Family supportive communication and depression during early to middle adolescence: a technology-enhanced naturalistic observational study

青春期早期到中期的家庭支持性沟通和抑郁：一项技术增强的自然观察研究

• 批准号: 10594550
• 负责人: TIMOTHY R. BRICK
• 金额: $ 19.21万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10594550
• 关键词: 15 year old; Address; Adolescence; Adolescent; Affect; Behavior; Bluetooth; Caring; Characteristics; Child Rearing; Code; Communication; Data; Disease; Ecological momentary assessment; Emotional; Emotions; Enhancement Technology; Ethnic Origin; Event; Family; Funding; Future; Gender; Hour; Intervention; Intervention Trial; Investigation; Laboratories; Life; Link; Measurement; Mediating; Mental Depression; Methods; Observational Study; Parents; Patient Self-Report; Perception; Prevention; Prevention program; Process; Provider; Questionnaires; Race; Reporting; Research; Risk; Role; Signal Transduction; Socioeconomic Status; Specificity; Stress; Testing; Time; Video Recording; Youth; biological adaptation to stress; child depression; depression prevention; depressive symptoms; design; improved; indexing; informant; innovation; insight; novel; positive emotional state; prevent; primary caregiver; protective factors; recruit; reduce symptoms; universal prevention

PROJECT SUMMARY Depression is a common debilitating disorder in adolescents that compel high levels of support and care from parents. In addition to the benefits of symptom reduction, support from parents may promote positive emotions and reduce negative emotions in the daily lives of youth. Although examined as separate constructs, youth support seeking and parental support constitute a dynamic dyadic process (i.e., supportive communication), wherein the coordination between the youth and the parent’s behaviors is associated with depression risk. Youth who benefit most from parental support, such as those with depression risk, are more likely to receive lower quality support, which may discourage future attempts at seeking parental support. To better inform future interventions targeting this crucial protective process for the prevention of depression, we will characterize four indices of the parent-youth supportive communication – youth support seeking, parent enactment of support, support concordance (i.e., concordance between parent enactment of support and youth support seeking), and youth perception of parental support – in the daily lives of youth with and without risk for depression. A multi-method and multi-information investigation of supportive communication can better reveal how interventions can promote the coordination of parent and youth behaviors for maximum benefit in youth with risk for depression. The proposed intensive longitudinal methods will characterize supportive communication in parent-youth dyads as they arise in real time and in real world settings over a two-week period. Study will recruit 100 12-15 year old youth with high and low levels of depression symptoms, as well as primary caregivers. Over a two week period, the study will conduct continuous measurements of parent-youth proximity using Bluetooth signal strengths, automated event-contingent ecological momentary assessments of supportive communication with parents and youth, and obtain naturalistic video recordings of parent-youth conversations in daily life to address the following specific aims: Aim 1) Develop, test, and refine a coding system to describe parent-youth supportive communication in video recordings of daily conversations using existing pilot data from two families; Aim 2) Characterize daily parent-youth supportive communication in youth with high and low levels of depression risk; Aim 3) Test whether the four indices of supportive communication mediate associations between depression risk and daily negative and positive emotions at end-of-day, independent of stress; and Exploratory Aim) Explore whether the association between depression risk and supportive communication differ by youth self-reported gender, race/ethnicity and socio-economic status. Significance: Insights from this innovative study will help to pinpoint strategies for improving supportive communication in daily life, and inform the design of a family-focused ecological momentary intervention for the prevention of adolescent depression.

项目概要 抑郁症是青少年常见的一种使人衰弱的疾病，需要高水平的支持和护理 来自父母的支持除了减轻症状的好处外，还可以促进积极的作用。 情绪并减少青少年日常生活中的负面情绪，尽管作为单独的结构进行研究， 青少年寻求支持和父母支持构成了一个动态的二元过程（即支持 沟通），促进青少年和父母行为之间的协调与 从父母支持中获益最多的青少年，例如有抑郁风险的青少年，患抑郁症的风险更高。 可能会获得较低质量的支持，这可能会阻碍未来寻求父母支持的尝试。 为了更好地为未来针对这一预防抑郁症的关键保护过程的干预措施提供信息，我们 将描述父母与青少年支持性沟通的四个指标——青少年寻求支持、家长 支持的制定、支持的一致性（即父母制定的支持与青少年的支持之间的一致性） 寻求支持），以及青少年对父母支持的看法——在青少年的日常生活中，有或没有风险 支持性沟通的多方法、多信息调查可以更好地揭示抑郁症。 干预措施如何促进父母和青少年行为的协调，从而为青少年带来最大利益 所提出的强化纵向方法将具有支持性的特征。 在两周内，在现实世界环境中实时出现的父母与青少年二人组的沟通 研究将招募 100 名患有高低抑郁症状的 12-15 岁青少年。 该研究将对主要照顾者进行为期两周的持续测量。 使用蓝牙信号强度进行接近度、自动事件相关生态瞬时评估 与家长和青少年进行支持性沟通，并获得亲子与青少年的自然视频记录 日常生活中的对话，以实现以下特定目标： 目标 1) 开发、测试和完善编码 系统使用日常对话的视频记录来描述父母与青少年的支持性沟通 来自两个家庭的现有试点数据；目标 2) 描述青少年日常父母与青少年支持性沟通的特征 抑郁风险水平高低；目标 3) 测试支持性沟通的四个指标是否良好 调解抑郁风险与每天结束时的消极和积极情绪之间的关联， 独立于压力；和探索性目标）探讨抑郁风险与 支持性沟通因青少年自我报告的性别、种族/民族和社会经济地位而异。 意义：这项创新研究的见解将有助于确定改善支持性的策略 日常生活中的沟通，并为以家庭为中心的生态瞬时干预的设计提供信息 预防青少年抑郁症。