Longitudinal Evaluation of the Role of Academic and Social Impairment and Parent-Adolescent Conflict in the Development of Depression in Adolescents with ADHD.
Longitudinal Evaluation of the Role of Academic and Social Impairment and Parent-Adolescent Conflict in the Development of Depression in Adolescents with ADHD.
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DOI：
10.1007/s10826-017-0768-7
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发表时间：
2017-09
影响因子：
2.1
通讯作者：
Evans SW
中科院分区：
文献类型：
--
作者：
Eadeh HM;Bourchtein E;Langberg JM;Eddy LD;Oddo L;Molitor SJ;Evans SW
患有注意力缺陷/多动障碍（ADHD）的年龄较大的青少年患抑郁症的可能性显着增加。评估青春期早期可能导致这种风险的因素非常重要。一个主要的理论是，损伤和失败经历会导致低自我效能感和抑郁症的发展，而父母和家庭因素也发挥了作用。本研究以 326 名患有多动症的青少年（Mage = 12）为样本，评估了父母与青少年的冲突是否介导了社交和学业障碍与抑郁症发展之间的关系。这项研究建立在先前工作的基础上，通过纵向评估这些关联，并使用多评估者方法，包括家长、青少年和教师的观点。控制抑郁症的基线水平和多动症症状的变化，社交和学业障碍直接预测抑郁症。社交障碍和抑郁症之间的关联部分是由父母与青少年的冲突调节的。没有发现通过冲突来调解学业障碍，并且在考虑冲突时，学业障碍和抑郁之间的关联不再显着。这些发现强调了社交障碍在患有多动症的青少年抑郁症发展中的重要性。照顾者可能在确定患有多动症的青少年是否内化社交障碍和失败经历并出现抑郁症状方面发挥着重要作用。讨论了这些发现对于针对父母与青少年冲突的干预措施的重要性的影响。
Older adolescents with attention-deficit/hyperactivity disorder (ADHD) have a significantly increased likelihood of developing comorbid depression. It is important to evaluate factors during the early adolescent period that may contribute to this risk. A predominant theory is that impairment and failure experiences lead to the development of low-self efficacy and depression, and that parent and family factors also play a role. In a sample of 326 young adolescents with ADHD (Mage = 12), the present study evaluated whether parent-adolescent conflict mediated the association between social and academic impairment and the development of depression. This study builds upon prior work by evaluating these associations longitudinally and by using a multi-rater approach, including the parent, adolescent, and teacher perspectives. Social and academic impairment directly predicted depression controlling for baseline levels of depression and change in ADHD symptoms. The association between social impairment and depression was partially mediated by parent-adolescent conflict. Mediation through conflict was not found for academic impairment, and the association between academic impairment and depression was no longer significant when accounting for conflict. These findings highlight the importance of social impairment in the development of depression in adolescents with ADHD. Caregivers may play an important role in determining whether adolescents with ADHD internalize social impairment and failure experiences and develop depressive symptoms. Implications of these findings in terms of the importance of interventions focused on parent-adolescent conflict are discussed.
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DOI：
10.1177/070674371305800307
发表时间：
2013-03-01
影响因子：
4
作者：
Briere, Frederic N.;Archambault, Kim;Janosz, Michel
通讯作者：
Janosz, Michel
影响因子：
3.8
作者：
Grace, James B.;Bollen, Kenneth A.
通讯作者：
Bollen, Kenneth A.
影响因子：
3.6
作者：
Gaub, M;Carlson, CL
通讯作者：
Carlson, CL
影响因子：
4.8
作者：
Cornwell, B
通讯作者：
Cornwell, B
影响因子：
3
作者：
Eddy, Laura D.;Dvorsky, Melissa R.;Langberg, Joshua M.
通讯作者：
Langberg, Joshua M.