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21-01-2022

Parental Knowledge/Monitoring and Depressive Symptoms During Adolescence: Protective Factor or Spurious Association?

Auteurs: William E. Pelham III, Susan F. Tapert, Marybel R. Gonzalez, Mathieu Guillaume, Anthony Steven Dick, Chandni S. Sheth, Fiona C. Baker, Arielle Baskin-Sommers, Andrew T. Marshall, Krista M. Lisdahl, Florence J. Breslin, Amandine Van Rinsveld, Sandra A. Brown

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2022

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Abstract

Parental knowledge/monitoring is negatively associated with adolescents’ depressive symptoms, suggesting monitoring could be a target for prevention and treatment. However, no study has rigorously addressed the possibility that this association is spurious, leaving the clinical and etiological implications unclear. The goal of this study was to conduct a more rigorous test of whether knowledge/monitoring is causally related to depressive symptoms. 7940 youth (ages 10.5–15.6 years, 49% female) at 21 sites across the U.S. completed measures of parental knowledge/monitoring and their own depressive symptoms at four waves 11–22 weeks apart during the COVID-19 pandemic. First, monitoring and depression were examined in standard, between-family regression models. Second, within-family changes in monitoring and depression between assessments were examined in first differenced regressions. Because the latter models control for stable, between-family differences, they comprise a stronger test of a causal relation. In standard, between-family models, parental monitoring and youths’ depressive symptoms were negatively associated (standardized \(\beta\)= −0.22, 95% CI = [−0.25, −0.20], p < 0.001). In first-differenced, within-family models, the association shrunk by about 55% (standardized \(\beta\)= −0.10, 95% CI = [−0.12, −0.08], p < 0.001). The magnitude of within-family association remained similar when adjusting for potential time-varying confounders and did not vary significantly by youth sex, age, or history of depressive disorder. Thus, in this community-based sample, much of the prima facie association between parental knowledge/monitoring and youths’ depressive symptoms was driven by confounding variables rather than a causal process. Given the evidence to date, a clinical focus on increasing parental knowledge/monitoring should not be expected to produce meaningfully large improvements in youths’ depression.
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Voetnoten
1
Impairment was not required for diagnosis of Major Depressive Disorder in ABCD 3.0 data release. All other DSM 5 criteria were required.
 
2
For comparison, we calculated the correlation between the same parental knowledge/monitoring scale and youth report of three depressive symptoms on the Brief Problem Monitor (Achenbach, 2009) at ABCD Study® waves completed before the pandemic. The correlation ranged from -0.17 to -0.21 across waves.
 
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Metagegevens
Titel
Parental Knowledge/Monitoring and Depressive Symptoms During Adolescence: Protective Factor or Spurious Association?
Auteurs
William E. Pelham III
Susan F. Tapert
Marybel R. Gonzalez
Mathieu Guillaume
Anthony Steven Dick
Chandni S. Sheth
Fiona C. Baker
Arielle Baskin-Sommers
Andrew T. Marshall
Krista M. Lisdahl
Florence J. Breslin
Amandine Van Rinsveld
Sandra A. Brown
Publicatiedatum
21-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2022
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-021-00896-9

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