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Chronic and Episodic Stress in Children of Depressed Mothers

机译:抑郁母亲的儿童的慢性和发作性应激

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The goal of this study was to examine chronic and episodic stress in children of mothers with and without a history of major depressive disorder (MDD) during the children's lives. Participants were 255 mothers selected according to their history of MDD (present vs. absent during child's life) and their children (age 8-14; 53% girls, 81% Caucasian). Mothers' and children's histories of MDD were assessed using diagnostic interviews, and their depressive symptoms were assessed via self-report measures. Children's levels of chronic and episodic stress were assessed using a semistructured contextual threat interview. Children of mothers with a history of recurrent MDD, compared to single MDD or no depression, experienced more chronic stress within several domains including peers, mother-child relations, and other family member relations as well as greater episodic dependent interpersonal stress. Each of these group differences was maintained after excluding children with a history of MDD themselves and controlling for their current depressive symptoms. However, only the group difference in chronic peer stress was maintained when controlling for mothers' current depression. The results suggest that children exposed to recurrent maternal MDD experience higher levels of both chronic and episodic stress, at least some of which they contribute to themselves (dependent interpersonal stress) and which is at least partially independent of the effects of children's depression. In addition, much of this stress is associated primarily with current depression in the mother, though it appears that chronic peer stress may remain elevated even after the remission of maternal depression.
机译:这项研究的目的是检查在母亲生命中是否患有严重抑郁症(MDD)的母亲的孩子,其慢性和发作性压力。参加者是255位根据其MDD(在孩子的一生中现在或不在家)和孩子(8-14岁; 53%的女孩,81%的白种人)的病史选择的母亲。使用诊断性访谈评估了母亲和儿童的MDD历史,并通过自我报告评估了他们的抑郁症状。使用半结构性背景威胁访谈评估了儿童的慢性和发作性应激水平。与单一MDD或无抑郁症相比,有MDD复发史的母亲的孩子在多个领域(包括同伴,母子关系和其他家庭成员关系)中经历了更多的慢性压力,以及偶发性依存的人际关系压力。在排除自己有MDD病史的儿童并控制其当前的抑郁症状后,这些群体差异中的每一个都得以维持。但是,控制母亲当前的抑郁时,只有长期同伴压力的群体差异得以维持。结果表明,暴露于复发性孕产妇MDD的儿童会经历较高水平的慢性和发作性应激,至少其中一部分是他们自己造成的(依赖性人际关系紧张),并且至少部分与儿童抑郁症的影响无关。此外,这种压力中的大部分主要与母亲当前的抑郁症有关,尽管即使减轻了母亲的抑郁症,慢性同龄人的压力似乎仍可能升高。

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