Maternal and adolescent depressive symptoms and family conflict: An autoregressive cross-lagged examination of competing models in multi-stressed mothers and adolescents

Fam Process. 2023 Mar;62(1):254-271. doi: 10.1111/famp.12779. Epub 2022 May 11.

Abstract

Maternal and adolescent depression are challenges that often co-occur. Many studies have drawn bivariate associations between maternal depressive symptoms, adolescent depressive symptoms, and family conflict, but few have examined reciprocal effects. Even among extant studies, there is a lack of clarity related to directionality of influence. Three competing theoretical models may explain the relationship between maternal depressive symptoms, adolescent depressive symptoms, and family conflict, and these processes may differ by adolescents' sex. Using three time points of data from 187 diverse mother-adolescent dyads, we fit a taxonomy of autoregressive cross-lagged structural equation models to simultaneously evaluate the competing theoretical models and also examine differences by sex using multiple-group analyses. Results indicate a symptom-driven model whereby adolescent depressive symptoms predicted increases in family conflict. Sex differences were also found. For males, but not females, greater adolescent depressive symptoms predicted subsequent increases in maternal depressive symptoms, which then predicted lower family conflict-possibly indicating maternal disengagement/withdrawal. Our findings suggest addressing adolescent depressive symptoms in order to prevent family conflict and that distinctive targets for the prevention/intervention of family conflict should account for differences by adolescents' sex.

母亲方面的抑郁症和青少年孩子的抑郁症经常同时出现,是需要面对的挑战。许多研究得出了母亲抑郁症状、青少年抑郁症状和家庭冲突之间的双变量关系,但很少有人研究过两方面的相互影响。即使有相关的研究,对哪一方怎么影响另一方这样的方向性也缺乏清晰的研究结果。可以解释母亲抑郁症状、青少年抑郁症状和家庭冲突之间的理论模型有三种,各有一套理论,而这些过程可能因青少年的性别而不同。本研究利用调查对象为来自187个不同的母亲-青少年组合,在三个时间点搜集数据,我们拟合了一个自回归交叉滞后结构方程模型的分类,以同时评估相互竞争的理论模型,并利用多组分析考察性别差异。研究显示有一个症状驱动模型,即青少年抑郁症状可以用来预测家庭冲突的增加。研究还发现了孩子的性别不同结果有差异。对于男生,而不是女生,青春期抑郁症状出现啊越多预示着随后母亲抑郁症状的越会增加,从而也预示着家庭冲突可能性低 -- 可能表明母亲方面的不参与/退出。我们的研究结果表明,解决青少年抑郁症状以达到预防家庭冲突,预防/干预家庭冲突的显著目标应考虑到青少年的性别差异。.

Keywords: adolescent depression; family conflict; maternal depression; symptom-driven; urban adolescents; 城市青少年; 家庭冲突; 母亲抑郁症; 症状驱动; 青少年抑郁症.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Depression
  • Family Conflict*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Mother-Child Relations
  • Mothers*
  • Sex Factors