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研究生: 林毓祺
Lin, Richard
論文名稱: 兒童虐待對憂鬱母親及其下一代的憂鬱問題之影響
Depression in Offspring of Depressed Mothers: An Effect of Child Maltreatment
指導教授: 柯慧貞
Ko, Huei-Chen
學位類別: 碩士
Master
系所名稱: 醫學院 - 行為醫學研究所
Institute of Behavioral Medicine
論文出版年: 2005
畢業學年度: 93
語文別: 英文
論文頁數: 82
外文關鍵詞: Maternal depression, Child depression, Maternal maltreatment, Child maltreatment
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  • Purpose of the present study

     The purpose of the present study includes: 1. To compare the differences of past experiences of childhood maltreatment on depressive and healthy control mothers. 2. To compare the differences of maternal child maltreating behaviours on children’s psychological outcomes between the two groups. 3. To examine the possible pathways of the influences of maternal psychopathology and child maltreating behaviours on children’s psychological outcomes.

    Methods

     Participants: The participants were mother-offspring pairs with mothers who gave birth at the National Cheng Kung University Hospital Obstetrics Ward and took part in the National Science Council “Postpartum Depression 10-year Follow-up” research along with their child ten years ago. We recruited 155 mother-offspring pairs, but the overall valid sample was 59, of those 34 in the depression group and 25 in the control group. The average age of the mothers were 39 years old and the average age of the children were aged 9 years old.

     Measurements: The diagnosis of the psychopathology for the participants was carried out with the Mini-Schedule for the Affective Disorders and Schizophrenia (Mini-SADS) and and Kiddie-Schedule for the Affective Disorders and Schizophrenia (KSADS). The mother completed the self-report questionnaires of Beck Depression Inventory (BDI), as well as the Childhood Maltreatment Questionnaire for the assessment of her past experiences of child maltreatment and her current behaviours of child maltreatment towards her offspring. On the other hand, the children also completed the self-report questionnaires of the Childhood Maltreatment Questionnaire for the assessment on their perceptions of being maltreated. Furthermore, the children completed the Child Behavioural and Emotional Checklist for depression (CBECL-D).

     Procedures: The participants were interviewed with mini-SADS and KSADS on the diagnosis of their current psychological health conditions and were separated into the two groups of study: depressed and control mothers. Apart from the interview, all child maltreatment questionnaires were taken back home for completion if unfinished during the given time.

    Results

     With one-way ANOVA analysis, the results of the present study showed no significant differences found in mothers’ demographical characteristics between depressed and control mothers. However, mothers in the depression group reported higher on BDI and more experience of past emotional neglect than the control group. Multiple hierarchical regression analysis showed that maternal past experiences of emotional neglect was found to be able to predict her current depression.

     On the other hand, one-way ANOVA analyses showed no significant differences in children’s demographical characteristics, CBECL-D and Childhood Maltreatment Questionnaire between the offspring of depressed mothers and those of the control mothers. However, Pearson correlation analysis found a positive association between physical neglect and child depression for children with rating from children. On the other hand, maternal current emotional neglect was correlated with child depression in children with rating from mothers. Furthermore, multiple hierarchical regression analysis found that maternal emotional neglect behaviour could predict child depression with the ratings from mothers. On the contrary, physical neglect behaviour was found to be able to predict child depression in children with the ratings from children.

    Discussion

     The present study found that mothers who were depressed tended to have been emotionally neglect by their own mothers in the past. Furthermore, with ratings from mothers, it was found that maternal current emotional neglect behaviours played an important role in the prediction of child depression in her offspring. On the other hand, perceived maternal physical neglect was found to be able to predict child depression by the ratings from children.

    Abstract CHAPTER ONE:INTRODUCTION12 A. The Prevalence and the Phenomenon of Depression12 B. Diagnostic Definition of Depression.13 1. Diagnostic criteria for adults.13 1.1 Major depressive disorder.13 1.2 Dysthymic disorder.14 2. Diagnostic criteria for children.15 2.1 Major depressive disorder.15 2.2 Dysthymic disorder.15 C. The Relationship Between Maternal Psychopathology and Offspring’s Psychological Outcomes16 1. The relationship between maternal pure depression and offspring’s depressive outcome.16 D. The Definition of Child Maltreatment.18 1. Abuse.-18 1.1 Physical abuse.18 1.2 Emotional abuse.20 2.Neglect.21 2.1 Physical neglect.21 2.2 Emotional neglect.22 E. The Influence of Maternal Past Experiences of Childhood Maltreatment to Maternal Current Psychopathology.23 1. Relationship between maternal past experiences of childhood maltreatment and her current depression.23 F. The Influence of Maternal Child Maltreating Behaviours on Offspring’s Psychological Outcomes.26 1. The influence of maternal child maltreating behaviours on children’s depressive outcome.27 G. Critiques on the Previous Literature and Perspective on the Future Studies.29 H. The Purposes of the Present Study.30 CHAPTER TWO:METHODS.31 A. Participants.31 B. Measurement.31 1. Chinese version of the Mini-Schedule for the Affective Disorders and Schizophrenia (Mini-SADS).31 2. Kiddie-Schedule for the Affective Disorders and Schizophrenia (K-SADS).31 3. Childhood Maltreatment Questionnaire.32 4. Child Behavioural and Emotional Checklist (CBECL).33 C. Procedure.34 D. Statistical Analyses.36 1. Groups.36 2. Statistical analyses.36 CHAPTER THREE:RESULTS.38 CHAPTER FOUR:DISCUSSION.41 A. Findings of the present study.41 1. Maternal past experiences of childhood maltreatment and current maternal depression.41 2. Maternal child maltreating behaviours on children’s depressive outcomes.44 B. Limitations of the present study.47 CHAPTER FIVE:REFERENCE.49 A. Chinese.49 B. English.50 Table 1:Demographic Characteristics for the Total Valid Sample Mother Group and the Data Uncollected Mother Group.56 Table 2:Demographic Characteristics and Clinical Data for the Total, Depressed and Control Sample Groups of Mothers.57 Table 3:Demographic Characteristics and Clinical Data for the Total, Depressed and Control Sample Groups of Children.58 Table 4:Correlation Matrix of Depression and Maternal Past Experiences of Child Maltreatment for Total Sample Mothers.59 Table 5:Correlation Matrix of Depression and Child Maltreatment for Total Sample Children with Rating by Mothers.59 Table 6:Correlation Matrix of Child Depression and Child Maltreatment for Total Sample Children with Rating by Children.60 Table 7:Correlation Matrix of Childhood Maltreatment with Ratings from Mothers and Children.60 Table 8:Hierarchical Multiple Regressions Predicting Maternal Current Depression from Sample Groups, Maternal Past Experiences of Child Maltreatment for Total Maternal Sample.61 Table 9:Hierarchical Multiple Regressions Predicting Child Depression from Sample Groups and Maternal Current Child Maltreatment Behaviour for Total Sample Children (Maternal Self-Report).62 Table 10:Hierarchical Multiple Regressions Predicting Child Depression from Sample Groups and Present Experiences of Child Maltreatment for Total Sample Children (Children Self-Report)63 Appendix 1: Childhood Maltreatment Questionnaire (Children version).64 Appendix 2: Childhood Maltreatment Questionnaire (Maternal past experience version).67 Appendix 3: Childhood Maltreatment Questionnaire (Maternal current maltreating behaviour version).70 Appendix 4: Child Behavioural and Emotional Checklist (CBECL).73

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