Youth Depression and Early Childrearing: Stress Generation and Intergenerational Transmission of Depression
Youth Depression and Early Childrearing: Stress Generation and Intergenerational Transmission of Depression
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DOI：
10.1037/a0023536
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发表时间：
2011-06-01
影响因子：
5.9
通讯作者：
Le Brocque, Robyne
中科院分区：
文献类型：
--
作者：
Hammen, Constance;Brennan, Patricia A.;Le Brocque, Robyne
目的：将压力产生的概念扩展到急性生活事件之外，目前的研究探索了压力环境产生的预测因素，特别是在20岁之前选择早期抚养孩子。据预测，早发性抑郁症的青年将在早期育儿伴随着更大的抑郁症和父母不适应的风险更高。其他分析测试的假设，人际关系的脆弱性和代际传递的抑郁症的作用，并检查性别差异。方法：社区样本的706名青少年和他们的母亲在15岁和20岁进行了研究。最初选择样本是为了对有抑郁母亲的家庭进行过度抽样。结果如下：结果证实了女性而不是男性的假设：15岁时患有抑郁症的年轻女性在15岁时出现人际关系困难和早期育儿的风险更大，并在20岁时进一步抑郁和育儿功能障碍。（大）母亲抑郁症的影响在预测青年早发性抑郁症和人际关系困难方面是显而易见的，以及在20岁之前生孩子的女儿中抑郁症的发病率更高。结论：这项研究扩展了压力产生的定义，将过去的抑郁和其他风险因素作为选择进入压力大的育儿环境的预测因素。研究结果还描述了抑郁症代际传递的各个方面。研究结果突出了年轻女性干预措施的潜在重要目标，以防止重性抑郁症和养育功能障碍的复发。
Objective: Broadening the concept of stress generation beyond acute life events, the current study explores predictors of the creation of stressful environments-specifically, selection into early childrearing by age 20. It was predicted that youth with early onset depressive disorders would be at higher risk for early childrearing accompanied by greater depression and parenting maladjustment. Additional analyses tested hypotheses about the roles of interpersonal vulnerability and intergenerational transmission of depression and examined gender differences. Method: A community sample of 706 adolescents and their mothers were studied at ages 15 and 20. The sample was originally selected to oversample families with depressed mothers. Results: Results confirmed the hypotheses for women but not men: Young women with depression by age 15 were at greater risk for interpersonal difficulties at age 15 and early childrearing, accompanied by further depression and parenting dysfunction at age 20. The effects of (grand)maternal depression were evident in predicting youth early onset depression and interpersonal difficulties, as well as higher rates of depression among their daughters who had children by age 20. Conclusions: The study expands the definition of stress generation to include the role of past depression and other risk factors as predictors of selection into a stressful childrearing environment. The findings also describe aspects of the intergenerational transmission of depression. The results highlight potentially important targets for interventions in young women to prevent recurrence of major depression and parenting dysfunction.