@article{ref1,
title="Parent traumatic events and adolescent internalizing symptoms: the mediating role of parental depression among youth with persistent postconcussive symptoms",
journal="Journal of pediatric psychology",
year="2021",
author="Rivara, Frederick P. and McCarty, Carolyn A. and Marcynyszyn, Lyscha A. and Zatzick, Douglas F. and Wang, Jin and Johnson, Ashleigh M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Research has demonstrated associations between parental depression (PD) and negative psychological outcomes among their children. However, little is known  about the pathways through which lifetime parent traumatic events (PTEs) influence  their adolescents' internalizing symptoms. Our study examined whether PD mediates  the association between PTE and adolescent depressive and anxious symptoms among  youth with persistent postconcussive symptoms (PPCS). <br><br>METHODS: We used baseline data  from a randomized effectiveness trial of collaborative care for treatment of  persistent postconcussive symptoms among sports-injured adolescents aged  11-18 years. Parent-adolescent dyads were recruited from pediatric clinics  throughout western Washington. Eligible adolescents had three or more PPCS that  lasted for at least 1 month but <9 months and spoke English. Of 1,870 potentially  eligible adolescents, 1,480 (79%) were excluded for not meeting the inclusion  criteria. Of the eligible 390 adolescents, 189 (49%) declined to  participate/consent. Participants included 200 parent-adolescent dyads (adolescent  Mage = 14.7 years, SD = 1.7). Parent respondents were mostly female (83%) and  mothers (81%). Adolescents reported on their depressive (Patient Health  Questionnaire-9; PHQ-9) and anxious symptoms (Revised Child Anxiety and Depression  Scale-Short Version [anxiety subscale]) and parents reported on their depressive  symptoms (M = 3.7, SD = 3.7; PHQ-9). <br><br>RESULTS: Mediation analyses revealed two (out  of four) significant indirect effects of PTE on both adolescent and parent report of  depressive symptoms, but not anxiety. <br><br>CONCLUSIONS: This study elucidates one pathway  (PD) through which PTE history influences adolescent depressive symptoms, supporting  a two-generation approach to pediatric patient care for youth experiencing PPCS.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="10.1093/jpepsy/jsaa128",
url="http://dx.doi.org/10.1093/jpepsy/jsaa128"
}