Comorbidity Between Depression and Anxiety in Adolescents: Bridge Symptoms and Relevance of Risk and Protective Factors.
Comorbidity Between Depression and Anxiety in Adolescents: Bridge Symptoms and Relevance of Risk and Protective Factors.
复制标题
DOI：
10.1007/s10862-021-09880-5
复制
发表时间：
2021
影响因子：
1.6
通讯作者：
Barker ED
中科院分区：
文献类型：
--
作者：
Konac D;Young KS;Lau J;Barker ED
抑郁症和焦虑症在青少年中非常普遍，并且是共病的，这种共病会导致更差的预后和额外的困难。抑郁和焦虑之间的关系，必须划定，反过来，以减少和预防合并症，但我们的知识仍然有限。我们使用网络分析来研究桥梁症状;连接个体抑郁和焦虑症状的症状，从而有助于解释合并症。我们还研究了相关的风险和保护因素在解释这些疾病之间的关系中的作用。我们分析了雅芳儿童和父母纵向研究（n = 3670）的数据。抑郁和焦虑症状，同伴受害，欺凌，同伴关系问题，亲社会行为和父母的监控在一个单一的时间点进行了评估，年龄在13岁左右。在11岁时评估应激性生活事件（SLE）。我们确定了抑郁症（“感到不快乐”，“感到孤独”）和焦虑症状（“担心过去”，“担心未来”）之间最突出的桥梁症状。同伴关系困难和SLE与几种抑郁和焦虑症状密切相关，因此这两个风险因素在个体抑郁和焦虑症状之间建立了联系。亲社会行为与这两种疾病的症状有几个负相关，这表明它可能是一个重要的保护因素。在线版本包含补充材料，可通过10.1007/s10862-021-09880-5获得。
Depression and anxiety are highly prevalent and comorbid in adolescents, and this co-occurrence leads to worse prognosis and additional difficulties. The relationship between depression and anxiety must be delineated to, in turn, reduce and prevent the comorbidity, however our knowledge is still limited. We used network analysis to investigate bridge symptoms; symptoms that connect individual depression and anxiety symptoms and thus can help explain the comorbidity. We also examined the role of relevant risk and protective factors in explaining these symptom-level associations between these disorders. We analyzed data from the Avon Longitudinal Study of Children and Parents (n = 3670). Depression and anxiety symptoms, peer victimization, bullying, peer relational problems, prosocial behavior, and parental monitoring were assessed at a single time point around age 13 years. Stressful life events (SLEs) were assessed at age 11 years. We identified the most prominent bridge symptoms among depression (“feeling unhappy”, “feeling lonely”) and anxiety symptoms (“worrying about past”, “worrying about future”). Peer relational difficulties and SLEs were strongly associated with several depression and anxiety symptoms, such that these two risk factors created a link between individual depression and anxiety symptoms. Prosocial behavior had several negative associations with symptoms of both disorders, suggesting it can be an important protective factor. The online version contains supplementary material available at 10.1007/s10862-021-09880-5.
登录
查看更多内容
DOI：
10.1016/j.jaac.2013.09.017
发表时间：
2014-01
影响因子：
13.3
作者：
Copeland, William E.;Angold, Adrian;Shanahan, Lilly;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
4.4
作者：
Fried EI;van Borkulo CD;Cramer AO;Boschloo L;Schoevers RA;Borsboom D
通讯作者：
Borsboom D
影响因子：
22.4
作者：
Cummings, Colleen M.;Caporino, Nicole E.;Kendall, Philip C.
通讯作者：
Kendall, Philip C.
DOI：
10.1146/annurev-clinpsy-050212-185608
发表时间：
2013-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 9
影响因子：
--
作者：
Borsboom, Denny;Cramer, Angelique O. J.
通讯作者：
Cramer, Angelique O. J.
影响因子：
7.6
作者：
Goodman, R;Ford, T;Meltzer, H
通讯作者：
Meltzer, H