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青春期与心理健康的跨诊断风险

Puberty and Transdiagnostic Risks for Mental Health.

机构信息

Cornell University.

University of Southern California.

出版信息

J Res Adolesc. 2020 Sep;30(3):687-705. doi: 10.1111/jora.12552. Epub 2020 Feb 28.

Abstract

Puberty in girls represents a notable period of vulnerability for different psychological disorders. The research literature has primarily considered external and contextual factors that might explain these rises in symptomatology. In the present study, we investigate relations of pubertal status and timing with individual cognitive, emotional, and behavioral tendencies, commonly identified as transdiagnostic processes, in a sample of N = 228 girls (M  = 11.75 years). We also test whether these transdiagnostic processes mediate associations of pubertal status and pubertal timing with depressive symptoms. Results support greater endorsement of rumination, co-rumination, negative urgency, and both anxious and angry rejection sensitivity in girls with more advanced pubertal status, as well as in girls with early pubertal timing. Higher levels of transdiagnostic processes fully mediated associations of pubertal status and timing with depressive symptoms at significant and marginally significant levels, respectively. Although the data are cross-sectional, these findings offer promising preliminary evidence that transdiagnostic processes represent an important mental health risk in early adolescent girls.

摘要

青春期是女孩易患各种心理障碍的显著时期。研究文献主要考虑了可能解释这些症状上升的外部和背景因素。在本研究中,我们在 228 名女孩(M=11.75 岁)的样本中研究了青春期状态和时间与个体认知、情感和行为倾向(通常被认为是跨诊断过程)的关系,这些倾向被认为是跨诊断过程。我们还测试了这些跨诊断过程是否可以中介青春期状态和青春期时间与抑郁症状之间的关联。结果支持在青春期状态较先进和青春期时间较早的女孩中,更广泛地认同沉思、共同沉思、消极冲动以及焦虑和愤怒的拒绝敏感性。在显著和边缘显著水平上,更高水平的跨诊断过程完全中介了青春期状态和时间与抑郁症状之间的关联。尽管这些数据是横断面的,但这些发现提供了有希望的初步证据,表明跨诊断过程是青春期早期女孩心理健康的一个重要风险因素。

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