Maternal mental health mediates the effects of pandemic-related stressors on adolescent psychopathology during COVID-19.

Maternal mental health mediates the effects of pandemic-related stressors on adolescent psychopathology during COVID-19.
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DOI:
10.1111/jcpp.13610
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发表时间:
2022-12
影响因子:
7.6
通讯作者:
McLaughlin, Kate A.
McLaughlin, Kate A.
中科院分区:
医学1区
文献类型:
--
作者:
Lengua, Liliana J.;Thompson, Stephanie F.;Kim, Stephanie Gyuri;Rosen, Maya L.;Rodman, Alexandra;Kasparek, Steven;Mayes, Makeda;Zalewski, Maureen;Meltzoff, Andrew;McLaughlin, Kate A.

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这项研究探讨了COVID 19相关的母亲心理健康变化是否有助于青少年精神病理学的变化。一个由226名青少年(COVID 19前12岁)及其母亲组成的社区样本被要求在大流行早期(2020年4月至5月,青少年14岁)和约6个月后(2020年11月至2021年1月)完成COVID 19调查。调查评估了与流行病有关的压力因素(健康、财政、社会、学校、环境)和心理健康。大流行前较低的家庭收入与需求比率与大流行前较高的孕产妇心理健康症状(焦虑、抑郁)和青少年内化和外化问题以及经历更多与大流行相关的压力源有关。流行病相关的压力因素预测产妇心理健康症状的增加,但不是青少年症状时,其他变量的协变。较高的产妇心理健康症状预测同时增加青少年的内化和外化。母亲的心理健康介导了流行前收入和流行相关压力对青少年内化和外化问题的影响。研究结果表明,在COVID 19等社区压力源期间,青少年心理健康与孕产妇心理健康密切相关,并且预先存在的家庭经济背景和青少年症状会增加精神病理学症状升高的风险。
This study examined whether COVID19-related maternal mental health changes contributed to changes in adolescent psychopathology. A community sample of 226 adolescents (12-years old before COVID19) and their mothers were asked to complete COVID19 surveys early in the pandemic (April-May 2020, adolescents 14-years) and approximately 6 months later (November 2020–January 2021). Surveys assessed pandemic-related stressors (health, financial, social, school, environment) and mental health. Lower pre-pandemic family income-to-needs ratio was associated with higher pre-pandemic maternal mental health symptoms (anxiety, depression) and adolescent internalizing and externalizing problems, and with experiencing more pandemic-related stressors. Pandemic-related stressors predicted increases in maternal mental health symptoms, but not adolescent symptoms when other variables were covaried. Higher maternal mental health symptoms predicted concurrent increases in adolescent internalizing and externalizing. Maternal mental health mediated the effects of pre-pandemic income and pandemic-related stressors on adolescent internalizing and externalizing problems. Results indicate that adolescent mental health is closely tied to maternal mental health during community-level stressors such as COVID19, and that pre-existing family economic context and adolescent symptoms increase risk for elevations in symptoms of psychopathology.
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