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Social Psychiatry and Psychiatric Epidemiology

, Volume 50, Issue 11, pp 1743–1751 | Cite as

Mediated moderation of the relation between maternal and adolescent depressive symptoms: role of adolescent physical health

  • Mark A. Ferro
Original Paper

Abstract

Background

To examine the mediating effect of family functioning on the relation between maternal and adolescent depressive symptoms and determine whether the magnitude of the mediating effect is different for adolescents with and without chronic physical health conditions.

Methods

Data come from the National Longitudinal Survey of Children and Youth. A representative survey of 11,813 adolescents and their mothers was included. Maternal and adolescent depressive symptoms were measured using the 12-item Center for Epidemiological Studies Depression Scale. Family functioning was measured using the McMaster Family Assessment Device. Multilevel multiple-group path analysis was used to examine potential mediating and moderating effects.

Results

Family functioning measured when adolescents were 14–15 years mediated the relation between maternal depressive symptoms (measured at 10–13 years) and adolescent depressive symptoms (measured at 16–19 years) for both adolescents with [αβ = 0.02 (0.02, 0.03)] and without chronic health conditions [αβ = 0.01 (0.00, 0.01)]. These findings provided evidence to suggest mediated moderation, Δαβ = 0.02 (0.01, 0.03), that is, the mediating effect of family functioning was significantly larger for adolescents with chronic health conditions.

Conclusions

The mediating effect of family functioning in the relation between maternal and adolescent depressive symptoms is larger for adolescents with chronic health conditions. Within the framework of family-centered care, maternal depressive symptoms and family functioning are suitable targets for preventive intervention for adolescents with chronic health conditions.

Keywords

Adolescent Chronic condition Chronic illness Depression Family functioning Mothers Path analysis Stress 

Notes

Acknowledgments

This study was funded by a Hamilton Health Sciences New Investigator Grant (NIF-14355) awarded to Dr. Ferro. Dr. Ferro is also supported by the Hamilton Health Sciences Research Early Career Award.

Compliance with ethical standards

Conflict of interest

Hamilton Health Sciences had no involvement in the conduct of the research or the preparation of the manuscript. The author has no conflicts of interest to disclosure.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioural NeurosciencesMcMaster UniversityHamiltonCanada
  2. 2.Department of PediatricsMcMaster UniversityHamiltonCanada
  3. 3.Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonCanada

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