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Decline in the Quality of Family Relationships Predicts Escalation in Children’s Internalizing Symptoms from Middle to Late Childhood

机译：家庭关系质量的下降预测了儿童从中到晚的内在症状的升级

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摘要

An integration of family systems perspectives with developmental psychopathology provides a framework for examining the complex interplay between family processes and developmental trajectories of child psychopathology over time. In a community sample of 98 families, we investigated the evolution of family relationships, across multiple subsystems of the family (i.e., interparental, mother-child, father-child), and the impact of these changing family dynamics on developmental trajectories of child internalizing symptoms over 6 years, from preschool age to pre-adolescence. Parent–child relationship quality was observed during lengthy sessions, consisting of multiple naturalistic, carefully scripted contexts. Each parent completed reports about interparental relationship satisfaction and child internalizing symptoms. To the extent that mothers experienced a steeper decline in interparental relationship satisfaction over time, children developed internalizing symptoms at a faster rate. Further, symptoms escalated at a faster rate to the extent that negative mother-child relationship quality increased (more negative affect expressed by both mother and child, greater maternal power assertion) and positive mother-child relationship quality decreased (less positive affect expressed by both mother and child, less warmth and positive reciprocity). Time-lagged growth curve analyses established temporal precedence such that decline in family relationships preceded escalation in child internalizing symptoms. Results suggest that family dysfunction, across multiple subsystems, represents a driving force in the progression of child internalizing symptoms.
机译：家庭系统观点与发展性心理病理学的整合提供了一个框架，用于研究随着时间的流逝，家庭过程与儿童心理病理学发展轨迹之间的复杂相互作用。在98个家庭的社区样本中，我们调查了家庭关系在家庭的多个子系统（即父母间，母子，父子）中的演变，以及这些变化的家庭动力对儿童内化的发展轨迹的影响从学龄前到青春期超过6年的症状。在长时间的会议中观察到了亲子关系的质量，其中包括多种自然主义的，精心编写的上下文。每个父母都完成了有关父母之间关系满意度和孩子内在症状的报告。随着时间的流逝，母亲的父母亲关系满意度急剧下降，而儿童则以更快的速度出现内在症状。此外，症状以更快的速度升级到负面的母子关系质量增加（母子双方都表现出更多的负面影响，母体​​力量主张更大）和正面的母子关系质量下降（双方都没有表现出积极影响）母亲和儿童，少一些温暖和积极的互惠。时滞增长曲线分析确定了时间优先顺序，以使家庭关系下降先于儿童内在症状升级。结果表明，跨多个子系统的家庭功能障碍代表了儿童内在症状发展的驱动力。

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