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识别青少年抑郁现象轨迹:早期风险因素的考察。

Identifying trajectories of adolescents' depressive phenomena: an examination of early risk factors.

机构信息

Educational Psychology, University of Washington, Box 353600, Seattle, WA 98195-3600, USA.

出版信息

J Youth Adolesc. 2010 Jun;39(6):579-93. doi: 10.1007/s10964-009-9406-z. Epub 2009 Apr 5.

Abstract

Few studies have examined risk factors of childhood and early adolescent depressive symptomatology trajectories. This study examined self-report depressive symptomatology across a 6-year time period from 2nd to 8th grade to identify latent groups of individuals with similar patterns of depressive phenomena in a sample of 951 children (440 girls, 511 boys). Analyses, using semiparametric group modeling (SGM), identified 5 trajectory groups for girls and boys: low depressed stables, low depressed risers, mildly depressed stables, moderately depressed changers, and moderately depressed risers. Individual risk factors, with the exception of shy/withdrawn behavior, were significantly different across trajectory group membership for boys and girls, as was low-income status for boys. Boys in the low depressed and mildly depressed stable trajectory groups had significantly higher levels of antisocial behavior, attention problems, and lower social competency compared to girls in similar groups. These results suggest that universal prevention programs implemented in early elementary school that target selected risk factors may be helpful in reducing future adolescent mental health problems, specifically depressive symptomatology.

摘要

很少有研究探讨儿童和青少年早期抑郁症状轨迹的风险因素。本研究通过对 951 名儿童(440 名女孩,511 名男孩)从二年级到八年级的 6 年时间内的自我报告抑郁症状进行了研究,以确定在样本中具有相似抑郁现象模式的个体的潜在群体。使用半参数分组模型(SGM)的分析确定了女孩和男孩的 5 个轨迹组:低抑郁稳定组、低抑郁上升组、轻度抑郁稳定组、中度抑郁变化组和中度抑郁上升组。对于男孩和女孩来说,除了害羞/内向行为外,个体风险因素在轨迹组的成员资格上存在显著差异,而男孩的低收入状况也是如此。与处于类似群体的女孩相比,处于低抑郁和轻度抑郁稳定轨迹组的男孩表现出更高水平的反社会行为、注意力问题,以及较低的社会能力。这些结果表明,在小学早期实施针对特定风险因素的普遍预防计划可能有助于减少未来青少年的心理健康问题,特别是抑郁症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18c0/2861304/6ec03651866d/nihms101478f1.jpg

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