Maternal depressive symptoms in childhood and risky behaviours in early adolescence.

Maternal depressive symptoms in childhood and risky behaviours in early adolescence.
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DOI:
10.1007/s00787-017-1043-6
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发表时间:
2018-03
影响因子:
6.4
通讯作者:
Ioakeimidi S
Ioakeimidi S
中科院分区:
医学2区
文献类型:
--
作者:
Flouri E;Ioakeimidi S

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产妇抑郁症状的纵向模式尚未与青春期早期的危险行为,如药物使用或暴力行为联系起来,因为这种行为可能特别有害。这项研究就是为了做到这一点。利用英国千禧年队列研究的数据,它模拟了母亲在3岁、5岁、7岁和11岁时抑郁症状的轨迹对11岁时反社会行为和犯罪行为的影响(N = 12,494)。它还探讨了它们在预测11岁时的道德判断和对酒精的态度方面的作用,分别是犯罪或反社会行为和酒精使用的重要预测因素。潜在类别分析显示了四种纵向类型的母亲抑郁症状(长期高、持续低、中度加速和中度减速)。母亲症状类型预测了男性的反社会行为和女性对酒精的态度,即使在调整了青年年龄和青春期状态并校正了混杂因素之后也是如此。具体来说,与从不抑郁的母亲长大的男性相比,那些长期处于高度或加速的母亲抑郁症状的男性更有可能出现大声吵闹的行为、酗酒和欺凌行为。母亲长期重度抑郁症状的女性比母亲从未抑郁过的女性更有可能支持饮酒无害的观点。虽然不能得出因果结论,但这些发现表明,预防或治疗儿童时期的母亲抑郁症状可能是减少后代未来外化和健康风险行为的有用方法。
Longitudinal patterns of maternal depressive symptoms have yet to be linked to risky behaviours, such as substance use or violence, in early adolescence, when such behaviours may be particularly detrimental. This study was carried out to do this. Using data from the UK’s Millennium Cohort Study, it modelled the effect of trajectories of maternal depressive symptoms at child ages 3, 5, 7 and 11 years on antisocial behaviour and delinquency at age 11 years (N = 12,494). It also explored their role in predicting moral judgement and attitudes to alcohol at age 11, important predictors of delinquent or antisocial behaviour and alcohol use, respectively. Latent class analysis showed four longitudinal types of maternal depressive symptoms (chronically high, consistently low, moderate-accelerating and moderate-decelerating). Maternal symptom typology predicted antisocial behaviour in males and attitudes to alcohol in females, even after adjusting for youth’s age and pubertal status and after correcting for confounding. Specifically, compared to males growing up with never-depressed mothers, those exposed to chronically high or accelerating maternal depressive symptoms were more likely to report engaging in loud and rowdy behaviour, alcohol use and bullying. Females exposed to chronically high maternal depressive symptoms were more likely than those growing up with never-depressed mothers to support the view that alcohol use is harmless. While causal conclusions cannot be drawn, these findings suggest that preventing or treating maternal depressive symptoms in childhood may be a useful approach to reducing future externalising and health-risk behaviours in offspring.
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