Lee Tae Kyoung, Wickrama Kandauda A S, Kwon Josephine A, Lorenz Frederick O, Oshri Assaf
Department of Public Health Sciences, University of Miami, Florida, USA.
Department of Human Development and Family Science, University of Georgia, Athens, Georgia, USA.
Br J Dev Psychol. 2017 Nov;35(4):498-515. doi: 10.1111/bjdp.12189. Epub 2017 Jul 14.
This study examined (a) transition patterns from adolescent-specific depressive symptom trajectory classes to young adult-specific trajectory classes (N = 537; 15-26 years) and (b) identified risk factors associated with these transition patterns. The latent classes and transition analyses identified three transitional patterns of depressive symptom trajectories, including a deteriorating pattern (8.2%), a recovering pattern (22.5%), and a consistently low pattern (69.3%). Additionally, the results showed that contextual risk factors (i.e., negative economic events, negative romantic relationships, and low college enrolment rates) in the transition period to young adulthood were more positively associated with deteriorated or recovered transition patterns of depressive symptom trajectories than with the consistently low transition patterns even after taking into account the effects of adolescent risk factors. The identification of dynamic transition patterns in depressive symptom trajectories from adolescence to young adulthood and risk factors provide useful tools for preventive and intervention efforts. Statement of contribution What is already known on this subject? Heterogeneous trajectories of depressive symptoms across adolescence and young adulthood have been reported. Psychosocial characteristics differentiate trajectories of depressive symptoms from adolescence to young adulthood. What does this study add? Dynamic transition patterns of depressive symptom trajectories are found between adolescence and young adulthood. Life experiences in the transition period are uniquely associated with the transition patterns of depressive symptom trajectories even after adjusting the effects of adolescent characteristics.
本研究考察了（a）从青少年特定抑郁症状轨迹类别到青年特定轨迹类别的转变模式（N = 537；15 - 26岁），以及（b）确定与这些转变模式相关的风险因素。潜在类别和转变分析确定了抑郁症状轨迹的三种转变模式，包括恶化模式（8.2%）、恢复模式（22.5%）和持续低水平模式（69.3%）。此外，结果表明，即使在考虑了青少年风险因素的影响之后，向青年期过渡期间的背景风险因素（即负面经济事件、负面恋爱关系和低大学入学率）与抑郁症状轨迹的恶化或恢复转变模式的正相关性，比与持续低水平转变模式的正相关性更强。识别从青春期到青年期抑郁症状轨迹的动态转变模式和风险因素，为预防和干预工作提供了有用的工具。贡献声明关于该主题已知的内容有哪些？已有报道称青少年期和青年期抑郁症状的轨迹具有异质性。心理社会特征区分了从青春期到青年期抑郁症状的轨迹。本研究增加了什么内容？发现了青春期和青年期之间抑郁症状轨迹的动态转变模式。即使在调整了青少年特征的影响之后，过渡时期的生活经历仍与抑郁症状轨迹的转变模式存在独特关联。
