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本文引用的文献

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Is Irritability a Top Problem in Youth Mental Health Care? A Multi-informant, Multi-method Investigation.易激惹是否是青少年心理健康护理中的首要问题?多信息源、多方法的调查。
Child Psychiatry Hum Dev. 2023 Aug;54(4):1027-1041. doi: 10.1007/s10578-021-01301-8. Epub 2022 Jan 22.
2
A Transdiagnostic Perspective on Youth Irritability.青少年易怒的跨诊断视角
Curr Dir Psychol Sci. 2021 Oct;30(5):437-443. doi: 10.1177/09637214211035101. Epub 2021 Sep 9.
3
Annual Research Review: The contributions of the RDoC research framework on understanding the neurodevelopmental origins, progression and treatment of mental illnesses.年度研究综述:RDoC 研究框架对理解精神疾病的神经发育起源、进展和治疗的贡献。
J Child Psychol Psychiatry. 2022 Apr;63(4):360-376. doi: 10.1111/jcpp.13543. Epub 2022 Jan 3.
4
The distinction between symptoms and traits in the Hierarchical Taxonomy of Psychopathology (HiTOP).精神病理学分层分类体系(HiTOP)中症状与特质的区分。
J Pers. 2022 Feb;90(1):20-33. doi: 10.1111/jopy.12593. Epub 2020 Oct 6.
5
Review of dysthymia and persistent depressive disorder: history, correlates, and clinical implications.心境恶劣障碍与持续性抑郁障碍综述:历史、相关因素及临床意义
Lancet Psychiatry. 2020 Sep;7(9):801-812. doi: 10.1016/S2215-0366(20)30099-7.
6
Irritability as a Transdiagnostic Vulnerability Trait:Current Issues and Future Directions.易激惹作为一种跨诊断的脆弱特质:当前的问题和未来的方向。
Behav Ther. 2020 Mar;51(2):350-364. doi: 10.1016/j.beth.2019.10.009. Epub 2019 Nov 27.
7
Irritability and parenting practices as mediational variables between temperament and affective, anxiety, and oppositional defiant problems.易激惹和养育方式在气质与情感、焦虑和对立违抗问题之间的中介作用。
Aggress Behav. 2019 Sep;45(5):550-560. doi: 10.1002/ab.21850. Epub 2019 Jun 11.
8
Association of Childhood Irritability and Depressive/Anxious Mood Profiles With Adolescent Suicidal Ideation and Attempts.儿童期易激惹与抑郁/焦虑情绪特征与青少年自杀意念和自杀未遂的关联。
JAMA Psychiatry. 2018 May 1;75(5):465-473. doi: 10.1001/jamapsychiatry.2018.0174.
9
The Stony Brook Temperament Study: Early Antecedents and Pathways to Emotional Disorders.石溪气质研究:情绪障碍的早期先兆与路径
Child Dev Perspect. 2017 Dec;11(4):257-263. doi: 10.1111/cdep.12242. Epub 2017 Jul 21.
10
Practitioner Review: Definition, recognition, and treatment challenges of irritability in young people.从业者综述:年轻人易激惹的定义、识别和治疗挑战。
J Child Psychol Psychiatry. 2018 Jul;59(7):721-739. doi: 10.1111/jcpp.12823. Epub 2017 Oct 30.

易激惹性和气质:儿童期和青春期的并发和前瞻性关系。

Irritability and Temperament: Concurrent and Prospective Relationships in Childhood and Adolescence.

机构信息

Department of Psychology, Stony Brook University.

Department of Psychology, University of Maryland.

出版信息

J Clin Child Adolesc Psychol. 2024 Mar-Apr;53(2):156-168. doi: 10.1080/15374416.2023.2286586. Epub 2023 Dec 15.

DOI:10.1080/15374416.2023.2286586
PMID:38100562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11043013/
Abstract

OBJECTIVE

Irritability symptoms are closely associated with, and may reflect, temperament traits, particularly negative affectivity (NA). However, there are few empirical data on the relationships between child temperament and irritability symptoms.

METHOD

We investigated cross-sectional and longitudinal relationships between irritability symptoms and temperament traits from age 3-15 in a community sample of 609 children and their parents. Irritability symptoms were assessed through structured interviews with parents at ages 3/6, and inventories completed by parents and youth at ages 12/15. Temperament traits were assessed using parent reports at ages 3/6, and parent and child reports at ages 12/15. Path analysis and structural equation modeling were used to explore longitudinal associations from ages 3-6 and 12-15, respectively.

RESULTS

Higher levels of irritability symptoms at ages 3/6 were concurrently associated with higher levels of NA and lower levels of effortful control (EC). In adolescence, higher irritability symptoms were concurrently associated with higher negative temperament and disinhibition. In longitudinal analyses from age 3-6 and 12-15, irritability symptoms showed modest but significant stability after adjusting for the stability of temperament traits. However, there were significant differences in the stability paths at age 3-6, reflecting lower stability of irritability symptoms. Finally, EC at age 3 predicted increased irritability symptoms at age 6, while irritability symptoms at age 3 predicted increased NA at age 6.

CONCLUSION

Irritability symptoms are robustly associated with both temperamental NA and difficulty regulating attention and behavior. These findings help situate irritability symptoms within widely accepted temperament/personality taxonomies.

摘要

目的

易激惹症状与气质特征密切相关,可能反映了气质特征,尤其是负性情感(NA)。然而,关于儿童气质与易激惹症状之间的关系,实证数据较少。

方法

我们调查了 609 名儿童及其父母的社区样本中,从 3 岁到 15 岁时易激惹症状与气质特征之间的横断面和纵向关系。通过父母在 3/6 岁时进行的结构化访谈以及父母和青少年在 12/15 岁时完成的问卷评估易激惹症状。在 3/6 岁时使用父母报告评估气质特征,在 12/15 岁时使用父母和儿童报告评估气质特征。使用路径分析和结构方程模型分别探索从 3 岁到 6 岁和 12 岁到 15 岁的纵向关联。

结果

3/6 岁时易激惹症状水平较高与 NA 水平较高和努力控制(EC)水平较低相关。在青春期,较高的易激惹症状与负性气质和抑制不足相关。在 3 岁到 6 岁和 12 岁到 15 岁的纵向分析中,调整气质特征的稳定性后,易激惹症状具有适度但显著的稳定性。然而,在 3 岁到 6 岁的稳定性路径中存在显著差异,反映出易激惹症状的稳定性较低。最后,3 岁时的 EC 预测 6 岁时易激惹症状的增加,而 3 岁时的易激惹症状预测 6 岁时 NA 的增加。

结论

易激惹症状与气质的 NA 和注意力和行为调节困难均密切相关。这些发现有助于将易激惹症状置于广泛接受的气质/人格分类中。