McCarty Carolyn A, Mason W Alex, Kosterman Rick, Hawkins J David, Lengua Liliana J, McCauley Elizabeth
Department of Pediatrics, University of Washington, Seattle, Washington, USA.
J Adolesc Health. 2008 Aug;43(2):180-7. doi: 10.1016/j.jadohealth.2008.01.023. Epub 2008 Apr 11.
Past research has found that social, academic, and behavioral problems are linked with depression during childhood and adolescence. The present study tests a longitudinal cascade model of adolescent problems predicting depression into adulthood, while additionally testing for gender differences.
Using prospective longitudinal analysis with a sample of 808 youth followed from age 10 to 21, we tested whether social problems, school failure, and delinquency in adolescence increased risk for a major depressive episode in emerging adulthood. Structural equation modeling was used to test for gender differences.
Both early conduct problems and adolescent school failures predisposed girls to depression in young adulthood. Among the boys, none of the problems conferred risk for depression.
This study highlights the mutual interplay between school failure and psychological functioning. It is suggested that school adaptation in adolescence be considered a mental health issue.
过去的研究发现，社会、学业和行为问题与儿童期和青少年期的抑郁有关。本研究测试了一个青少年问题预测成年期抑郁的纵向级联模型，同时还测试了性别差异。
对808名从10岁到21岁的青少年样本进行前瞻性纵向分析，我们测试了青少年期的社会问题、学业失败和犯罪行为是否会增加成年早期出现重度抑郁发作的风险。采用结构方程模型来测试性别差异。
早期行为问题和青少年学业失败都使女孩在成年早期易患抑郁症。在男孩中，这些问题都没有增加患抑郁症的风险。
本研究强调了学业失败与心理功能之间的相互作用。建议将青少年期的学校适应视为一个心理健康问题。
