How does longitudinally measured maternal expressed emotion affect internalizing and externalizing symptoms of adolescents from the general community?
How does longitudinally measured maternal expressed emotion affect internalizing and externalizing symptoms of adolescents from the general community?
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DOI：
10.1111/j.1469-7610.2011.02400.x
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发表时间：
2011-11-01
影响因子：
7.6
通讯作者：
Meeus, Wim H. J.
中科院分区：
文献类型：
--
作者：
Hale, William W., III;Keijsers, Loes;Meeus, Wim H. J.
背景资料：在以往的研究中，母亲表达的情绪（EE）已被发现是一个很好的预测青少年的内化和外化症状的过程。然而，这些研究是横向的，而不是纵向的。本研究的目的是检查纵向数据的母亲EE和青少年的内化和外化症状，以确定是否母亲EE影响青少年症状的过程（父母效应模型），或者如果青少年症状的过程影响母亲EE（儿童效应模型），或者如果母亲EE和青少年症状相互影响双向。研究方法：荷兰青少年（N = 497; 57%的男孩; M = 13岁）从一般社区和他们的母亲进行了前瞻性研究，每年三年。在所有波的母亲完成了表达情绪（LEE）的问卷调查和青少年完成自我评价的措施，内化和外化的症状。采用结构方程模型（SEM）对纵向数据进行分析。结果如下：SEM分析的结果清楚地表明，儿童效应模型最好地描述了母亲EE和青少年内化和外化症状的过程之间的关系。结论：这项纵向研究的母亲的EE的看法表明，这是从一般社区的青少年的内化和外化症状的过程中，影响母亲EE，而不是母亲的EE影响青少年的症状的过程中的感知。由于这项研究是基于一般社区的青少年，因此建议这些发现也应该在青少年的临床样本中重复。
Background: In previous studies, maternal expressed emotion (EE) has been found to be a good predictor of the course of adolescent internalizing and externalizing symptoms. However, these studies have been cross-section as opposed to longitudinal. The goal of this study is to examine longitudinal data of perceived maternal EE and adolescent internalizing and externalizing symptoms to determine if maternal EE affected the course of adolescent symptoms (a parent effect model), or if the course of adolescent symptoms affected maternal EE (a child effect model), or if maternal EE and adolescent symptoms affected one another bidirectionally. Methods: Dutch adolescents (N = 497; 57% boys; M = 13 years) from the general community and their mothers were prospectively studied annually for three years. At all waves the mothers completed the Level of Expressed Emotion (LEE) questionnaire and the adolescents completed self-rated measures of internalizing and externalizing symptoms. Structural equation modeling (SEM) was used to analyze the longitudinal data. Results: The results of the SEM analyses clearly demonstrate that a child effect model best describes the relationship between maternal EE and the course of adolescent internalizing and externalizing symptoms. Conclusions: This longitudinal study of the mothers' EE perceptions suggests that it is the course of the internalizing and externalizing symptoms of adolescents from the general community that affects maternal EE, and not the mothers' perceived EE influencing the course of the adolescents' symptoms. Since this study was based on adolescents from the general community, it is suggested that these findings should also be replicated in clinical samples of adolescents.