Associations of Social Capital with Mental Disorder Prevalence, Severity, and Comorbidity among U.S. Adolescents.
Associations of Social Capital with Mental Disorder Prevalence, Severity, and Comorbidity among U.S. Adolescents.
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DOI：
10.1080/15374416.2021.1875326
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发表时间：
2022-11
期刊：
影响因子：
--
通讯作者：
Merikangas KR
中科院分区：
文献类型：
--
作者：
Hirota T;Paksarian D;He JP;Inoue S;Stapp EK;Van Meter A;Merikangas KR
研究社会资本结构与 1) 青少年一生精神障碍、2) 功能障碍严重程度和 3) 精神共病之间的横断面关联。数据来自全国青少年合并症调查补充报告，这是一项针对 6,483 名 13-18 岁美国青少年进行的具有全国代表性的心理健康调查。来自完整结构化诊断访谈的信息，包括青少年和护理人员报告，用于衡量七种社会资本结构和终生 DSM-IV 精神障碍（情绪、焦虑、行为、物质使用和饮食失调类别）。疾病严重程度分为严重与轻度/中度。合并症的衡量标准是不同类别的终生精神障碍的数量。根据社会人口统计学和照顾者的心理健康状况进行调整后，与青少年精神障碍最一致的关联是支持性友谊（任何障碍 OR=0.95，95%CI=0.91–0.99）、家庭凝聚力（OR=0.81，95%CI=0.75–0.86）、学校关系（OR=0.76，95%CI=0.71–0.81）和课外活动参与（OR=0.90，95%CI=0.86-0.95），尽管结果因疾病类别而异。照料者报告的邻里信任和互惠以及照料者社区参与与精神障碍的相关性较差。青少年报告的与邻居的关系中等水平与较低的情绪障碍（OR=0.81，95%CI=0.66-0.98）和焦虑（OR=0.78，95%CI=0.64-0.96）障碍相关，而高水平与较高的行为障碍风险相关（OR=1.47，95%CI=1.16-1.87）。与轻度/中度疾病相比，重度疾病和合并症增加的一些关联性更强。尽管我们无法推断因果关系，但我们的研究结果支持这样的观点，即改善实际和/或感知的社会资本，特别是在友谊、家庭和学校方面，（例如通过多模式干预）可以帮助预防和治疗个体青少年精神障碍和精神共病。
To examine cross-sectional associations between social capital constructs and 1) adolescent lifetime mental disorders, 2) severity of functional impairment, and 3) psychiatric comorbidity. Data were from the National Comorbidity Survey Adolescent Supplement, a nationally representative mental health survey of 6,483 U.S. adolescents aged 13–18 years. Information from fully-structured diagnostic interviews, including adolescent and caregiver reports, was used to measure seven social capital constructs and lifetime DSM-IV mental disorders (mood, anxiety, behavior, substance use and eating disorder classes). Disorder severity was divided into severe vs. mild/moderate. Comorbidity was measured as the number of different classes of lifetime mental disorders. Adjusted for socio-demographics and caregivers’ mental health, the most consistent associations with adolescent mental disorder were for supportive friendships (any disorder OR=0.95, 95%CI=0.91–0.99), family cohesion (OR=0.81, 95%CI=0.75–0.86), school bonding (OR=0.76, 95%CI=0.71–0.81), and extracurricular participation (OR=0.90, 95%CI=0.86–0.95), although results differed by disorder class. Caregiver-reported neighborhood trust and reciprocity and caregiver community involvement were less consistently associated with mental disorder. Medium levels of adolescent-reported affiliation with neighbors was associated with lower odds of mood (OR=0.81, 95%CI=0.66–0.98) and anxiety (OR=0.78, 95%CI=0.64–0.96) disorder, while high levels were associated with higher odds of behavior disorder (OR=1.47, 95%CI=1.16–1.87). Several associations were stronger for severe vs. mild/moderate disorder and with increasing comorbidity. Although we cannot infer causality, our findings support the notion that improving actual and/or perceived social capital, especially regarding friendships, family, and school, (e.g., through multimodal interventions) could aid in the prevention and treatment of both individual adolescent mental disorders and psychiatric comorbidity.
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影响因子：
6.9
作者：
Grills, AE;Ollendick, TH
通讯作者：
Ollendick, TH
影响因子：
10.3
作者：
Daniels, Lia M.;Haynes, Tara L.;Pekrun, Reinhard
通讯作者：
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影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.
DOI：
10.1111/j.1469-7610.2006.01625.x
发表时间：
2006-08-01
影响因子：
7.6
作者：
Drabick, Deborah A. G.;Gadow, Kenneth D.;Sprafkin, Joyce
通讯作者：
Sprafkin, Joyce
影响因子：
5.8
作者：
CERNKOVICH, SA;GIORDANO, PC
通讯作者：
GIORDANO, PC