| 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 |
| 相關次數: | 點閱:67 下載:5 |
| 分享至: |
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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.
References.
Chinese
孔繁鐘與孔繁錦 編譯(民85)。DSM-IV精神疾病診斷手冊。台北市:合記出版社。
柯慧貞(民85)。產後憂鬱症致病機轉之前瞻性研究III。行政院國科會專題計畫成果報告,編號NSC-85-2331-13-006-108Y。
陳德人、毛家舲 (民88)。 認識兒童虐待。台灣醫界,42,14-16。
English
Arnow, B. A. (2004). Relationships between childhood maltreatment, adult health and psychiatric outcomes and medical utilization. The Journal of Clinical Psychiatry, 65, 10-15.
Benbenishty R., Zeira, A., Astor, R.A. & Khoury-Kassabri, M. (2002). Maltreament of primary school students by educational staff in Israel. Child Abuse & Neglect, 26, 1291-1309.
Bernstein, D.P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151, 1132-1136.
Black, D.A., Heyman, R.E. & Smith Slep, A.M. (2001). Risk factors for child physical abuse. Aggression and Violent Behaviour, 6, 121-188.
Black, D.A., Smith, A.M. & Heyman, R.E. (2001). Risk factors for child psychological abuse. Aggression and Violent Behaviour, 6, 189-201.
Blumberg, M. L. (1981). Depression in abused and neglected children. American Journal of Psychotherapy, 35, 342-355.
Chapman, D. P., Whitfield, C. L., Felitti, V. J., Dube, S. R., Edwards, V. J., & Anda, R. F. (2004). Adverse childhood experiences and the risk of depressive disorders in adulthood. Journal of Affective Disorders, 15, 217-225.
Department of Health and Human Services, Children’s Bureau. (1996). Child maltreatment 1996: Reports from the states to the National Child Abuse and Neglect Data System. Washington, DC: Government Printing Office.
Dubowitz, H., Black, M.M., Kerr, M.A. et al. (2001). Type and timing of mothers’ victimization: effects on mothers and children. Pediatrics, 107, 728-735.
Frias-Armenta, M. (2002). Long-term effects of child punishment on Mexican women: a structural model. Child Abuse and Neglect, 26, 371-386.
Glaser, D. (2002). Emotional abuse and neglect (psychological maltreatment): a conceptual framework. Child Abuse and Neglect, 26, 697-714.
Gotlib, I. H., & Goodman, S. H. (2000). Introduction. In S. H. Goodmand & I. H. Gotlib (Eds.), Children of Depressed Parents: Mechanisms of Risk and Implications for Treatment (pp.3-9). Washington, DC: American Psychological Association.
Goodman, S.H. & Gotlib I.H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458-490.
Hall, J. M. (2003). Positive self-transitions in women child abuse survivors. Mental Health Nursing, 24, 647-666.
Hammen, C., Burge, D. & Adrian, C. (1991). Timing of mother and child depression in a longitudinal study of children at risk. Journal of Consulting and Clinical Psychology, 59, 341-345.
Hicran Cavusoglu, M.S. (2001). Depression in children with cancer. Journal of Pediatric Nursing, 16, 380-385.
Hildyard, K.L., & Wolfe, D.A. (2002). Child neglect: developmental issues and outcomes. Child Abuse & Neglect, 26, 679-695.
Horwitz, A. V., Widom, C. S., Mclaughlin, J., & White, H. R. (2001). The impact of childhood abuse and neglect on adult mental health: A prospective study. Journal of Health and Social Behavior, 42, 184-201.
Jacob, T., & Johnson, S. L. (1997). Parent-child interaction among depressed fathers and mothers: impact on child functioning. Journal of Family Psychology, 11, 391-409.
Kendall-Tackett, K. (2002). The health effects of childhood abuse: four pathways by which abuse can influence health. Child Abuse & Neglect, 26, 715-729.
Kent, A., & Waller, G. (1998). The impact of childhood emotional abuse: An extension of the child abuse and trauma scale. Child Abuse & Neglect, 22, 393-399.
Kitamura, T., Sakamoto, S., Yasumiya, R, Sumiyama, T. & Fujihara, S. (2000). Child abuse, other early experiences and depression: II. Single episode and recurrent/chronic subtypes of depression and their link to early experiences. Archives of Women’s Mental Health, 3, 53-58.
Kovacs, M. & Goldston, D. (1991). Cognitive and social cognitive development of depressed children and adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 30, 388-392.
Lansford, J.E., Dodge, K.A., Pettit, G.S., et al. (2002). A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioural and academic problems in adolescence. Archives of Pediatric Adolescence Medicine, 156, 824-830.
Leiferman, J. (2002). The effect of maternal depressive symptomatology on maternal behaviours associated with child health. Health Education & Behavior, 29, 596-607.
Lipman, E.L., MacMillan, H.L. & Boyle, M.H. (2001). Childhood abuse and
psychiatric disorders among single and married mothers. American Journal of Psychiatry, 158, 73-77.
Lipschitz, D.S., Bernstein, D.P., Winegar, R.K. & Southwick, S.M. (1999). Hospitalized adolescents’ reports of sexual and physical abuse: A comparison of two self-report measures. Journal of Traumatic Stress, 12, 641-654.
Litty, C.G., Kowalski, R. & Minor, S. (1996). Moderating effects of physical abuse and perceived social support on the potential to abuse. Child Abuse and Neglect, 20, 305-314.
Liu, Y. L. (2003). Parent-child interaction and children’s depression: The relationships between parent-child and children’s depressive symptoms in Taiwan. Journal of Adolescence, 26, 447-457.
MacMillan, H.L., Fleming, J.E., Streiner, D.L., Lin, E., Boyle, M. H., Jamieson, E., Duku, E. K., Walsh, C. A., Wong, M. Y., & Beardslee, W. R. (2001). Childhood abuse and lifetime psychopathology in a community sample. American Journal of Psychiatry, 158, 1878-1883.
Mammen, O.K., Kolko, D.J. & Pilkonis, P.A. (2002). Negative affect and parental aggression in child physical abuse. Child Abuse and Neglect, 26, 407-424.
Mash, E.J., & Wolfe, DA. (2002). Abnormal Child Psychology. CA: Wadsworth.
Miller-Perrin, C.L. & Perrin R.D. (1999). Child Maltreatment: an introduction. CA: Sage Publications.
Ministry of Interior Department of Statistics Child Welfare Bureau. (2004). Handled cases of child and juvenile protection service in Taiwan-Fuchien area. Unpublished manuscript.
Poznanski, E. O., & Mokros, H. B. (1994). Phenomenology and epidemiology of mood disorders in children and adolescents. In W. M. Reynolds & H. F. Johnston (Eds.), Handbook of Depression in Children and Adolescents (pp. 19-39). New York: Plenum.
Reddy, R., Rhodes, J. E., & Mulhall, P. (2003). The influence of teacher support on student adjustment in middle school years: A latent growth curve study. Developmental and Psychopathology, 15, 119-138.
Sadock, B. J., & Sadock, V. A. (2003). Synopsis of psychiatry (pp.1274-1281). PA: Lippincott Williams & Wilkins.
Scher, C. D., Forde, D. R., McQuaid, J. R., & Stein, M. B. (2004). Prevalence and demographic correlates of childhood maltreatment in an adult community sample. Child Abuse & Neglect, 28, 167-180.
Spence, S.H., Najman, J.M., Bor, W., O’Callaghan, M.J. & Williams, G.M. (2002). Maternal anxiety and depression, poverty and marital relationship factors during early childhood as predictors of anxiety and depressive symptoms in adolescence. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 457-469.
Tang, C. S. K. (1998). The rate of physical child abuse in Chinese Families: a community survey in Hong Kong. Child Abuse & Neglect, 22, 381-391.
Warner, V., Mufson, L. & Weissman, M.M. (1995). Offspring at high and low risk for depression and anxiety: mechanisms of psychiatric disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 786-797.
Wise, L.A., Zierler, S., Krieger, N. & Harlow, B.L. (2001). Adult onset of major depressive disorder in relation to early life violent victimization: a case-control study. The Lancet, 358, 881-887.