Assessing the role of parent-child conflict and closeness in children's depression: insights from a meta-analysis.

IF 4.6 3区 医学 Q1 PEDIATRICS
Juanjuan Sun, Yuling Yin, Jinghui Zhang, Yan Li
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Abstract

Depression, as a prevalent public health concern, has long been the focus of research attention. However, the magnitude and moderating mechanisms underlying the association between parent-child relationships and childhood depression remain inconclusive. This study employed a meta-analysis to quantitatively assess the associations between two dimensions of parent-child relationships (closeness and conflict) and depressive symptoms in children across diverse global cultures, while investigating potential moderators through subgroup analyses and meta-regression. After systematic Literature search and screening, 63 studies comprising 97 effect sizes were included, with a total sample of 70,687 participants (mean age 13.3 ± 1.12 years; 51% girls). Main effect analysis revealed significant positive correlations between childhood depression and parent-child conflict (r = 0.25) and significant negative correlations with parent-child closeness (r = - 0.24). Moderator analyses identified cultural context, study design, child age, and publication status as significant moderators of these associations. In contrast, child gender, parental gender, and measurement instruments for depression showed no significant moderating effects. This study confirms that parent-child closeness and conflict respectively serve as crucial protective and risk factors for childhood depression. These findings underscore the importance of fostering positive parent-child relationships in preventive interventions, potentially reducing the incidence of childhood depression through improved family dynamics.

评估亲子冲突和亲密关系在儿童抑郁症中的作用:来自荟萃分析的见解。
抑郁症作为一种普遍存在的公共健康问题,长期以来一直是研究的焦点。然而,亲子关系与儿童抑郁之间的关系的大小和调节机制仍然没有定论。本研究采用荟萃分析定量评估亲子关系(亲密和冲突)两个维度与全球不同文化儿童抑郁症状之间的关联,同时通过亚组分析和荟萃回归调查潜在的调节因素。经过系统的文献检索和筛选,纳入63项研究,包括97个效应量,总样本为70,687名参与者(平均年龄13.3±1.12岁,51%为女孩)。主效应分析显示,儿童抑郁与亲子冲突呈显著正相关(r = 0.25),与亲子亲密度呈显著负相关(r = - 0.24)。调节因素分析确定文化背景、研究设计、儿童年龄和出版物状态是这些关联的重要调节因素。相比之下,儿童性别、父母性别和抑郁的测量工具没有显着的调节作用。本研究证实,亲子亲密和冲突分别是儿童抑郁症的重要保护因素和危险因素。这些发现强调了在预防干预中培养积极的亲子关系的重要性,通过改善家庭动态可能会减少儿童抑郁症的发病率。
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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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