儿童抑郁症状母婴报告的收敛性和生态有效性:来自不同母婴死亡样本的证据

IF 1.2 Q4 PSYCHIATRY
Tyler B. Mason, G. Margolin, G. Dunton
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引用次数: 4

摘要

本研究通过母子二人组的回顾性测量和生态瞬时评估(EMA),调查了多信息者方法的收敛性和生态有效性。在202个母子二人组中,母亲完成了对孩子抑郁症状和自己抑郁症状的父母代理回顾性测量。儿童完成了对自己抑郁症状、自尊和睡眠质量的自我报告回顾性测量;并自我报告8天内的影响EMA。结果显示,父母代理和儿童自我报告的抑郁症状回顾性测量呈弱正相关(r=0.23);与西班牙裔母亲相比,非西班牙语母亲的这种相关性更强(p=0.048)。父母代理的回顾性测量与母亲自己回顾性报告的抑郁症状水平呈正相关(r=0.33)。父母代理人和儿童自我报告的回顾性测量与儿童的平均EMA幸福感呈负相关(分别为p=0.001和p=0.003),但只有儿童的回顾性测量与EMA悲伤呈正相关(p=0.001)。在多变量模型中,儿童回顾性报告的抑郁症状与自卑和睡眠质量下降显著相关,而父母代理回顾性报告仅与母亲自身的抑郁症状相关。总体而言,目前的研究为儿童抑郁症状自我报告的收敛性和生态有效性提供了证据。然而,父母代理报告的有效性有限,而且父母代理报告可能受到母亲抑郁的高度影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Convergent and Ecological Validity of Mother and Child Reports of Children’s Depressive Symptoms: Evidence from a Diverse Sample of Mother–Child Dyads
This study investigated the convergent and ecological validity of a multi-informant approach through retrospective measures and ecological momentary assessment (EMA) from mother–child dyads. In 202 mother–child dyads, mothers completed parent-proxy retrospective measures of their child’s depressive symptoms and their own depressive symptoms. Children completed self-report retrospective measures of their own depressive symptoms, self-esteem, and sleep quality; and self-report EMA of affect across 8 days. Results showed that parent-proxy and child self-report retrospective measures of depressive symptoms were weakly positively correlated (r = 0.23); this association was stronger for non-Hispanic mothers compared to Hispanic mothers (p = 0.048). Parent-proxy retrospective measures were moderately positively associated with the mothers’ own retrospectively reported level of depressive symptoms (r = 0.33). Parent-proxy and child self-report retrospective measures were negatively associated with the children’s average EMA happiness (p = 0.001 and p = 0.003, respectively), but only the children’s retrospective measures were positively associated with EMA sadness (p = 0.001). In multivariable models, the children’s retrospectively reported depressive symptoms were significantly associated with lower self-esteem and reduced sleep quality, while parent-proxy retrospective reports were only associated with the mother’s own depressive symptoms. Overall, the current study provides evidence for the convergent and ecological validity of children’s self-reports of depressive symptoms. However, there was limited validity for parent-proxy reports, and parent-proxy reports may be highly influenced by the mothers’ depression.
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CiteScore
1.90
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0.00%
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