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Testing the Temporal Relationship Between Maternal and Adolescent Depressive and Anxiety Symptoms in a Community Sample

机译:测试社区样本中母婴抑郁和焦虑症状之间的时间关系

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Transactional models have been used to explain the relationship between maternal depression and child behavioral problems; however, few studies have examined transactional models for maternal depression and adolescent depression and anxiety. Using an autoregressive cross-lagged analysis, we examined the longitudinal association between maternal and adolescent depression to determine the extent to which maternal depression influences adolescent depression and anxiety, and vice versa, over the course of a 4-year period. Participants were a community sample of 277 mother-adolescent dyads with offspring 10 to 14 years of age at the 1st year used in the analyses (43.7% female; 35% African American, 2.9% Hispanic/Latino). Depressive symptoms were assessed using maternal self-report (Center for Epidemiological Studies-Depression Scale; Radloff, 1977), and adolescent depression and anxiety were assessed by self-report (Revised Child Anxiety and Depression Scale; Chorpita, Yim, Moffitt, Umemoto, & Francis, 2000). The final model, chi(2)(14) = 23.74, p = .05 (TLI = .97, CFI = .98, RMSEA = .05), indicated that maternal depression was significantly associated with adolescent depression 2 years later. Of interest, adolescent depression did not significantly predict maternal depression, and the association between maternal and adolescent depression was not moderated by gender, age, or ethnicity. The association between maternal depression and adolescent anxiety was weaker than that observed for adolescent depression. Results suggest that the transaction model of maternal depression may not extend to adolescent depression and anxiety. Furthermore, maternal depression can have an enduring effect on adolescent depression, and continued research and clinical monitoring over extended periods is warranted.
机译:交易模型已被用来解释母亲抑郁与儿童行为问题之间的关系。然而,很少有研究检查母体抑郁,青少年抑郁和焦虑的交易模型。使用自回归交叉滞后分析,我们检查了母体和青少年抑郁症之间的纵向关联,以确定在4年的时间里母体抑郁症对青少年抑郁症和焦虑的影响程度,反之亦然。参加者是分析中使用的第一年的10岁至14岁后代的277名母亲和青少年双胞胎的社区样本(女性为43.7%;非裔美国人为35%,西班牙裔/拉丁美洲人为2.9%)。抑郁症状的评估采用了母亲的自我报告(流行病学研究中心的抑郁量表;拉德洛夫,1977年),青少年抑郁和焦虑的自我报告量表(修订后的儿童焦虑和抑郁量表; Chorpita,Yim,Moffitt,Umemoto, &Francis,2000)。最终模型chi(2)(14)= 23.74,p = 0.05(TLI = 0.97,CFI = 0.98,RMSEA = 0.05),表明母亲抑郁与两年后的青少年抑郁显着相关。有趣的是,青春期抑郁并不能显着预测孕产妇抑郁,并且孕产妇与青春期抑郁之间的关联并不受性别,年龄或种族的影响。孕产妇抑郁和青少年焦虑之间的联系比青少年抑郁更弱。结果表明,母亲抑郁症的交易模型可能不会扩展到青少年抑郁症和焦虑症。此外,产妇抑郁症可对青少年抑郁症产生持久的影响,因此有必要在长期内进行持续的研究和临床监测。

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