The Longitudinal Association Between Oppositional and Depressive Symptoms Across Childhood
The Longitudinal Association Between Oppositional and Depressive Symptoms Across Childhood
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DOI：
10.1016/j.jaac.2009.09.007
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发表时间：
2010-02-01
影响因子：
13.3
通讯作者：
Szatmari, Peter
中科院分区：
文献类型：
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作者：
Boylan, Khrista;Georgiades, Katholiki;Szatmari, Peter
目的：对立违抗性障碍（ODD）和抑郁症的症状在横截面和纵向上都显示出很高的共现率。本研究探讨在何种程度上的对立症状的预测，随着时间的推移，在抑郁症状的变化，占共同发生的抑郁症状和测量误差的变化。方法：分析的样本包括来自国家青年纵向研究的6岁和7岁儿童（N = 903），他们在6至7岁（T1），8至9岁（T2）和10至11岁（T3）时每两年进行一次评估。儿童期对立行为和抑郁症状的测量使用母亲的行为问题指数的报告。结构方程模型被用来测试是否对立行为预测随后的抑郁症状的男孩和女孩在整个童年。结果如下：对于男孩来说，即使在考虑了之前和同时发生的抑郁症状水平之后，对立行为也预示着在这两个时间点后续抑郁症状的增加。对于女孩来说，T2和T3的抑郁症状预示着T3的对立症状水平较低。结论：对立行为可能是男孩抑郁症的一个危险因素，但在女孩中，它在每个时间点的共同发生掩盖了任何这种关系。儿童对立和抑郁症状之间的发展关系是复杂的，并因性别而异。J. Am. Acad.儿童青少年精神病学，2010;49（2）：152-161.
Objective: Symptoms of oppositional defiant disorder (ODD) and depression show high rates of co-occurrence, both cross-sectionally and longitudinally. This study examines the extent to which variation in oppositional symptoms predict, variation in depressive symptoms over time, accounting for co-occurring depressive symptoms and measurement error. Method: The sample for analyses includes a cohort of 6- and 7-year-old (N = 903) children from the National Longitudinal Study of Youth who were assessed biannually at ages 6 to 7 (T1), 8 to 9 (T2), and 10 to 11 (T3) years of age. Childhood oppositional behaviors and depressive symptoms were measured using maternal reports on the Behavior Problem Index. Structural equation modeling was used to test whether oppositional behavior predicted subsequent depressive symptoms in boys and girls across childhood. Results: For boys, oppositional behaviors predicted increases in subsequent depressive symptoms across both time points, even after accounting for previous and co-occurring levels of depression symptoms. For girls, depressive symptoms at T2 and T3 were predictive of lower levels of oppositional symptoms at T3. Conclusion: Oppositional behavior may be a risk factor for depression in boys, but in girls its co-occurrence at each time point obscures any such relationship. Developmental relationships between oppositional and depressive symptoms in children are complex and differ by sex. J. Am. Acad. Child Adolesc. Psychiatry, 2010;49(2):152-161.