Moussavi Yasmin, Breivik Kyrre, Wergeland Gro Janne, Haugland Bente Storm Mowatt, Larsen Marit, Lehmann Stine
Regional Centre for Child and Youth Mental Health and Child Welfare-West, NORCE Norwegian Research Centre, Bergen, Norway.
Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Bergen, Norway.
Front Psychiatry. 2021 Aug 16;12:711626. doi: 10.3389/fpsyt.2021.711626. eCollection 2021.
A high prevalence of anxiety and depression is found among youth in foster care. There is limited knowledge on the anxiety and depression symptom profiles of youth in foster care. We examined latent profiles of anxiety and depression symptoms across three unique youth samples and whether youth in foster care were more or less likely to belong to specific symptom profiles than their peers recruited from clinical or general youth populations. We also investigated if these profiles were predicted by sex and age. Self-reported anxiety and depression symptoms were assessed by Spence Children's Anxiety Scale and Short Mood and Feelings Questionnaire. Data were pooled from three youth samples ( = 2,005; mean age = 13.9 years, range = 11-18 years) comprising youth in foster care ( = 245), a clinical youth sample ( = 107), and a general population youth sample ( = 1,653). Symptom profiles were identified using latent profile analyses. Multinominal logistic regression was used to predict the latent profile membership. Three profiles that differed both in symptom level and shape were identified and labeled as low, medium, and high symptom profile. Compared to the general population youth sample, youth in foster care had a higher likelihood of belonging to the high symptom profile, but not the medium symptom profile. Youth from the clinical sample had an increased risk of belonging to the medium and high symptom profiles compared to the youth in foster care and general population youth samples. Across samples, girls yielded a higher likelihood of having a medium or high symptom profile. Increasing age was associated with a higher likelihood of being in the high symptom profile. Compared to their counterparts in the general population, youth in foster care are at risk of belonging to a class of youth with high symptom levels across subtypes of internalizing symptoms, indicating the importance of systematic and broad assessment of internalizing symptoms among these youth. Knowledge on the symptom profiles of anxiety subtypes and depression increases our understanding of the treatment needs of youth in foster care.
寄养青少年中焦虑和抑郁的患病率很高。目前对于寄养青少年的焦虑和抑郁症状特征了解有限。我们在三个独特的青少年样本中研究了焦虑和抑郁症状的潜在特征，以及与从临床或普通青少年人群中招募的同龄人相比，寄养青少年属于特定症状特征的可能性是更高还是更低。我们还研究了这些特征是否由性别和年龄预测。通过斯宾斯儿童焦虑量表和简短情绪与情感问卷对自我报告的焦虑和抑郁症状进行评估。数据来自三个青少年样本（n = 2005；平均年龄 = 13.9岁，范围 = 11 - 18岁），包括寄养青少年（n = 245）、临床青少年样本（n = 107）和普通人群青少年样本（n = 1653）。使用潜在特征分析来识别症状特征。采用多项逻辑回归来预测潜在特征类别。识别出了三个在症状水平和形状上都不同的特征，并分别标记为低、中、高症状特征。与普通人群青少年样本相比，寄养青少年属于高症状特征的可能性更高，但不属于中等症状特征。与寄养青少年和普通人群青少年样本相比，临床样本中的青少年属于中等和高症状特征的风险增加。在所有样本中，女孩出现中等或高症状特征的可能性更高。年龄增长与属于高症状特征的可能性增加相关。与普通人群中的同龄人相比，寄养青少年有属于一类内化症状各亚型中症状水平较高的青少年的风险，这表明对这些青少年进行系统和广泛的内化症状评估很重要。了解焦虑亚型和抑郁的症状特征有助于我们更好地理解寄养青少年的治疗需求。
