Networks of Adversity in Childhood and Adolescence and Their Relationship to Adult Mental Health.
Networks of Adversity in Childhood and Adolescence and Their Relationship to Adult Mental Health.
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DOI：
10.1007/s10802-022-00976-4
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发表时间：
2023-12
影响因子：
2.5
通讯作者：
Fuhrmann, Delia
中科院分区：
文献类型：
--
作者：
Pollmann, Ayla;Fritz, Jessica;Barker, Edward;Fuhrmann, Delia
18岁之前的不良经历很常见，包括从性虐待到父母离婚的各种事件。这些紧张的经历与身心健康问题有关。以前的研究主要集中在童年的逆境，如在家庭环境中的经验。很少考虑到可能对青春期特别有害的逆境。为了了解青少年的不良经历，该项目使用了雅芳父母和儿童纵向研究（ALSPAC，总N = 14，901，每次测量N = 1，200 − 10，000）的数据。我们模拟了儿童期（1-11岁）和青少年期（11-23岁）逆境的相互关系，并使用网络分析研究了逆境集群。我们在儿童和青少年网络中发现了两个类似的集群：（1）直接虐待和（2）不利的家庭因素。我们确定了第三组（3）青少年的教育和社会逆境。对于这两个年龄组，家庭环境中的情感虐待与成年早期的心理健康密切相关，大多数逆境与成年早期的抑郁症有关。在青春期，住房和学业问题以及伴侣的虐待是逆境网络的核心。因此，我们发现在不同的发展阶段的不利经验的相关性的共性和差异。这些研究结果突出表明，需要为逆境研究和决策制定与年龄相关的框架。在线版本包含补充材料，可通过10.1007/s10802-022-00976-4获得。
Adverse experiences before the age of eighteen are common and include diverse events ranging from sexual abuse to parental divorce. These stressful experiences have been linked to physical and mental health issues. Previous research has focused mainly on childhood adversity, such as experiences in the family environment. Little consideration has been given to adversities that may be particularly harmful in adolescence. To understand adolescents’ adverse experiences, this project used data from the Avon Longitudinal Study of Parents and Children (ALSPAC, total N = 14,901, N ≈ 1,200 − 10,000 per measure). We modelled interrelations of adversities in childhood (1–11 years) and adolescence (11–23 years) and examined adversity clusters using network analysis. We found two similar clusters in the childhood and adolescence networks: (1) direct abuse and (2) adverse family factors. We identified a third cluster of (3) educational and social adversities for adolescence. For both age groups, emotional abuse in the family environment was closely linked to mental health in early adulthood and most adversities were linked with depression in early adulthood. In adolescence, housing and academic issues and abuse by a romantic partner were particularly central to the network of adversities. Thus, we found commonalities and differences in the relevance of adverse experiences at different developmental stages. These findings highlight the need to develop age-dependent frameworks for adversity research and policymaking. The online version contains supplementary material available at 10.1007/s10802-022-00976-4.
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