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青少年抑郁症状的发展轨迹:行为问题与学业问题的共同发展

Adolescent Trajectories of Depressive Symptoms: Codevelopment of Behavioral and Academic Problems.

作者信息

Brière Frédéric N, Janosz Michel, Fallu Jean-Sébastien, Morizot Julien

机构信息

École de psychoéducation, Université de Montréal, Montréal, Québec, Canada.

École de psychoéducation, Université de Montréal, Montréal, Québec, Canada; Institut de Recherche en Santé Publique de l'Université de Montréal (IRSPUM), Montréal, Québec, Canada; School Environment Research Group (SERG), Montréal, Québec, Canada.

出版信息

J Adolesc Health. 2015 Sep;57(3):313-9. doi: 10.1016/j.jadohealth.2015.05.012.

DOI:10.1016/j.jadohealth.2015.05.012
PMID:26299558
Abstract

PURPOSE

Increasing evidence suggests the existence of heterogeneity in the development of depressive symptoms during adolescence, but little remains known regarding the implications of this heterogeneity for the development of commonly co-occurring problems. In this study, we derived trajectories of depressive symptoms in adolescents and examined the codevelopment of multiple behavioral and academic problems in these trajectories.

METHODS

Participants were 6,910 students from secondary schools primarily located in disadvantaged areas of Quebec (Canada) who were assessed annually from the age 12 to 16 years. Trajectories were identified using growth mixture modeling. The course of behavioral (delinquency, substance use) and academic adjustment (school liking, academic achievement) in trajectories was examined by deriving latent growth curves for each covariate conditional on trajectory membership.

RESULTS

We identified five trajectories of stable-low (68.1%), increasing (12.1%), decreasing (8.7%), transient (8.7%), and stable-high (2.4%) depressive symptoms. Examination of conditional latent growth curves revealed that the course of behavioral and academic problems closely mirrored the course of depressive symptoms in each trajectory.

CONCLUSIONS

This pattern of results suggests that the course of depressive symptoms and other adjustment problems over time is likely to involve an important contribution of shared underlying developmental process(es).

摘要

目的

越来越多的证据表明,青少年抑郁症状的发展存在异质性,但对于这种异质性对常见共发问题发展的影响仍知之甚少。在本研究中,我们得出了青少年抑郁症状的轨迹,并研究了这些轨迹中多种行为和学业问题的共同发展情况。

方法

参与者为6910名主要来自加拿大魁北克贫困地区中学的学生,从12岁到16岁每年接受评估。使用生长混合模型确定轨迹。通过为每个协变量推导基于轨迹成员身份的潜在生长曲线,研究轨迹中的行为(犯罪、物质使用)和学业适应(学校喜好、学业成绩)过程。

结果

我们确定了稳定低水平(68.1%)、上升(12.1%)、下降(8.7%)、短暂(8.7%)和稳定高水平(2.4%)抑郁症状的五条轨迹。对条件潜在生长曲线的研究表明,行为和学业问题的过程在每个轨迹中与抑郁症状的过程密切相关。

结论

这种结果模式表明,随着时间的推移,抑郁症状和其他适应问题的过程可能涉及共同的潜在发展过程的重要贡献。

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