Mental health and functional outcomes of maternal and adolescent reports of adolescent depressive symptoms
Mental health and functional outcomes of maternal and adolescent reports of adolescent depressive symptoms
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DOI：
10.1097/chi.0b013e3180cc255f
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发表时间：
2007-09-01
影响因子：
13.3
通讯作者：
Thapar, Anita
中科院分区：
文献类型：
--
作者：
Rice, Frances;Lifford, Kate J.;Thapar, Anita
目的：通过调查4年后这些报告对一系列心理健康和功能结果的预测程度，评估母亲和自我评估对青少年抑郁的价值。母亲的抑郁情绪对她的青春期抑郁评分和自杀意念对青春期结局的潜在影响也被测试。方法：一项基于人群的纵向研究，对842名11岁至16岁的青少年进行基线评估，并对15岁至20岁的青少年进行随访(62%保留)。结果：母亲和青少年的抑郁症状都预示着青少年未来的抑郁、反社会行为、损害、卫生服务使用和定期吸烟。母亲和青少年抑郁症状评级作为未来精神病理学预测因子的优势比没有显著差异。母亲自己的抑郁症状与青春期抑郁、医疗服务使用或后续药物使用没有显著关联。与单纯抑郁相比，伴随青春期自杀念头的抑郁与随访中的损害显著相关。结论：从孩子的母亲那里获得有关青春期抑郁症的临床有用信息是可能的。然而，关于自杀意念的信息很少得到母亲的认可，这表明母亲对青少年自杀想法的报告没有青少年报告那么敏感。
Objective: To assess the value of maternal and self-ratings of adolescent depression by investigating the extent to which these reports predicted a range of mental health and functional outcomes 4 years later. The potential influence of mother's own depressed mood on her ratings of adolescent depression and suicidal ideation on adolescent outcome was also tested. Method: A longitudinal population-based study of 842 adolescents ages 11 to 16 at the baseline assessment and 15 to 20 at follow-up (62% retention). Results: Both mother- and adolescent-rated depressive symptoms predicted future depression, antisocial behavior, impairment, health service use, and regular tobacco use in the adolescent. The odds ratios obtained for maternal and adolescent ratings of depressive symptoms as predictors of future psychopathology were not significantly different. Mothers' own depressive symptoms were not significantly associated with adolescent depression, health service use, or substance use at follow-up. Depression that was accompanied by adolescent-rated suicidal thoughts was significantly more strongly associated with impairment at follow-up than depression alone. Conclusions: It is possible to obtain clinically useful information on adolescent depression from the child's mother. However, information on suicidal ideation was rarely endorsed by mothers, suggesting that maternal report of adolescent suicidal thoughts shows less sensitivity than adolescent report.