A Longitudinal Study of Maternal Depression and Child Maltreatment in a National Sample of Families Investigated by Child Protective Services

作者：Conron Kerith J^*; Beardslee William; Koenen Karestan C; Buka Stephen L; Gortmaker Steven L

来源：Archives of Pediatrics and Adolescent Medicine, 2009, 163(10): 922-930.

DOI：10.1001/archpediatrics.2009.176

Objective: To assess whether a change in depression predicts a mother's change in maltreatment.
Design: Observational, repeated measures study.
Setting: National Survey of Child and Adolescent Wellbeing, 1999 to 2004.
Participants: Mothers who retained custody of a child aged 0 to 15 years following a maltreatment investigation and completed at least 2 of 3 surveys (n=2386).
Main Exposure: Change in depression status between baseline and 18- and 36-month follow-ups, assessed with the Composite International Diagnostic Interview Short Form.
Main Outcome Measures: Change in psychological aggression, physical assault, and neglect between baseline and 18-and 36-month follow-ups, assessed with the Conflict Tactics Scale Parent-Child version.
Results: One-third (35.5%) of mothers experienced onset or remission of depression. Onset of depression was associated with an increase of 2.3 (95% confidence interval, 0.2-4.4) psychologically aggressive acts in an average 12-month period, but was not statistically significantly associated with change in physical assault or neglect.
Conclusion: Depression is positively associated with maternal perpetration of psychological aggression in high-risk families.

• 出版日期2009-10