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智利青少年抑郁症状轨迹的父母及个体预测因素

Parental and individual predictors of trajectories of depressive symptoms in Chilean adolescents.

作者信息

Cumsille Patricio, Martínez M Loreto, Rodríguez Viviana, Darling Nancy

机构信息

Pontificia Universidad Católica de Chile, Chile.

Universidad de Valparaíso, Chile.

出版信息

Int J Clin Health Psychol. 2015 Sep-Dec;15(3):208-216. doi: 10.1016/j.ijchp.2015.06.001. Epub 2015 Aug 1.

Abstract

Depressive symptoms are prevalent in adolescence, but not all adolescents experience the same level or evolution of symptoms, suggesting the need to identify differences in trajectories of symptoms. We used Growth Mixture Modeling to analyze different trajectories of depressive symptoms in a sample of 1,072 Chilean adolescents (12-15 years old, 54% female). First, a baseline model was selected and then adolescent irritability, maternal warmth, demandingness and disrespect were introduced to the model as predictors of class membership. Four latent class trajectories of depressive symptoms were identified: high persistent (12%), low stable (56%), high decreasing (15%) and low increasing (17%). Low stable was the most prevalent class, and was characterized by higher maternal warmth and lower maternal disrespect and adolescent irritability while high persistent was characterized by the opposite maternal characteristics. Significant gender differences in class membership were observed. The results highlight the importance of identifying different trajectories of depressive symptoms and specific predictors of each trajectory. The association of parenting dimensions with trajectories of persistent depressive symptoms provides evidence that parenting can serve as both a protective and risk factor for adolescent adjustment.

摘要

抑郁症状在青少年中很普遍,但并非所有青少年经历的症状水平或症状演变情况都相同,这表明需要识别症状轨迹的差异。我们使用生长混合模型来分析1072名智利青少年(12至15岁,54%为女性)样本中抑郁症状的不同轨迹。首先,选择一个基线模型,然后将青少年易怒、母亲的温暖、要求和不尊重作为类别归属的预测因素引入模型。识别出抑郁症状的四种潜在类别轨迹:高持续性(12%)、低稳定性(56%)、高下降性(15%)和低上升性(17%)。低稳定性是最普遍的类别,其特征是母亲更温暖、母亲的不尊重和青少年易怒程度更低,而高持续性的特征是母亲具有相反的特征。观察到类别归属存在显著的性别差异。结果强调了识别抑郁症状不同轨迹以及每条轨迹的特定预测因素的重要性。养育维度与持续性抑郁症状轨迹之间的关联提供了证据,表明养育方式既可以作为青少年适应的保护因素,也可以作为风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e5/6225011/6440527300dd/gr1.jpg

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