Risk of Depression in the Offspring of Parents with Depression: The Role of Emotion Regulation, Cognitive Style, Parenting and Life Events
Risk of Depression in the Offspring of Parents with Depression: The Role of Emotion Regulation, Cognitive Style, Parenting and Life Events
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DOI：
10.1007/s10578-019-00930-4
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发表时间：
2019-11-05
影响因子：
2.9
通讯作者：
Platt, Belinda
中科院分区：
文献类型：
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作者：
Loechner, Johanna;Sfaerlea, Anca;Platt, Belinda
抑郁父母的孩子患抑郁症的风险更高，但对具体的机制知之甚少。由于对这一风险群体的预防性干预措施显示出随着时间的推移而减少的效果很小，因此揭示抑郁症的关键风险因素至关重要。本研究比较了抑郁症（高风险; n = 74）与非抑郁症（低风险; n = 37）父母的儿童的各种潜在机制，并探讨了父母抑郁症和后代风险的介质。德国样本N = 111男孩和女孩年龄在8至17岁进行了比较儿童的（一）抑郁症状和一般精神病理学，（二）情绪调节策略，（三）归因风格，（四）感知养育方式和（五）生活事件。与低危组相比，高危组儿童抑郁症状和一般精神病理症状显著增多，适应性情绪调节策略、积极生活事件和积极父母教养策略显著减少。在MANOVA测试中，积极和消极归因风格的组间差异很小，并且没有统计学意义。适应不良的情绪调节策略和负性生活事件被认为是父母抑郁和儿童抑郁风险之间联系的部分中介。这项研究强调了抑郁父母的孩子患抑郁症的风险增加，并为现有的传播机制模型提供了实证支持。有趣的是，高风险群体的特点是缺乏保护，而不是增加脆弱性因素。这些结果对于为这一高危人群制定更有效的预防干预措施至关重要。
Children of depressed parents are at heightened risk for developing depression, yet relatively little is known about the specific mechanisms responsible. Since preventive interventions for this risk group show small effects which diminish overtime, it is crucial to uncover the key risk factors for depression. This study compared various potential mechanisms in children of depressed (high-risk; n = 74) versus non-depressed (low-risk; n = 37) parents and explored mediators of parental depression and risk in offspring. A German sample of N = 111 boys and girls aged 8 to 17 years were compared regarding children's (i) symptoms of depression and general psychopathology, (ii) emotion regulation strategies, (iii) attributional style, (iv) perceived parenting style and (v) life events. Children in the high-risk group showed significantly more symptoms of depression and general psychopathology, less adaptive emotion regulation strategies, fewer positive life events and fewer positive parenting strategies in comparison with the low-risk group. Group differences in positive and negative attributional style were small and not statistically significant in a MANOVA test. Maladaptive emotion regulation strategies and negative life events were identified as partial mediators of the association between parental depression and children's risk of depression. The study highlights the elevated risk of depression in children of depressed parents and provides empirical support for existing models of the mechanisms underlying transmission. Interestingly, the high-risk group was characterised by a lack of protective rather than increased vulnerability factors. These results are crucial for developing more effective preventive interventions for this high-risk population.