Testing the temporal relationship between maternal and adolescent depressive and anxiety symptoms in a community sample.
Testing the temporal relationship between maternal and adolescent depressive and anxiety symptoms in a community sample.
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DOI：
10.1080/15374416.2014.883927
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Amstadter AB
中科院分区：
文献类型：
--
作者：
Brown RC;Clark SL;Dahne J;Stratton KJ;MacPherson L;Lejuez CW;Amstadter AB
transmittance模型已被用来解释母亲抑郁症和儿童行为问题之间的关系，但是，很少有研究探讨了transmittance模型的母亲抑郁症和青少年抑郁和焦虑。使用自回归交叉滞后分析，我们研究了母亲和青少年抑郁症之间的纵向关联，以确定在四年的时间内，母亲抑郁症影响青少年抑郁和焦虑的程度，反之亦然。参与者是一个社区样本的277个母亲，青少年二对子女年龄在10-14岁的第一年用于分析（43.7%女性，35%非洲裔美国人，2.9%西班牙裔/拉丁美洲人）。抑郁症状采用母亲自评量表（流行病学调查中心抑郁量表[CESD]）进行评估，青少年抑郁和焦虑采用自评量表（修订的儿童焦虑和抑郁量表[RCADS]）评估。最终模型，χ2（14）= 23.74，p= 0.05; TLI= 0.97; CFI= 0.98; RMSEA= 0.05，表明母亲抑郁与两年后的青少年抑郁显著相关。有趣的是，青少年抑郁症并不能显著预测母亲抑郁症，母亲和青少年抑郁症之间的关联并不受性别、年龄或种族的影响。母亲抑郁症和青少年焦虑之间的关联弱于青少年抑郁症。研究结果表明，母亲抑郁的交易模式可能不会扩展到青少年抑郁和焦虑。此外，母亲抑郁症可能对青少年抑郁症产生持久的影响，因此需要长时间进行持续的研究和临床监测。
Transactional models have been used to explain the relationship between maternal depression and child behavioral problems; however, few studies have examined transactional models for maternal depression and adolescent depression and anxiety. Using an autoregressive cross-lagged analysis, we examined the longitudinal association between maternal and adolescent depression to determine the extent to which maternal depression influences adolescent depression and anxiety, and vice versa, over the course of a four-year period. Participants were a community sample of 277 mother-adolescent dyads with offspring aged 10–14 at the first year used in the analyses (43.7% female; 35% African American, 2.9% Hispanic/Latino). Depressive symptoms were assessed using maternal self-report (Center for Epidemiological Studies-Depression Scale [CESD]), and adolescent depression and anxiety were assessed by self-report (Revised Child Anxiety and Depression Scale [RCADS]). The final model, χ2 (14) = 23.74, p= .05; TLI= .97; CFI= .98; RMSEA= .05, indicated that maternal depression was significantly associated with adolescent depression two years later. Interestingly, adolescent depression did not significantly predict maternal depression, and the association between maternal and adolescent depression was not moderated by gender, age, or ethnicity. The association between maternal depression and adolescent anxiety was weaker than that observed for adolescent depression. Results suggest that the transaction model of maternal depression may not extend to adolescent depression and anxiety. Furthermore, maternal depression can have an enduring effect on adolescent depression and continued research and clinical monitoring over extended periods of time is warranted.