心理发展与教育 ›› 2021, Vol. 37 ›› Issue (1): 84-91.doi: 10.16187/j.cnki.issn1001-4918.2021.01.11

• 心理健康与教育 • 上一篇    下一篇

童年期抑郁情绪发展的异质性与可预测性:2年追踪研究

苏志强, 马郑豫   

  1. 长江师范学院教师教育学院, 重庆 408100
  • 发布日期:2021-01-22
  • 通讯作者: 马郑豫 E-mail:mzy0911@163.com
  • 基金资助:
    全国教育科学规划教育部青年课题“农村留守儿童的心理素质发展及其影响因素:一项两年追踪研究”(EBA170438)。

The Heterogeneity and Predictability of Childhood Depression Development: A 2-year Follow-up Study

SU Zhiqiang, MA Zhengyu   

  1. Faculty of Teacher Education, Yangtze Normal University, Chongqing 408100
  • Published:2021-01-22

摘要: 以儿童抑郁量表为研究工具,对小学3到4年级771名儿童进行了2年的追踪研究。采用潜类别增长模型和终端结局潜发展模型,分别考察了童年期儿童抑郁情绪发展的亚群组类型,以及儿童抑郁情绪的发展特征对观察期结束时抑郁情绪的预测作用。结果表明:(1)童年期儿童的抑郁情绪发展呈现出三种不同的亚类型,即抑郁高风险组、抑郁低风险组和抑郁自愈组,各类型组人数比例分别为9.6%、53.4%和36.8%;(2)童年期儿童抑郁情绪的初始水平及其发展变化率均可以显著预测观察期结束时的抑郁情绪状况。童年期儿童抑郁情绪的早期监测工作有着重要的实践意义。

关键词: 抑郁, 亚群组, 终端结局预测, 儿童

Abstract: In this study, 771 students in grades 3~4 were investigated by Children Depression Scale in the time of 2 years. Adopting The latent category growth model and The latent growth model with distal outcome measure. This study examined the subgroup types of childhood depression development, and the predictive effects of the developmental characteristics of childhood depression on the status of depression at the end of the observation period. The results indicated that:(1) the development of depression in childhood children presents three different subtypes:High risk group for depression, Low risk group for depression and Depression self-healing group. The proportion of people in each type group was 9.6%,53.4% and 36.8% respectively; (2) The initial level of depression in childhood and its rate of development can significantly predict the depression at the end of the observation period. The early monitoring of childhood depression is of great practical significance.

Key words: depression, subgroups, distal outcome prediction, child

中图分类号: 

  • B844
Anthony, E. J. (1975). Childhood depression. In Anthony, E. J. & Benedek, T., Depression and human existence. Boston:Little, Brown.
Anagnostopoulos, D. (2008). Depression in children and adolescent. Annals of General Psychiatry, 7(1), 1-2.
Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., …Nelson, B. (1996). Childhood and adolescent depression:A review of the past 10 years. Part I. Journal of the American Academy of Child & Adolescent Psychiatry, 35(11), 1427-1439.
Brendgen, M., Wanner, B., Morin, A. J., & Vitaro, F. (2005). Relations with parents and with peers, temperament, and trajectories of depressed mood during early adolescence. Journal of Abnormal Child Psychology, 33(5), 579-594.
Costello, E. J., Erklani, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47, 1263-1271.
Cho, K. M. (2009). An analysis survey on physical development and health status of elementary children in poverty in Incheon area. Korean Parent Child Health Journal, 12(2), 147-159.
Dekker, M. C., Ferdinand, R. F., Van Lang, N. D. J., Bongers, I. L., van der Ende. J., & Verhulst, F. C. (2007). Developmental trajectories of depressive symptoms from early childhood to late adolescence:Gender differences and adult outcome. Journal of Child Psychology and Psychiatry, 48(7), 657-666.
Ellis, A. A., Nixon, R. D., & Williamson, P. (2009). The effects of social support and negative appraisals on acute stress symptoms and depression in children and adolescents. British Journal of Clinical Psychology, 48(4), 347-361.
Epkins, C. C. (1994). Peer rating of depression, anxiety, and aggression in inpatient and elementary school children rating biases and influence of rater's self-reported depression, anxiety, and aggression. Journal of Abnormal Child Psychology, 22(5), 611-628.
Epkins, C. C., & Seegan, P. L. (2015). Mother-reported and children's perceived social and academic competence in clinic-referred youth:unique relations to depression and/or social anxiety and the role of self-perceptions. Child Psychiatry and Human Development, 46(5), 656-670.
Fendrich, M., Weissman, M. M., & Warner, V.(1990).Screening for depressive disorder in children and adolescents:Validating the center for epidemiologic studies depression scale for children. American Journal of Epidemiology, 131(3), 538-551.
Frühe, B., Allgaier, A. K., Pietsch, K., Baethmann, M., Peters, J., Kellnar, S. …Schulte-k rne, G. (2012). Children's depression screener (ChilD-S):development and validation of a depression screening instrument for children in pediatric care. Child Psychiatry & Human Development, 43(1), 137-151.
Garber, J., Keiley, M. K., & Martin, C. (2002). Developmental trajectories of adolescents' depressive symptoms:Predictors of change. Journal of Consulting and Clinical Psychology, 70(1), 79-95.
Ge. X., Conger, R. D., & Elder, G. H. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37(3), 404-417.
Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression:An elaborated cognitive vulnerability transactional stress theory. Psychological Bulletin, 127(6), 773-796.
Hewitt, P. L., Caelian, C. F., Flett, G. L., Sherry, S. B., Collins, L., & Flynn, C. A. (2002). Perfectionism in children:Associations with depression, anxiety, and anger. Personality and Individual Differences, 32(6), 1049-1061.
Kazdin, A. E. (1989). Identifying depression in children a comparison of alternative selection criteria. Journal of Abnormal Child Psychology, 17(4), 437-454.
Kelvin, R. (2016). Depression in children and young people. Paediatrics and Child Health, 9(1), 18-36.
Kovacs, M., & Beck, A. T. (1977). An empirical-clinical Approach Toward a definition of childhood depression. In Schulterbrandt, J. G., & Raskin, A., Depression in childhood:Diagnosis, treatment, and conceptual models. New York:Raven Press.
Kim, J., & Cicchetti, D. (2006). Longitudinal trajectories of self-system processes and depressive symptoms among maltreated and nonmaltreated children. Child Development, 77(3), 624-639.
K sters, M. P., Chinapaw, M. J., Zwaanswijk, M., Van, M. F., & Koot, H. M. (2015). Structure, reliability, and validity of the revised child anxiety and depression scale (RCADS) in a multi-ethnic urban sample of dutch children. BMC Psychiatry, 15(1), 1-8.
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 39(1), 47-63.
Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depressive disorders in childhood:I. A longitudinal prospective study of characteristics and recovery. Archives of General Psychiatry, 41(3), 229-237.
Koenig, J., Kemp, A. H., Beauchaine, T. P., Thayer, J. F., & Kaess, M. (2016). Depression and resting state rate variability in children and adolescents-A systematic review and meta-analysis. Clinical Psychology Review, 46, 136-150.
Kaslow, N. J., Rehm, L. P., & Siegel, A. W. (1984). Social-Cognitive and cognitive correlates of depression in children. Journal of Abnormal Child Psychology, 12(4), 605-620.
Karami, S., Ghasemzadeh, A., Saadat, M., Mazaheri, E., & Zandipour, T. (2012). Effects of group counseling with cognitive behavioural approach on reducing divorce children's depression. Procedia-Social and Behavioral Science, 46, 77-81.
Lefkowitz, M. M., & Burton, N. (1978). Childhood depression:A critique of the concept. Psychological Bulletin, 85(4), 716-726.
Leon, G. R., Kendall, P. C., & Garber, J. (1980). Depression in children:Parent, teacher, and perspectives. Journal of Abnormal Child Psychology, 8(2), 221-235.
Lubke, G., & Muthén, B. O. (2007). Performance of factor mixture models as a function of covariate effects, model size, and class-specific parameters. Structural Equation Modeling, 14(1), 26-47.
Lack, C. W., & Green, A. L. (2009). Mood disorders in children and adolescents. Journal of Pediatric Nursing, 24(1), 13-25.
Lakdawalla, Z., Hankin, B. L., & Mermelstein, R. (2007). Cognitive theories of depression in children and adolescents a conceptual and quantitative review. Clinical child & Family Psychology Review, 10(1), 1-24.
Mrazek, P. J., & Haggerty, R. J. (1994). Reducing risks for mental disorders:Frontiers for preventive intervention research. Washington, DC:Natinal Academy Press.
Olino, T. M., Stepp, S. D., Keenan, K., Loeber, R., & Hipwell, A. (2014). Trajectories of depression and anxiety symptoms in adolescent girls:A comparison of parallel trajectory approaches. Journal of Personality Assessment, 96(3), 316-326.
Okumura, Y., & Ichikura, K. (2016). Efficacy and acceptability of cognitive behavioral therapy for depression in children:A systematic review and meta-analysis. Journal of Affective Disorders, 164, 155-164.
Perrone, L., Borelli, J. L., Smiley, P. A., & Rasmussen, H. F. (2016). Do children's attributions mediate the link between parental conditional regard and child depression and emotion. Journal of Child and Family Studies, 25(11), 3387-3402.
Ra, J. S., & Gang, M. (2016). Depression moderates between physical activity and quality of life in low-income children. Applied Nursing Research, 29, 18-22.
Richardson, L. P., Russo, J. E., Lozano, P., McCauley, E., & Katon, W. (2010). Factors associated with detection and receipt of treatment for youth with depression and anxiety disorders. Academic Pediatrics, 10(1), 36-40.
Rooney, R., Hassan, S., Kane, R., Roberts, C. M., & Nesa, M. (2013). Reducing depression in 9-10 year old children in low SES schools a longitudinal universal randomized controlled trial. Behaviour Research and Therapy, 51(12), 845-854.
Substance Abuse and Mental Health Services Administration(SAMHSA). (2016). Key Substance Use and Mental Health Indicators in the United States:Results from the 2016 National Survey on Drug Use and Health.[Date file]. Availabel from Substance Abuse and Mental Health Services Administration Web site:https://www.samhsa.gov
Stark, K. D., Banneyer, K., Wang, L. A., & Arora, P. (2012). Child and adolescent depression in the family. Couple and Family Psychology:Research and Practice, 1(3), 161-164.
Scanlon, N. M., & Epkins, C. C. (2015). Aspects of mother's parenting independent and specific relations to children's depression, anxiety, and social anxiety symptoms. Journal of Child & Family Studies, 24(2), 2419-263.
Vostanis, P., Feehan, C., & Grattan, E. (1998). Two-year outcome of children treated for depression. European Child & Adolescent Psychiatry, 7(1), 12-18.
Worchel, F. F., Hughes, J. N., Hall, B. M., & Stanton, S. B. (1990). Evaluation of subclinical depression in children using self-, peer-, and teacher-report measures. Journal of Abnormal Child Psychology, 18(3), 271-282.
Wilcox, H. C., & Anthony, J. C. (2004). Child and adolescent clinical features as forerunners of adult-onset major depressive disorder:Retrospective evidence from an epidemiological sample. Journal of Affective Disorders, 82(1), 9-20.
Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006). Effects of psychotherapy for depression in children and adolescents:a meta-analysis. Psychological Bulletin, 132(1), 132-149.
Wang, L.F., Feng, Z.Z., Yang, G.Y., Yang, Y.L., Wang, K. F., Dai, Q.,…Xia, F. (2016). Depressive symptoms among children and adolescents in western China:An epidemiological survey of prevalence and correlates. Psychiatry Research, 246, 267-274.
Wesselhoeft,R., Heiervang, E. R., Kragh-Sørensen, P., Juul, S. M., & Bilenberg, N. (2016). Major depressive disorder and subthreshold depression in prepubertal children from the Danish national birth cohort. Comprehensive Psychiatry, 70, 65-76.
Yang, C. (2006). Evaluation latent class analysis models in qualitative phenotype identification. Computational Statistics & Data Analysis, 50(4), 1090-1104.
侯金芹, 陈祉妍. (2016). 青少年抑郁情绪的发展轨迹:界定亚群组及其影响因素. 心理学报, 48(8), 957-968.
苏志强, 王钢, 刘传星, 张大均. (2018). 童年中晚期抑郁的发展及其与问题行为的并发:一项两年追踪研究. 心理发展与教育, 34(2), 200-209.
汪向东, 王希林, 马弘. (1999). 心理卫生评定量表手册(增订版). 北京:中国心理卫生杂志社.
王济川, 王小倩, 姜宝法. (2011). 结构方程模型:方法与应用. 北京:高等教育出版社.
姚本先. (2003). 我国学校心理健康教育:现状、问题、展望. 课程教材教法, 2, 41-44.
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