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青少年期负面生活经历与后期精神病理学之间关联不存在生态效应修正:一项青少年纵向社区研究

No ecological effect modification of the association between negative life experiences and later psychopathology in adolescence: A longitudinal community study in adolescents.

作者信息

Gunther Nicole, Drukker Marjan, Feron Frans, van Os Jim

机构信息

Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, 6200 MD Maastricht, The Netherlands.

出版信息

Eur Psychiatry. 2007 Jul;22(5):296-304. doi: 10.1016/j.eurpsy.2007.03.011. Epub 2007 May 23.

Abstract

BACKGROUND

The aim of the study was to examine the potential contribution of exposure to bullying and adverse life events to the development of psychopathology in adolescents, and possible effect modification by neighbourhood social capital.

METHODS

Two waves of routine, longitudinal, standard health examinations at local community paediatric health services, pertaining to 749 adolescents living in Maastricht (The Netherlands) who were attending second grade of secondary school (age 13/14 years) and approximately 2 years later going to the fourth grade (age 15/16 years), were analysed. A self-report questionnaire was used, including measures of psychopathology and two measures of negative life experiences, exposure to bullying and adverse life events, that were available for both age groups and subjected to (multilevel) regression analysis.

RESULTS

Exposure to bullying in the past school-year as well as the experience of adverse life events over a 12 month period, at the age of 13/14 years, predicted an increase in psychopathology at follow-up. Exposure to bullying was associated with the development of hyperactivity and emotional problems, while the experience of adverse life events predicted the development of conduct problems. Family-related adverse events had greatest effect sizes. Effects of bullying and adverse life events were not moderated by neighbourhood social capital.

CONCLUSION

Negative life experiences impact on liability to psychopathology in adolescents independent of the wider social environment.

摘要

背景

本研究旨在探讨遭受欺凌和不良生活事件对青少年精神病理学发展的潜在影响,以及邻里社会资本可能产生的效应修正作用。

方法

对荷兰马斯特里赫特当地社区儿科健康服务机构进行的两波常规纵向标准健康检查数据进行分析,这些数据涉及749名就读于中学二年级(年龄13/14岁)且约两年后升至四年级(年龄15/16岁)的青少年。使用了一份自填问卷,其中包括精神病理学测量指标以及两种负面生活经历测量指标,即遭受欺凌和不良生活事件情况,两个年龄组均有这些数据,并对其进行了(多层次)回归分析。

结果

13/14岁时,过去一学年遭受欺凌以及12个月内经历不良生活事件,均预示着随访时精神病理学症状会增加。遭受欺凌与多动和情绪问题的发展相关,而不良生活事件经历则预示着品行问题的发展。与家庭相关的不良事件效应量最大。欺凌和不良生活事件的影响未因邻里社会资本而得到调节。

结论

负面生活经历对青少年精神病理学易感性有影响,且独立于更广泛的社会环境。

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