Achterhof Robin, Kirtley Olivia J, Lafit Ginette, Hiekkaranta Anu P, Hagemann Noëmi, Hermans Karlijn S F M, Lecei Aleksandra, Boets Bart, Henquet Cécile, Schneider Maude, Sips Rob, Vaessen Thomas, van Winkel Ruud, Viechtbauer Wolfgang, Reininghaus Ulrich, Myin-Germeys Inez
Center for Contextual Psychiatry, Research Group Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium.
KU Leuven Child & Youth Institute, KU Leuven, Leuven, Belgium.
Psychol Med. 2024 Oct 23;54(13):1-11. doi: 10.1017/S0033291724001594.
Research suggests that most mental health conditions have their onset in the critically social period of adolescence. Yet, we lack understanding of the potential social processes underlying early psychopathological development. We propose a conceptual model where daily-life social interactions and social skills form an intermediate link between known risk and protective factors (adverse childhood experiences, bullying, social support, maladaptive parenting) and psychopathology in adolescents - that is explored using cross-sectional data.
= 1913 Flemish adolescent participants (Mean age = 13.8; 63% girls) were assessed as part of the SIGMA study, a large-scale, accelerated longitudinal study of adolescent mental health and development. Self-report questionnaires (on risk/protective factors, social skills, and psychopathology) were completed during class time; daily-life social interactions were measured during a subsequent six-day experience-sampling period.
Registered uncorrected multilevel linear regression results revealed significant associations between all risk/protective factors and psychopathology, between all risk/protective factors and social processes, and between all social processes and psychopathology. Social processes (social skills, quantity/quality of daily social interactions) were uniquely predicted by each risk/protective factor and were uniquely associated with both general and specific types of psychopathology. For older participants, some relationships between social processes and psychopathology were stronger.
Unique associations between risk/protective factors and psychopathology signify the distinct relevance of these factors for youth mental health, whereas the broad associations with social processes support these processes as broad correlates. Results align with the idea of a social pathway toward early psychopathology, although follow-up longitudinal research is required to verify any mediation effect.
研究表明，大多数心理健康问题在青少年这个关键的社会时期开始出现。然而，我们对早期心理病理发展背后潜在的社会过程缺乏了解。我们提出了一个概念模型，其中日常生活中的社会互动和社交技能在已知的风险和保护因素（不良童年经历、欺凌、社会支持、适应不良的养育方式）与青少年心理病理学之间形成了一个中间环节——这是通过横断面数据进行探索的。
作为SIGMA研究的一部分，对1913名弗拉芒青少年参与者（平均年龄 = 13.8岁；63%为女孩）进行了评估，SIGMA研究是一项关于青少年心理健康和发展的大规模、加速纵向研究。在课堂时间完成自我报告问卷（关于风险/保护因素、社交技能和心理病理学）；在随后为期六天的经验抽样期间测量日常生活中的社会互动。
已登记的未校正多层次线性回归结果显示，所有风险/保护因素与心理病理学之间、所有风险/保护因素与社会过程之间以及所有社会过程与心理病理学之间均存在显著关联。每个风险/保护因素都能独特地预测社会过程（社交技能、日常社交互动的数量/质量），并且社会过程与一般和特定类型的心理病理学均有独特关联。对于年龄较大的参与者，社会过程与心理病理学之间的一些关系更强。
风险/保护因素与心理病理学之间的独特关联表明这些因素与青少年心理健康具有独特的相关性，而与社会过程的广泛关联支持这些过程作为广泛的相关因素。结果与早期心理病理学的社会途径这一观点相符，尽管需要后续的纵向研究来验证任何中介效应。
