Department of Educational, School, & Counseling Psychology, University of Missouri, Columbia, MO 65211, USA.
J Abnorm Child Psychol. 2012 Oct;40(7):1123-36. doi: 10.1007/s10802-012-9630-y.
The joint, longitudinal trajectories of symptoms of disruptive behavior problems and of depression were examined in a community sample drawn from neighborhoods with elevated rates of delinquency. Growth mixture modeling was applied to a 6 year transition period from childhood to adolescence, age 10 to 16 years, to identify latent classes of trajectories for each symptom type. Several classes emerged for the two types of symptoms, namely a group of youth with high levels of disruptive behavior, a group with increasing levels, and a group with low levels, as well as a group with increasing levels of depression, a group with high levels, a group with decreasing levels, and a group with low levels. Within each symptom type, membership in either the high or in the increasing classes was related to a variety of problematic outcomes during emerging adulthood. The co-occurrence of the disruptive behavior and depression classes was then evaluated using parallel process analysis. Youth exhibiting high depressive symptoms were at increased risk for disruptive behavior problems, and youth with increasing disruptive behavior problems were at risk for depressive symptoms. However, only a very small number of youth had both a high depression trajectory and a high disruptive behavior trajectory. Implications of the findings for the design of prevention and treatment programs are discussed.
本研究在一个来自犯罪率较高社区的样本中，考察了破坏性行为问题和抑郁症状的联合纵向轨迹。使用增长混合模型对从儿童期到青春期（10 岁到 16 岁）的 6 年过渡期进行分析，以确定每种症状类型的轨迹潜在类别。对于两种症状类型，出现了几个类别，即一组具有高水平破坏性行为的青年、一组具有上升水平的青年、一组具有低水平的青年，以及一组具有上升水平的抑郁症状、一组具有高水平的抑郁症状、一组具有下降水平的抑郁症状和一组具有低水平的抑郁症状。在每种症状类型中，无论是高水平还是上升水平的类别，都与成年早期出现的各种问题结果有关。然后使用平行过程分析评估破坏性行为和抑郁类别同时出现的情况。表现出高抑郁症状的青年患破坏性行为问题的风险增加，而破坏性行为问题增加的青年患抑郁症状的风险也增加。然而，只有极少数青年同时具有高抑郁轨迹和高破坏性行为轨迹。讨论了这些发现对预防和治疗计划设计的意义。
