Agnafors Sara, Sydsjö Gunilla, Svedin Carl Göran, Bladh Marie
Division of Children's and Women's health, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Department of Research, Södra Älvsborgs Hospital, Borås, Sweden.
Nord J Psychiatry. 2023 Nov;77(8):799-810. doi: 10.1080/08039488.2023.2254281. Epub 2023 Sep 8.
Even though the mechanisms behind the development of depression and internalizing problems remains unknown, many different factors have been shown to increase the risk. Longitudinal studies enable the investigation of exposure during different developmental periods during childhood. This study aims to examine factors associated with depressive and internalizing problems at age 20 in terms of sociodemographic factors, previous mental health problems and stressful life events during childhood, adolescence, and early adulthood.
A birth cohort of 1723 children were followed to age 20. At the 20-year follow-up, = 731 (44%) participated. Standardized instruments were filled out at baseline and the 3-,12- and 20-year follow-ups.
Depressive problems at age 20 were associated with female gender, experience of interpersonal life events reported at age 20, bullying victimization and reports on paternal mental health problems. Participants with depressive problems were also less likely to have experienced adolescence as happy and to report that their father had been a good father. Internalizing problems at age 20 were, in addition, associated with internalizing problems at age 12 and reports on maternal mental health problems. Internalizing problems were associated with a lower likelihood of experiencing adolescence as happy in the final model.
Recent events (i.e. interpersonal life events and bullying) seemed to be the most influential factors on the development of internalizing and depressive problems. Internalizing problems during childhood increased the risk for internalizing problems in early adulthood, emphasizing the importance of early intervention. Fewer factors were found to increase the risk for depressive problems compared to internalizing problems.
尽管抑郁症和内化问题发展背后的机制尚不清楚,但已表明许多不同因素会增加风险。纵向研究有助于调查儿童期不同发育阶段的暴露情况。本研究旨在从社会人口学因素、儿童期、青少年期和成年早期以前的心理健康问题以及应激性生活事件方面,研究与20岁时的抑郁和内化问题相关的因素。
对1723名儿童的出生队列进行随访至20岁。在20年随访时,有731人(44%)参与。在基线以及3年、12年和20年随访时填写标准化工具。
20岁时的抑郁问题与女性性别、20岁时报告的人际生活事件经历、受欺凌受害情况以及父亲心理健康问题的报告有关。有抑郁问题的参与者也不太可能将青少年时期视为快乐时光,也不太可能报告他们的父亲是好父亲。此外,20岁时的内化问题与12岁时的内化问题以及母亲心理健康问题的报告有关。在最终模型中,内化问题与将青少年时期视为快乐时光的可能性较低有关。
近期事件(即人际生活事件和欺凌)似乎是内化和抑郁问题发展的最有影响因素。儿童期的内化问题增加了成年早期内化问题的风险,强调了早期干预的重要性。与内化问题相比,发现增加抑郁问题风险的因素较少。