Navarro Marie C, Orri Massimiliano, Nagin Daniel, Tremblay Richard E, Oncioiu Sînziana I, Ahun Marilyn N, Melchior Maria, van der Waerden Judith, Galéra Cédric, Côté Sylvana M
Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France.
Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France; McGill Group for Suicide Studies, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Canada.
J Affect Disord. 2020 Apr 1;266:702-709. doi: 10.1016/j.jad.2020.01.106. Epub 2020 Jan 23.
Childhood internalizing symptoms can be associated with adolescent internalizing symptoms, but only a small proportion of symptomatic children are at long-term risk. Our objectives were to (1) distinguish between typical and atypical levels of internalizing symptoms using mother- and teacher-assessments and (2) test the association between childhood internalizing symptoms and adolescent generalized anxiety, depression, and social phobia symptoms in boys and girls.
Multi-trajectory models were used to estimate the evolution of mother- and teacher-reported internalizing symptoms across childhood (1.5 to 12 years) in a large population-based cohort (n = 1431). Multiple linear regression models were implemented to estimate the association between childhood group membership of internalizing symptoms and self-reported specific internalizing symptoms at 15 years by sex.
Five groups of childhood internalizing symptoms were identified: Mother & teacher low (22.6%), Mother moderate/teacher low (37.9%), Mother moderate/teacher high (18.3%), Mother high/teacher low (11.8%) and Mother & teacher high (9.5%). Multiple linear regression models showed that compared to the low group, (1) boys in the high group reported higher social phobia symptoms (p = 0.04), (2) girls in the high group reported higher depression (p = 0.01) and generalized anxiety (p < 0.01) symptoms, and (3) girls in the moderate/high group reported higher generalized anxiety symptoms (p = 0.02) in adolescence.
The main limitation is that mothers' and teachers' assessments mostly covered different developmental periods.
A multi-informant assessment of childhood internalizing symptoms improves adolescent specific internalizing symptoms identification in a general population sample over reliance on a single informant.
儿童内化症状可能与青少年内化症状相关，但只有一小部分有症状的儿童存在长期风险。我们的目标是：（1）使用母亲和教师评估来区分内化症状的典型和非典型水平；（2）测试男孩和女孩儿童期内化症状与青少年广泛性焦虑、抑郁和社交恐惧症症状之间的关联。
在一个基于大样本人群的队列（n = 1431）中，使用多轨迹模型来估计母亲和教师报告的内化症状在儿童期（1.5至12岁）的演变。实施多元线性回归模型来估计内化症状的儿童分组与15岁时按性别自我报告的特定内化症状之间的关联。
识别出五组儿童内化症状：母亲和教师评分低（22.6%）、母亲评分中等/教师评分低（37.9%）、母亲评分中等/教师评分高（18.3%）、母亲评分高/教师评分低（11.8%）以及母亲和教师评分高（9.5%）。多元线性回归模型显示，与低分组相比，（1）高分组男孩报告的社交恐惧症症状更高（p = 0.04），（2）高分组女孩报告的抑郁（p = 0.01）和广泛性焦虑（p < 0.01）症状更高，（3）中等/高分组女孩在青少年期报告的广泛性焦虑症状更高（p = 0.02）。
主要局限性在于母亲和教师的评估大多涵盖不同的发育阶段。
对儿童内化症状进行多信息源评估，相较于仅依赖单一信息源，能改善在一般人群样本中对青少年特定内化症状的识别。
