Peer Victimization Mediates the Impact of Maternal Depression on Risk for Suicidal Ideation in Girls but not Boys: A Prospective Study.
Peer Victimization Mediates the Impact of Maternal Depression on Risk for Suicidal Ideation in Girls but not Boys: A Prospective Study.
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DOI：
10.1007/s10802-015-0025-8
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发表时间：
2015-11
影响因子：
3.6
通讯作者：
Gibb BE
中科院分区：
文献类型：
--
作者：
Tsypes A;Gibb BE
尽管抑郁母亲的孩子有自杀念头的风险增加，但人们对这种想法发生的潜在机制知之甚少。本研究是我们所知的第一次使用前瞻性设计，目的是检验母亲抑郁对儿童自杀意念风险的影响是否通过儿童的外显和关系同伴受害水平来调节。参与者是从社区招募的203对母子。儿童年龄范围为8~14岁(50.2%)。母亲要么在孩子的一生中符合严重抑郁障碍(MDD)的标准(n=96)，要么终身没有任何DSM-IV情绪障碍的诊断，也没有目前的Axis I诊断(n=107)。在基线评估中，诊断性访谈被用来评估母亲和儿童的MDD病史，儿童完成了同伴受害的自我报告测量。在最初评估后的6个月、12个月、18个月和24个月进行了跟踪评估，在此期间，访谈者评估了儿童是否有自杀意念的发生。利用中介调节模型，我们发现从母亲抑郁到儿童自杀意念的重要间接路径是通过女孩之间的关系形式和公开形式的同伴受害，而不是在男孩中。目前的研究表明，同伴受害可能是抑郁母亲的女儿产生自杀想法风险增加的潜在机制之一。
Although children of depressed mothers are at an increased risk for suicidal thinking, little is known about the potential mechanisms by which this occurs. The present study is the first to our knowledge to utilize a prospective design with the goal of examining whether the impact of maternal depression on children’s risk for suicidal ideation is mediated by children’s levels of overt and relational peer victimization. Participants were 203 mother-child pairs recruited from the community. The age range of the children was 8 to 14 years old (50.2% girls). Mothers either met criteria for a major depressive disorder (MDD) during their child’s lifetime (n = 96) or had no lifetime diagnosis of any DSM-IV mood disorder and no current Axis I diagnosis (n = 107). At the baseline assessment, diagnostic interviews were used to assess mothers’ and children’s histories of MDD and children completed a self-report measure of peer victimization. Follow-up assessments were conducted at 6, 12, 18, and 24 months after the initial assessment during which time interviewers assessed for the occurrence of suicidal ideation in the children. Utilizing a mediated moderation model, we found significant indirect pathways from maternal depression to children’s suicidal ideation through both relational and overt forms of peer victimization among girls, but not among boys. The current study suggests that peer victimization may constitute one of the potential mechanisms by which daughters of depressed mothers are at increased risk for suicidal thinking.