Retrospective Basic Parent-Child Communication Difficulties and Risk of Depression in Deaf Adults
Retrospective Basic Parent-Child Communication Difficulties and Risk of Depression in Deaf Adults
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DOI：
10.1007/s10882-016-9501-5
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发表时间：
2017-02-01
影响因子：
1.8
通讯作者：
Leigh, Irene W.
中科院分区：
文献类型：
--
作者：
Kushalnagar, Poorna;Bruce, Sheila;Leigh, Irene W.
本文描述了回顾性沟通困难与当前抑郁症状之间的关系。共有143名失聪/听力障碍的晚期青少年和成年人（64%白人，55%女性）完成了与父母沟通、语言史和当前心理功能相关的问卷调查。在控制性别、听力水平和语言史后，使用逻辑回归模型来估计与理解父母沟通相关的抑郁可能性。显著优势比表明，理解与父母基本沟通的困难增加了抑郁症状的几率。比值比表明，在保持所有其他变量不变的情况下，那些能听懂同性父母所说的话的人患抑郁症的几率至少要高出8倍。对于不同性别的父母，只有母亲与男性个体的交流与抑郁有关。虽然我们的研究结果表明，有家庭沟通困难史的DHH男性和女性在成年后有患抑郁症的风险，但它们并没有提供有关生命早期沟通困难与生命后期抑郁之间因果机制的信息。应更加重视促进DHH女孩与其母亲以及DHH男孩与其父亲之间的健康交流，这可能会减少DHH个体后来出现抑郁症的影响。
This paper describes the relationship between retrospective communication difficulties and current depressive symptomatology. A total of 143 deaf/hard-of-hearing late adolescents and adults (64 % White; 55 % female) completed questionnaires related to parent communication, language history and current psychological functioning. Logistic regression models were used to estimate the likelihood of having depression that is associated with understanding parents' communication after controlling for gender, hearing level, and language history. Significant odds ratio indicated that the difficulties in understanding basic communication with parents increased the odds of depression symptomatology. The odds ratio indicates that when holding all other variables constant, the odds of reporting depression were at least 8 times higher for those who reported being able to understand some to none of what the same-sex parent said. For the different-gender parent, only the mother's communication with the male individual was associated with depression. Although our study findings suggest that DHH men and women with history of communication difficulties at home are at risk for depression in adulthood, they do not provide information on the causal mechanisms linking communication difficulties early in life and depression later in life. Greater attention should be given to promoting healthy communication between DHH girls and their mothers as well as DHH boys and their fathers, which might reduce the impact on later emergence of depression in the DHH individual.