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.
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.
Hood
Korey K
KK
Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine, 3333 Burnet Avenue, MLC 7039, Cincinnati, OH 45229, USA. korey.hood@cchmc.org
D000293:Adolescent; D017028:Caregivers / Q000523:psychology*; D002648:Child; D003863:Depression / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010469:Perceptual Distortion; D010555:Personality Inventory; D019727:Proxy / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D011795:Surveys and Questionnaires
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