A Longitudinal Study of Maternal Depression and Child Maltreatment in a National Sample of Families Investigated by Child Protective Services
A Longitudinal Study of Maternal Depression and Child Maltreatment in a National Sample of Families Investigated by Child Protective Services
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DOI：
10.1001/archpediatrics.2009.176
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发表时间：
2009-10-01
影响因子：
--
通讯作者：
Gortmaker, Steven L.
中科院分区：
文献类型：
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作者：
Conron, Kerith J.;Beardslee, William;Gortmaker, Steven L.
目的：评估抑郁症的变化是否可以预测母亲虐待行为的变化。设计：观察性、重复测量研究。背景：全国儿童和青少年健康调查，1999 年至 2004 年。参与者：在虐待调查后保留 0 至 15 岁儿童监护权并至少完成 3 项调查中的 2 项的母亲 (n=2386)。主要暴露：基线和之间抑郁状态的变化18 个月和 36 个月的随访，使用综合国际诊断访谈简表进行评估。主要结果指标：基线与 18 个月和 36 个月的随访之间心理攻击、身体攻击和忽视的变化，使用冲突策略量表亲子版进行评估。结果：三分之一 (35.5%) 的母亲经历了抑郁症的发作或缓解。抑郁症的发病与平均 12 个月内心理攻击行为增加 2.3（95% 置信区间，0.2-4.4）相关，但与身体攻击或忽视的变化没有统计学显着相关性。结论：抑郁症与高危家庭中母亲实施心理攻击呈正相关。
Objective: To assess whether a change in depression predicts a mother's change in maltreatment.Design: Observational, repeated measures study.Setting: National Survey of Child and Adolescent Wellbeing, 1999 to 2004.Participants: Mothers who retained custody of a child aged 0 to 15 years following a maltreatment investigation and completed at least 2 of 3 surveys (n=2386).Main Exposure: Change in depression status between baseline and 18- and 36-month follow-ups, assessed with the Composite International Diagnostic Interview Short Form.Main Outcome Measures: Change in psychological aggression, physical assault, and neglect between baseline and 18-and 36-month follow-ups, assessed with the Conflict Tactics Scale Parent-Child version.Results: One-third (35.5%) of mothers experienced onset or remission of depression. Onset of depression was associated with an increase of 2.3 (95% confidence interval, 0.2-4.4) psychologically aggressive acts in an average 12-month period, but was not statistically significantly associated with change in physical assault or neglect.Conclusion: Depression is positively associated with maternal perpetration of psychological aggression in high-risk families.