Mental health of children of low-income depressed mothers: influences of parenting, family environment, and raters.
Mental health of children of low-income depressed mothers: influences of parenting, family environment, and raters.
复制标题
低收入抑郁母亲子女的心理健康：养育方式、家庭环境和评估者的影响。
DOI：
10.1176/ps.2009.60.3.329
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Miranda,Jeanne
中科院分区：
文献类型：
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作者：
Riley,AnneW;Coiro,MaryJo;Broitman,Marina;Colantuoni,Elizabeth;Hurley,KristenM;Bandeen-Roche,Karen;Miranda,Jeanne
目的：本研究探讨了母亲抑郁症与情绪和行为问题和适应能力的four-to-10岁的儿童，由他们的母亲，父亲，和teachers.Methods：84母亲有抑郁症，49没有。他们主要是非洲裔美国人或拉丁美洲人，生活在低收入的城市社区。母亲、父亲和教师报告了儿童的情绪和行为问题以及适应功能。父母的行为和家庭压力进行了检查，作为潜在的调解人，和广义估计方程被用来测试调解，并占不同的评级报告的差异。结果如下：根据综合报告，患有抑郁症的母亲的孩子比社会人口学上相似的没有抑郁症的母亲的孩子的适应能力明显较差;根据母亲和父亲的报告，这些孩子也有更多的情绪和行为问题。母亲的养育质量介导了这些关联，但测量的家庭压力源没有。结论：这项研究有助于科学文献，证明了低收入非洲裔美国人和拉丁美洲家庭的母亲抑郁症的评分员和测试介质的影响。它表明，母亲，父亲和教师观察到患有抑郁症的母亲的孩子比没有抑郁症的孩子的功能更差，尽管记者的观点有所不同。产妇抑郁症的影响超过贫穷的影响，这表明必须发展和资助各种服务，以满足受影响家庭的需要。（精神病学服务60：329-336，2009）
Objective: This study examined the association of maternal depression with the emotional and behavioral problems and adaptive skills of fourto ten-year-old children as rated by their mothers, fathers, and teachers.Methods: Eighty-four mothers had major depressive disorder, and 49 did not. They were predominantly African American or Latino and lived in low-income, urban communities. Mothers, fathers, and teachers reported on children’s emotional and behavioral problems and adaptive functioning. Parenting behavior and family stress were examined as potential mediators, and generalized estimating equations were used to test mediation and to account for discrepancies in reports by different raters. Results: According to the combined reports, children of mothers with depression had significantly poorer adaptive skills than children of sociodemographically similar mothers without depression; according to the reports of mothers and fathers, these children also had more emotional and behavioral problems. The quality of mothers’ parenting mediated these associations, but measured family stressors did not. Conclusions: This study contributes to the scientific literature by demonstrating the effects of raters and testing mediators of maternal depression in low-income African-American and Latino families. It demonstrated that mothers, fathers, and teachers observed worse functioning among children of mothers with depression than without depression, although reporters’ perspectives varied somewhat. The impact of maternal depression over and above that of poverty suggests the importance of developing and funding services to address the needs of affected families.(Psychiatric Services 60: 329–336, 2009)