对早期青春期开始时间作为预测伴或不伴脊柱裂的青春期女孩心理社会变化的纵向评估。
A longitudinal assessment of early pubertal timing as a predictor of psychosocial changes in adolescent girls with and without spina bifida.
机构信息
Department of Psychology, Loyola University Chicago, 1032 W. Sheridan Rd., Chicago, IL 60660, USA.
出版信息
J Pediatr Psychol. 2012 Aug;37(7):755-68. doi: 10.1093/jpepsy/jsr121. Epub 2012 Jan 23.
OBJECTIVE
A longitudinal comparison of adolescent girls with and without spina bifida (SB), regarding the effects of early pubertal timing on girls' depressive symptoms, mother-daughter conflict, and emotional distancing.
METHODS
62 mother-daughter dyads (31 with SB and 31 without) reported on psychosocial outcomes at 5 time points (ages 8/9 to 16/17 years).
RESULTS
A pubertal timing × SB status interaction predicted emotional distancing (T2), conflict (T2, T5), and depressive symptoms (T4), such that early maturing girls without SB reported the greatest increase in each outcome. Main effects of pubertal timing predicted emotional distancing (T4), conflict (T4), and depressive symptoms (T2, T3, T5). Findings were not always consistent across reporters, assessments of pubertal timing, and time-points.
CONCLUSIONS
Although early maturing girls in both groups may experience greater psychosocial difficulties, early maturing girls without SB may be most at-risk. The somewhat reduced impact of early pubertal timing in girls with SB is discussed.
目的
对伴有和不伴有脊柱裂（SB）的青春期女孩进行纵向比较，探讨早期青春期启动对女孩抑郁症状、母女冲突和情感疏远的影响。
方法
62 对母女（31 例伴有 SB，31 例不伴有 SB）在 5 个时间点（8/9 岁至 16/17 岁）报告心理社会结果。
结果
青春期启动时间×SB 状态的交互作用预测了情感疏远（T2）、冲突（T2、T5）和抑郁症状（T4），即无 SB 的早期成熟女孩在每个结果中的增长最大。青春期启动的主要作用预测了情感疏远（T4）、冲突（T4）和抑郁症状（T2、T3、T5）。研究结果并非总是在报告者、青春期启动评估和时间点之间一致。
结论
尽管两组中早期成熟的女孩可能经历更大的心理社会困难，但无 SB 的早期成熟女孩风险最大。讨论了 SB 女孩中早期青春期启动的影响较小的原因。
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