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Journal of Pediatric Psychology Advance Access originally published online on September 6, 2008
Journal of Pediatric Psychology 2009 34(3):294-303; doi:10.1093/jpepsy/jsn090
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

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

Korey K. Hood, PhD1,2

1Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center and 2Department of Pediatrics, University of Cincinnati College of Medicine

All correspondence concerning this article should be addressed to Korey K. Hood, Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine, 3333 Burnet Avenue, MLC 7039, Cincinnati, OH 45229, USA. E-mail: korey.hood{at}cchmc.org


  Abstract

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, R2 =.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.

Key words: caregivers; depression; depression-distortion; proxy; type 1 diabetes.

Received May 6, 2008; revision received August 4, 2008; accepted August 4, 2008


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