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青春期发育进程在青春期早期抑郁症发展中的作用。

The role of pubertal progress in the development of depression in early adolescence.

作者信息

Laitinen-Krispijn S, van der Ende J, Verhulst F C

机构信息

Department of Child and Adolescent Psychiatry, Erasmus University Rotterdam/Sophia Children's Hospital, The Netherlands.

出版信息

J Affect Disord. 1999 Jul;54(1-2):211-5. doi: 10.1016/s0165-0327(98)00166-9.

Abstract

BACKGROUND

Lack of longitudinal studies on the relationship between pubertal progress and changes in depression during adolescence.

METHODS

Changes in the Anxious/Depressed scores of the Child Behavior Checklist and Youth Self-Report were predicted from pubertal progress. Subjects were young adolescents from the Dutch general population, aged 10-12 years at T1 and 12-14 years at T2. From the 1327 parent reports, 207 showed a change that exceeded the cut-off for inclusion in the analyses. From the 1414 self-reports, 476 exceeded the cut-off.

RESULTS

Apart from increase, decrease in depression was common. Pubertal progress was inversely related to the parent reports of boys' depression only.

CONCLUSION

Self-perceptions of depressive symptoms change independently from pubertal progress, whereas changes observable to parents are inversely related to it in boys.

LIMITATIONS

Progress was not measured across the whole pubertal development.

CLINICAL RELEVANCE

One can expect parents to observe a decrease in boys' depression in the period when most pubertal progress is made. More attention should be paid to decreases in depressive symptomatology.

摘要

背景

缺乏关于青春期发育进程与青少年期抑郁变化之间关系的纵向研究。

方法

根据青春期发育进程预测儿童行为量表和青少年自我报告中焦虑/抑郁得分的变化。研究对象为来自荷兰普通人群的青少年,T1时年龄为10 - 12岁,T2时年龄为12 - 14岁。在1327份家长报告中,207份显示的变化超过了纳入分析的临界值。在1414份自我报告中,476份超过了临界值。

结果

除了抑郁增加外,抑郁减少也很常见。青春期发育进程仅与男孩抑郁的家长报告呈负相关。

结论

抑郁症状的自我认知变化与青春期发育进程无关,而家长观察到的变化在男孩中与青春期发育进程呈负相关。

局限性

未对整个青春期发育过程进行测量。

临床意义

可以预期家长在青春期发育进程最快的时期会观察到男孩抑郁的减少。应更加关注抑郁症状的减少。

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