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童年逆境、青春期时间与青少年抑郁症状:台湾的一项纵向研究

Childhood Adversity, Timing of Puberty and Adolescent Depressive Symptoms: A Longitudinal Study in Taiwan.

作者信息

Strong Carol, Tsai Meng-Che, Lin Chung-Ying, Cheng Chung-Ping

机构信息

Department of Public Health, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, 1 University Road, Tainan, 70101, Taiwan.

Department of Pediatrics, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.

出版信息

Child Psychiatry Hum Dev. 2016 Jun;47(3):347-57. doi: 10.1007/s10578-015-0570-y.

Abstract

Childhood adversity contributes to depressive symptoms in adolescence, but far less research has focused on an Asian context. This study aims to identify the long-term impact of childhood adversity on adolescents' depressive symptoms and whether this association is moderated by gender and early pubertal timing in Taiwan. Data in this study are from the Taiwan Education Panel Survey, a longitudinal study that surveyed and followed 4261 junior high school students in year 2001 (at age 13) and three more waves (at ages 15, 17, and 18). Conditional latent growth model results show that having adversity is positively associated with the intercept, but negatively associated with the linear trend of changes of depressive symptoms in adolescence (p < .01). Early pubertal timing is only positively associated with baseline levels for boys (p < .01). Both adversity and early pubertal timing contributes to depressive symptoms when adolescents start junior high school.

摘要

童年逆境会导致青少年出现抑郁症状,但针对亚洲背景的研究要少得多。本研究旨在确定童年逆境对青少年抑郁症状的长期影响,以及这种关联是否受到台湾地区青少年性别和青春期提前的调节。本研究的数据来自台湾教育面板调查,这是一项纵向研究,于2001年(13岁时)对4261名初中生进行了调查,并在随后的三个时间点(15岁、17岁和18岁)进行了跟踪调查。条件性潜在增长模型结果显示,经历逆境与截距呈正相关,但与青少年抑郁症状变化的线性趋势呈负相关(p <.01)。青春期提前仅与男孩的基线水平呈正相关(p <.01)。逆境和青春期提前都会导致青少年初中入学时出现抑郁症状。

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