Mediators of depressive symptoms in children with type 1 diabetes and their mothers
Mediators of depressive symptoms in children with type 1 diabetes and their mothers
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DOI：
10.1093/jpepsy/jsm104
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发表时间：
2008-06-01
影响因子：
3.6
通讯作者：
Grey, Margaret
中科院分区：
文献类型：
--
作者：
Jaser, Sarah S.;Whittemore, Robin;Grey, Margaret
目的探讨母亲和儿童抑郁症状与儿童及家庭心理社会因素的关系。方法对1型糖尿病（T1D）学龄儿童（年龄812岁）及其母亲的应对技能干预基线数据进行二次分析。儿童和母亲完成了抑郁症状，应对，生活质量和家庭功能的措施。结果母亲和孩子的抑郁症状之间有很强的相关性（r = 0.44，p <0.001）。母亲的抑郁症状与儿童的生活质量、应对方式和家庭功能呈负相关。糖尿病对生活质量的影响，发现应对糖尿病的烦恼，家庭温暖介导的母亲和儿童抑郁症状之间的关系。结论母亲抑郁症可能通过影响生活质量、应对方式和家庭功能而对儿童适应产生负面影响。干预措施，以改善T1D儿童的心理社会调整的影响进行了讨论。
Objective To examine the relationships among maternal and child depressive symptoms and child and family psychosocial factors. Method Secondary analysis of baseline data for a coping skills intervention for school-age children (ages 812) with type 1 diabetes (T1D) and their mothers. Children and mothers completed measures of depressive symptoms, coping, quality of life, and family functioning. Results There was a strong relationship between maternal and child depressive symptoms (r = .44, p < .001). Maternal depressive symptoms were negatively related to child quality of life, perceptions of coping, and family functioning. Impact of diabetes on quality of life, finding coping with diabetes upsetting, and family warmth mediated the relationship between maternal and child depressive symptoms. Conclusions Maternal depression may negatively affect child adjustment through its influence on quality of life, coping, and family functioning. Implications for interventions to improve psychosocial adjustment in children with T1D are discussed.