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青少年焦虑症症状的发展轨迹:一项为期五年的前瞻性社区研究

[Developmental trajectories of anxiety disorder symptoms in adolescents: a five-year prospective community study].

作者信息

Hale W W, Klimstra T A, Wijsbroek S A M, Raaijmakers Q A W, Muris P, van Hoof A, Meeus W H J

机构信息

Universiteit Utrecht, Onderzoeksgroep Adolescentie, Utrecht.

出版信息

Tijdschr Psychiatr. 2009;51(1):21-30.

Abstract

BACKGROUND

The relatively recent adoption of modern statistical analysis methods, such as latent growth modelling (lgm), makes it possible to study differences in the individual trajectories of development over time.

AIM

To examine prospectively the developmental trajectories of anxiety disorder symptoms in a large sample of adolescents (N = 1,318) from the general population over a period of five years.

METHOD

The adolescents were divided into two cohorts: early adolescents (average age 12 at the first measurement) and middle adolescents (average age 16 at the first measurement). Age and gender differences in the developmental trajectories of adolescent anxiety disorder symptoms over time were examined by means of lgm. results Over the course of five years there was a slight decrease in panic disorder, school anxiety and separation anxiety disorder symptoms for all adolescents, with the exception of social phobia symptoms, which remained fairly stable over time. Adolescent girls showed a slight increase in generalised anxiety disorder symptoms over time, whereas these symptoms decreased among adolescent boys.

CONCLUSION

The use of individual trajectory-based analyses, enabled us to study advance our understanding of age and gender differences in the development of adolescent anxiety symptoms.

摘要

背景

相对近期才开始采用诸如潜在增长模型(lgm)等现代统计分析方法,这使得研究个体随时间发展轨迹的差异成为可能。

目的

前瞻性地研究来自普通人群的大量青少年样本(N = 1318)在五年时间里焦虑症症状的发展轨迹。

方法

将青少年分为两个队列:青少年早期(首次测量时平均年龄12岁)和青少年中期(首次测量时平均年龄16岁)。通过潜在增长模型检验了青少年焦虑症症状随时间发展轨迹中的年龄和性别差异。结果在五年时间里,除社交恐惧症症状随时间保持相当稳定外,所有青少年的惊恐障碍、学校焦虑和分离焦虑症症状均略有下降。青少年女孩的广泛性焦虑症症状随时间略有增加,而这些症状在青少年男孩中则有所下降。

结论

基于个体轨迹的分析方法的使用,使我们能够增进对青少年焦虑症状发展中年龄和性别差异的理解。

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