重度抑郁症母亲子女的推断风格与抑郁症状之间的前瞻性关系。

Pooja Shankar,Brandon E Gibb
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摘要

目的目前的儿童抑郁风险模型包括家族史和认知风险模型;然而,这些模型很少被整合在一起。本研究旨在通过研究抑郁症无望理论中的认知弱点--对消极事件的原因、后果和自我特征影响的消极推断方式--如何增加抑郁症的代际传播风险来弥补这一空白。具体来说,我们研究了与从未患过抑郁症的母亲的子女相比,母亲有重度抑郁症(MDD)病史的母亲的子女是否表现出更消极的推断风格,以及母亲的 MDD 病史是否会调节子女的推断风格与抑郁症状之间的前瞻性关系。结果利用随机截距交叉滞后面板模型(RI-CLPMs),我们发现与从未患过抑郁症的母亲的子女相比,有抑郁症病史的母亲的子女在整个随访期间对负面事件的原因和后果具有更消极的推断方式,但对自我特征的推断方式则不消极,而且抑郁症状水平更高。此外,在整个随访期间,儿童对原因的推断方式与他们的抑郁症状之间存在互惠的交易关系,没有证据表明母亲患有抑郁症会对其产生调节作用。结论儿童对负面事件原因的推断方式可能是抑郁症代际传播风险的一个有用标记,可以有针对性地降低抑郁症风险。
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Prospective Relations Between Inferential Styles and Depressive Symptoms Among Children of Mothers with Major Depression.
OBJECTIVE Current models of depression risk in children include both family history and cognitive models of risk; however, these models are rarely integrated. This study aimed to address this gap by examining how cognitive vulnerabilities featured in the hopelessness theory of depression - negative inferential styles for the causes, consequences, and self-characteristic implications of negative events - may increase risk for the intergenerational transmission of depression. Specifically, we examined whether children of mothers with a history of major depressive disorder (MDD), compared to children of never-depressed mothers, exhibit more negative inferential styles and whether maternal history of MDD moderates prospective relations between children's inferential styles and depressive symptoms. METHOD Participants were 251 children (ages 8-14 at baseline; 51% girls; 81% Non-Hispanic White) of mothers with (n = 129) or without (n = 122) a history of MDD. Children's inferential styles and depressive symptoms were assessed at baseline and then every 6 months for 2 years. RESULTS Using random intercept cross-lagged panel models (RI-CLPMs), we found that children of mothers with a history of MDD, compared to children of never-depressed mothers, had more negative inferential styles for the causes and consequences of negative events, but not for self-characteristics, and higher depressive symptom levels, across the follow-up. In addition, there were reciprocal, transactional relations between children's inferential styles for causes and their depressive symptoms across the follow-up, with no evidence for moderation by maternal MDD. CONCLUSIONS Children's inferential styles for the causes of negative events may be a useful marker of risk for the intergenerational transmission of depression, which could be targeted to reduce risk for depression.
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