Henriksen Ingvild Oxås, Ranøyen Ingunn, Indredavik Marit Sæbø, Stenseng Frode
Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, NTNU, Trondheim, Norway.
Department of Child and Adolescent Psychiatry, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Child Adolesc Psychiatry Ment Health. 2017 Dec 29;11:68. doi: 10.1186/s13034-017-0207-y. eCollection 2017.
Self-esteem is fundamentally linked to mental health, but its' role in trajectories of psychiatric problems is unclear. In particular, few studies have addressed the role of self-esteem in the development of attention problems. Hence, we examined the role of global self-esteem in the development of symptoms of anxiety/depression and attention problems, simultaneously, in a clinical sample of adolescents while accounting for gender, therapy, and medication.
Longitudinal data were obtained from a sample of 201 adolescents-aged 13-18-referred to the Department of Child and Adolescent Psychiatry in Trondheim, Norway. In the baseline study, self-esteem, and symptoms of anxiety/depression and attention problems were measured by means of self-report. Participants were reassessed 3 years later, with a participation rate of 77% in the clinical sample.
Analyses showed that high self-esteem at baseline predicted fewer symptoms of both anxiety/depression attention problems 3 years later after controlling for prior symptom levels, gender, therapy (or not), and medication.
Results highlight the relevance of global self-esteem in the clinical practice, not only with regard to emotional problems, but also to attention problems. Implications for clinicians, parents, and others are discussed.
自尊与心理健康有着根本联系，但其在精神问题发展轨迹中的作用尚不清楚。特别是，很少有研究探讨自尊在注意力问题发展中的作用。因此，我们在一个青少年临床样本中，同时考察了总体自尊在焦虑/抑郁症状和注意力问题发展中的作用，同时考虑了性别、治疗和药物因素。
纵向数据来自挪威特隆赫姆儿童与青少年精神病学系的201名13至18岁青少年样本。在基线研究中，通过自我报告测量自尊、焦虑/抑郁症状和注意力问题。3年后对参与者进行重新评估，临床样本的参与率为77%。
分析表明，在控制了先前的症状水平、性别、治疗（或未治疗）和药物因素后，基线时的高自尊预示着3年后焦虑/抑郁和注意力问题的症状较少。
结果突出了总体自尊在临床实践中的相关性，不仅涉及情绪问题，还涉及注意力问题。讨论了对临床医生、家长和其他人的启示。
