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青少年心理健康和主观幸福感轨迹变化中的性别差异。

Gender difference in the change of adolescents' mental health and subjective wellbeing trajectories.

作者信息

Yoon Yeosun, Eisenstadt Mia, Lereya Suzet Tanya, Deighton Jessica

机构信息

EBPU (Evidence Based Practice Unit), UCL and Anna Freud Centre, 4-8 Rodney street, London, N1 9NH, UK.

出版信息

Eur Child Adolesc Psychiatry. 2023 Sep;32(9):1569-1578. doi: 10.1007/s00787-022-01961-4. Epub 2022 Mar 4.

Abstract

Gender differences in adolescents' mental health problems have been extensively reported. Yet, there is limited research in exploring longitudinal trends in mental health and wellbeing between boys and girls. This study investigated any emerging developmental trends of gender differences in mental health problems and subjective wellbeing for young people from early to mid-adolescence in England. A longitudinal group of 8612 young people's mental health and subjective wellbeing trajectories were investigated between the period of ages 11/12 and 13/14. Mental health difficulties and subjective wellbeing were measured using the child self-report Strengths and Difficulties Questionnaire (SDQ) and Short Warwick and Edinburgh Wellbeing Scale (SWEMWBS), respectively. Any gender difference in the change of adolescents' mental health and subjective wellbeing over 3 year period were estimated using multi-level regression while accounting for various socio-demographic and resilience factors. Young people are at increased risk of mental health problems between the ages of 11 and 14, particularly girls. The overall difficulty levels reported by girls were significantly higher than boys across a range of mental health problems and subjective wellbeing. These developmental trends persisted after controlling for a broad range of potential confounders. Young people has shown clear signs of mental distress as they get older. This escalation was particularly evident among girls. Distress can come at the time of significant physical, emotional, and social changes in an adolescents' life, and can be heightened during secondary school transition. This evidence highlights the importance of early intervention to reduce risk of distress.

摘要

青少年心理健康问题中的性别差异已有大量报道。然而,在探索男孩和女孩心理健康与幸福的纵向趋势方面,研究有限。本研究调查了英格兰青少年从青春期早期到中期心理健康问题和主观幸福感方面性别差异的任何新出现的发展趋势。对8612名青少年在11/12岁至13/14岁期间的心理健康和主观幸福感轨迹进行了纵向研究。心理健康困难和主观幸福感分别使用儿童自评优势与困难问卷(SDQ)和简短的沃里克-爱丁堡幸福感量表(SWEMWBS)进行测量。在考虑各种社会人口统计学和复原力因素的情况下,使用多层次回归估计了青少年在3年期间心理健康和主观幸福感变化中的任何性别差异。11岁至14岁的青少年心理健康问题风险增加,尤其是女孩。在一系列心理健康问题和主观幸福感方面,女孩报告的总体困难水平显著高于男孩。在控制了一系列潜在混杂因素后,这些发展趋势依然存在。随着年龄增长,青少年表现出明显的精神痛苦迹象。这种加剧在女孩中尤为明显。痛苦可能出现在青少年生活中重大的身体、情感和社会变化时期,并且在中学过渡期间可能会加剧。这一证据凸显了早期干预以降低痛苦风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e5/8896070/da5b03d378b6/787_2022_1961_Fig1_HTML.jpg

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