儿童虐待和青少年怀孕对青少年晚期抑郁症状的交互影响》(The Interactive Effects of Child Maltreatment and Adolescent Pregnancy on Late-Adolescent Depressive Symptoms.

Justin Russotti, Elizabeth D Handley, Fred A Rogosch, Sheree L Toth, Dante Cicchetti
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摘要

青春期女性罹患抑郁症的风险过高,预计到 2030 年,抑郁症将成为导致残疾的主要原因(美国国家心理健康研究所 [NIMH] 2019 年)。尽管之前的研究表明,儿童虐待和青春期怀孕都会增加抑郁症状的风险,但人们对这两者如何相互作用以影响青春期后期的抑郁症却知之甚少。本研究采用前瞻性纵向设计,利用记录在案的虐待记录,测试了青春期怀孕和儿童虐待对青春期后期抑郁症状的独特和交互影响(N = 186),并纳入了人口统计学上可比(即经济条件较差)、未受虐待和未怀孕的比较对象。参与者在 10-12 岁和 18-21 岁时接受评估。研究采用结构方程模型来检验青春期怀孕是否会放大儿童虐待对青少年后期抑郁症状的影响。结果表明,在经济条件不利的情况下,青少年怀孕对青少年后期抑郁症状的影响明显增强。在控制了之前的抑郁症状、同伴和母子关系质量以及恋爱关系暴力之后,这种影响依然存在。研究结果为从业人员提供了有关精确抑郁筛查和量身定制的预防干预措施的初步指导。
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The Interactive Effects of Child Maltreatment and Adolescent Pregnancy on Late-Adolescent Depressive Symptoms.

Adolescent females are disproportionately at risk for depression, which is expected to represent the leading cause of disability in 2030 (National Institute of Mental Health [NIMH] 2019). Although prior research has suggested that both child maltreatment and adolescent pregnancy increase the risk for depressive symptoms, less is known about how these two interact to influence depression in late adolescence. The present study tested the unique and interactive effects of adolescent pregnancy and child maltreatment on late-adolescent depressive symptomatology (N = 186) with a prospective, longitudinal design that utilized documented records of maltreatment and included demographically comparable (i.e., economically disadvantaged), nonmaltreated and non-pregnant comparisons. Participants were assessed at ages 10-12 and 18-21. Structural equation modeling was used to test whether adolescent pregnancy amplified the effect of child maltreatment on late-adolescent depressive symptoms. In the context of economic disadvantage, results indicated that the effect of child maltreatment on late-adolescent depressive symptoms was significantly enhanced for those who experienced an adolescent pregnancy. This effect remained after controlling for prior depressive symptoms, peer and maternal relationship quality, and romantic relationship violence. The findings are translated to preliminary guidance for practitioners regarding precision depression screening and tailored preventive interventions.​.

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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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