The Influence of Caregiver Depressive Symptoms on Proxy Report of Youth Depressive Symptoms: a Test of the Depression-distortion Hypothesis in Pediatric Type 1 Diabetes
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Objective: To test the depression-distortion hypothesis in pediatric type 1 diabetes.
Methods: In a sample of 187 youth with type 1 diabetes, caregivers completed the Center for Epidemiologic Studies Depression (CES-D) scale and the Children's Depression Inventory (CDI): parent proxy report. Youth completed the CDI. To test whether caregiver depressive symptoms (CES-D) moderated the proxy report of youth depressive symptoms (CDI:P), the CDI, CES-D, and their interactions were entered as predictors in to a regression analysis.
Results: The regression was significant, F (8,178) = 9.26, p <.0001, R(2) =.29, and all three variables were significant predictors. Post-hoc probing of the interaction showed that caregivers with high CES-D scores reported high levels of youth depressive symptoms at both high and low levels of youth-reported depressive symptoms. In contrast, caregivers with low CES-D scores reported similar levels as the youth.
Conclusions: These results support the depression-distortion hypothesis in a pediatric chronic disease sample.
Objective Burden and Emotional Distress of Parents of Children with Type 1 Diabetes.
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Schneiderman J, Molina A, Mennen F, Negriff S Matern Child Health J. 2021; 25(12):1814-1819.
PMID: 34671869 DOI: 10.1007/s10995-021-03273-6.
Bassi G, Mancinelli E, Di Riso D, Salcuni S Int J Environ Res Public Health. 2020; 18(1).
PMID: 33379307 PMC: 7795592. DOI: 10.3390/ijerph18010152.
Mulvaney S, Mara C, Kichler J, Majidi S, Driscoll K, Westen S Transl Behav Med. 2019; 11(1):122-131.
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Oltean I, Ferro M Qual Life Res. 2018; 28(3):703-712.
PMID: 30328009 DOI: 10.1007/s11136-018-2026-x.