Gender Differences in Anxiety Trajectories from Middle to Late Adolescence.
Gender Differences in Anxiety Trajectories from Middle to Late Adolescence.
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DOI：
10.1007/s10964-016-0619-7
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发表时间：
2017-04
影响因子：
4.9
通讯作者：
Vannucci A
中科院分区：
文献类型：
--
作者：
Ohannessian CM;Milan S;Vannucci A
虽然焦虑症状学的发展轨迹已经开始探索，但大多数研究都集中在儿童和青少年早期的焦虑症状总分上，使用种族/民族同质样本。了解青春期中后期焦虑障碍症状的异质性过程，有可能阐明焦虑的发育风险模型，并为预防计划提供信息。因此，本研究在不同的社区样本（N= 1000； 57%女性；65%白人）中，专门检查了从青春期中期到青春期晚期焦虑障碍症状（广泛性焦虑障碍、惊恐障碍和社交焦虑障碍）发展轨迹的性别差异，每年评估一次，持续两年。潜在增长曲线模型显示，女孩在广泛性焦虑障碍、恐慌障碍和社交焦虑障碍症状上表现出轻微的线性下降，而男孩则表现出稳定的过程。这些模型表明，一个轨迹适用于女孩和男孩的惊恐障碍症状。生长混合模型显示存在4种潜在广泛性焦虑障碍症状轨迹等级：低增加、中度轻微减少、高减少和非常高迅速减少。生长混合模型还表明存在五种潜在的社交焦虑障碍症状轨迹类别：低稳定轨迹类别和四种与潜在的广泛性焦虑障碍轨迹在质量上相似的类别。对于广泛性焦虑障碍和社交焦虑障碍症状，女孩明显比男孩更有可能处于以中度或高度初始症状为特征的轨迹班级，这些症状随后随着时间的推移而减轻。这些发现为青少年焦虑障碍症状的发展过程提供了新的信息。
Although developmental trajectories of anxiety symptomatology have begun to be explored, most research has focused on total anxiety symptom scores during childhood and early adolescence, using racially/ethnically homogenous samples. Understanding the heterogeneous courses of anxiety disorder symptoms during middle to late adolescence has the potential to clarify developmental risk models of anxiety and to inform prevention programs. Therefore, this study specifically examined gender differences in developmental trajectories of anxiety disorder symptoms (generalized anxiety disorder, panic disorder, and social anxiety disorder) from middle to late adolescence in a diverse community sample (N=1,000; 57% female; 65% White), assessed annually over two years. Latent growth curve modeling revealed that girls exhibited a slight linear decrease in generalized anxiety disorder, panic disorder, and social anxiety disorder symptoms, whereas boys exhibited a stable course. These models suggested that one trajectory was appropriate for panic disorder symptoms in both girls and boys. Growth mixture models indicated the presence of four latent generalized anxiety disorder symptom trajectory classes: low increasing, moderate decreasing slightly, high decreasing, and very high decreasing rapidly. Growth mixture models also suggested the presence of five latent social anxiety disorder symptom trajectory classes: a low stable trajectory class and four classes that were qualitatively similar to the latent generalized anxiety disorder trajectories. For both generalized anxiety disorder and social anxiety disorder symptoms, girls were significantly more likely than boys to be in trajectory classes characterized by moderate or high initial symptoms that subsequently decreased over time. These findings provide novel information regarding the developmental course of anxiety disorder symptoms in adolescents.
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DOI：
10.1080/15374416.2013.817311
发表时间：
2014
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Langley AK;Falk A;Peris T;Wiley JF;Kendall PC;Ginsburg G;Birmaher B;March J;Albano AM;Piacentini J
通讯作者：
Piacentini J
影响因子：
1.7
作者：
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通讯作者：
Pine, Daniel S.
DOI：
10.1016/j.chc.2012.05.001
发表时间：
2012-07-01
影响因子：
2.4
作者：
Beesdo-Baum, Katja;Knappe, Susanne
通讯作者：
Knappe, Susanne
影响因子：
3.6
作者：
Ferdinand, Robert F.;Dieleman, Gwen;Ormel, Johan;Verhulst, Frank C.
通讯作者：
Verhulst, Frank C.
DOI：
10.1080/15374416.2012.694608
发表时间：
2012-11-01
影响因子：
4.2
作者：
Leadbeater, Bonnie;Thompson, Kara;Gruppuso, Vincenza
通讯作者：
Gruppuso, Vincenza