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首页> 外文期刊>Journal of Intellectual Disability Research >Depression: its trajectory and correlates in mothers rearing children with intellectual disability
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Depression: its trajectory and correlates in mothers rearing children with intellectual disability

机译：抑郁症的发展轨迹与母亲抚养智障儿童的母亲有关

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Background Rearing a child with an intellectual disability (ID) is a lifelong activity, and research needs to reflect the extended nature of the task as well as its complexity. The present longitudinal study reports on an II-year follow-up of adoptive and birth families rearing children with ID. Its focus was on depressive symptoms and how these changed over time in a sample of 187 mothers. In particular, the authors were interested in whether initial differences in depression between adoptive mothers who knowingly and willingly decided to rear their children with disabilities, and birth mothers for whom the diagnosis of disability was unexpected and frequently crisis-inducing, would persist over time. Methods A longitudinal method with three times of measurement provided data which were analysed with analysis of variance and regression techniques. Moreover, several other individual and family adjustment measures were examined with respect to their correlations with depression and an outcome variable that measured subjective well-being with regard to the child. Furthermore, mothers were classified as typical or atypical for their adoptive/birth group based on their depression scores at the first time of measure- ment. The authors predicted that later depression would be different based on the earlier scores. Results Both adoptive and birth mothers reported low depression, not significantly different from each other, at the II-year follow-up. The personality variable of neuroticism was the strongest predictor of depression for both adoptive and birth mothers, accounting for 24% and 23% of the variance, respectively, but it did not predict the mother's subjective well-being with regard to the child. Mothers classified as typical or atypical for their groups at initial measurement continued to report significantly different depression scores II years later. Conclusions The low depression scores, not significantly different for birth and adoptive mothers, portray the long-term prognosis for adjustment to rearing children with disabilities as primarily positive. Moreover, the predictive value of neuroticism suggests that general mental health is an important component influencing this adjustment. Nevertheless, a different pattern for a different outcome variable suggests that multiple measures are necessary to portray accurately the complexity of reaction over time.
机译：背景技术抚养智障儿童是一项终生活动，研究需要反映这项任务的扩展性质及其复杂性。本纵向研究报告了养育有ID的儿童的养子和分娩家庭的II年随访情况。它的重点是抑郁症症状以及在187位母亲的样本中这些症状随时间的变化。特别是，作者对有意并愿意决定抚养残疾子女的养母与对残疾的诊断出乎意料且经常诱发危机的分娩母亲之间的长期抑郁差异是否会随着时间推移而持续存在感兴趣。方法采用三次测量的纵向方法提供数据，并使用方差分析和回归技术进行分析。此外，还检查了其他几种个人和家庭调整措施，它们与抑郁的相关性以及衡量儿童主观幸福感的结果变量。此外，根据第一次测量时的抑郁评分，母亲被分为收养/出生组为典型或非典型。作者预测，根据较早的得分，以后的抑郁会有所不同。结果在第二年的随访中，收养母亲和分娩母亲均表现出低抑郁，彼此之间无显着差异。神经质的人格变量是领养母亲和分娩母亲抑郁的最强预测因子，分别占变异的24％和23％，但它不能预测母亲对孩子的主观幸福感。在最初测量时被分类为典型或非典型母亲的母亲在二年后仍继续报告抑郁指数明显不同。结论抑郁指数较低，对分娩和收养母亲而言无显着差异，这说明将抚养残疾儿童进行调整的长期预后为主要阳性。此外，神经质的预测价值表明总体的精神健康是影响这种调节的重要组成部分。然而，针对不同结果变量的不同模式表明，需要多种措施来准确描述随着时间的推移反应的复杂性。

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