Mother-child relationships of children with ADHD: The role of maternal depressive symptoms and depression-related distortions
Mother-child relationships of children with ADHD: The role of maternal depressive symptoms and depression-related distortions
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DOI：
10.1023/a:1015770025043
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发表时间：
2002-08-01
影响因子：
3.6
通讯作者：
Hinshaw, SP
中科院分区：
文献类型：
--
作者：
Chi, TC;Hinshaw, SP
我们通过检查母亲抑郁症状对儿童行为问题报告中的跨信息差异和亲子关系的几种衡量标准的影响，研究了抑郁-->扭曲假说。该样本包括 96 名被诊断患有 ADHD 合并型的 6 至 10 岁儿童及其母亲，他们在参加随机临床试验之前提供了基线数据。衡量标准包括儿童特征、母亲抑郁症状的自我报告、养育方式以及实验室母子互动。母亲抑郁症状的升高与母亲报告的消极养育方式相关，但与观察到的实验室相互作用无关。母亲的抑郁症状水平预示着她们在报告孩子的多动症症状、一般行为问题和她们自己的消极养育方式时会出现负面偏见。虽然抑郁症状的水平并不能预测观察到的养育行为，但母亲的扭曲确实可以预测亲子互动的问题。探索性分析显示，母亲抑郁症状与抑郁扭曲导致的消极养育报告之间的关系具有轻微显着的中介效应。我们讨论母亲抑郁症状、抑郁相关扭曲以及母子关系之间的联系对发展精神病理学研究和干预的影响。
We investigated the Depression-->Distortion hypothesis by examining the effects of maternal depressive symptoms on cross-informant discrepancies in reports of child behavior problems and several measures of parent-child relationship. The sample included ninety-six 6 to 10-year-old children diagnosed with ADHD-Combined Type, and their mothers, who provided baseline data before participating in a randomized clinical trial. Measures incorporated child characteristics, self-reports of maternal depressive symptoms, parenting practices, and laboratory mother-child interactions. Elevations in maternal depressive symptoms were associated with maternal reports of negative parenting style but not with observed laboratory interactions. Mothers' levels of depressive symptoms predicted negative biases in their reports of their child's ADHD symptoms, general behavior problems, and their own negative parenting style. Whereas levels of depressive symptoms did not predict observed parenting behaviors, maternal distortions did predict problematic parent-child interactions. Exploratory analyses showed a marginally significant mediation effect of the relationship between maternal depressive symptomatology and reports of negative parenting by depressive distortions. We discuss implications of linkages between depressive symptoms in mothers, depression-related distortions, and mother-child relationships for research and intervention in developmental psychopathology.