to maternal depressive symptoms during middle childhood were more likely to use common substances (alcohol, cigarettes, marijuana), engage in violent and nonviolent delinquent behavior, and have an earlier debut ages of cigarette, alcohol, marijuana, and hallucinogen use.CONCLUSIONS: The results of this study suggest that exposure to maternal depressive symptoms, particularly in middle childhood, is associated with greater and earlier engagement in health risk behaviors.