The joint impact of parental psychological neglect and peer isolation on adolescents' depression
The joint impact of parental psychological neglect and peer isolation on adolescents' depression
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DOI：
10.1016/j.chiabu.2017.04.015
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发表时间：
2017-07-01
影响因子：
4.8
通讯作者：
Lu, Ting
中科院分区：
文献类型：
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作者：
Christ, Sharon L.;Kwak, Yoon Young;Lu, Ting
青少年从父母和同龄人那里得到心理或情感上的照顾，这对这个阶段的心理健康至关重要。很少有研究对青少年时期看护者心理忽视的经历和后果进行评估。人们对父母和同伴的忽视经历的独特和综合影响知之甚少。本研究的目的是评估暴露于照顾者的心理忽视与抑郁同伴孤立之间的关系。本研究选取了2776名青少年作为样本，这些青少年代表了与美国儿童保护服务机构接触的青少年群体。数据来自全国儿童和青少年健康调查（NSCAW），分为四波，每波持续七年。使用隐变量结构方程模型来估计时间内的关联。采用两阶段最小二乘路径模型来确定抑郁和忽视经历之间的时间内相互作用。在情感上被主要照顾者忽视并与同龄人隔离的青少年，其抑郁程度显著增加，综合标准化效应为0.78-0.91。与照顾者的心理忽视相比，与同伴隔离对抑郁症的影响更大。这两种主要情感支持来源的缺失可以解释40%的抑郁症差异。抑郁与同伴孤立、抑郁与心理忽视的关系是相互作用的，但主要的作用方向是从被忽视的经历到抑郁。
Adolescents receive psychological or emotional care from both parents and peers, which is crucial for mental health at this stage. Little research has been undertaken to evaluate the experience and consequences of caregiver psychological neglect during adolescence. Less is known about the unique and combined impacts of neglectful experiences with parents and peers. The purpose of this study was to evaluate the relationship between exposure to caregiver psychological neglect and isolation from peers with depression for a population of at-risk adolescents. A sample of 2776 adolescents who represent a cohort population of adolescents in contact with Child Protective Services in the U.S. was studied. Data come from the National Survey of Child and Adolescent Well-being (NSCAW) and are pooled across four waves representing seven years duration. Structural equation modeling with latent variables was used to estimate within-time associations. A two-stage-least squares path model was used to determine within-time reciprocal effects between depression and neglectful experiences. Adolescents who are emotionally neglected by their primary caregivers and are isolated from peers have substantially increased depression, a combined standardized effect of 0.78-0.91. Isolation from peers is more impactful for depression compared to psychological neglect by caregivers. The effects of deficits in these two primary sources of emotional support explain 40 percent of the variation in depression. The relationships between depression and peer isolation and depression and psychological neglect are reciprocal, but the primary direction of effect is from neglectful experiences to depression.