Department of Psychology, Hebei University, Hebei, China.
School of Public Administration, Xinhua College of Sun Yat-sen University, Guangdong, China.
J Clin Psychol. 2023 Feb;79(2):558-572. doi: 10.1002/jclp.23436. Epub 2022 Aug 17.
Internalizing and externalizing problems are the most prevalent health problems among adolescents. However, few studies have examined co-occurring internalizing and externalizing problems from a longitudinal perspective.
A total of 1051 seventh-grade students from two junior high schools were recruited at baseline. Among them, 932 valid participants were reassessed 1 year and 2 years later. Data were analyzed using parallel-process latent class growth analysis and multinominal logistic regression.
Four joint trajectories of internalizing and externalizing problems were identified. Compared with the low-risk group, adolescents in the moderate and chronic co-occurring group had lower resilience, higher levels of insecure attachment, family conflicts, and academic pressure. Adolescents in the pure internalizing group had higher levels of family conflicts and academic pressure compared with the low-risk group.
Co-occurrence of symptoms is very high in adolescents. More individualized intervention programs should be provided to these specific groups.
内化和外化问题是青少年中最常见的健康问题。然而，很少有研究从纵向角度探讨同时存在的内化和外化问题。
共招募了两所初中的 1051 名七年级学生作为基线。其中，932 名有效参与者在 1 年和 2 年后进行了重新评估。使用并行过程潜类增长分析和多项逻辑回归对数据进行分析。
确定了内化和外化问题的四个共同轨迹。与低风险组相比，中度和慢性共发组的青少年适应力较低，不安全依恋、家庭冲突和学业压力水平较高。与低风险组相比，单纯内化组的青少年家庭冲突和学业压力水平较高。
青少年中同时存在症状的情况非常高。应该为这些特定群体提供更多个性化的干预计划。
