Irritability and mental health profiles among children and adolescents: A result of latent profile analysis
Irritability and mental health profiles among children and adolescents: A result of latent profile analysis
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儿童和青少年的烦躁和心理健康特征：潜在特征分析的结果
DOI：
10.1016/j.jad.2021.12.045
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发表时间：
2022
影响因子：
6.6
通讯作者：
Ishikawa Shin-ichi
中科院分区：
文献类型：
--
作者：
Kishida Kohei;Tsuda Masami;Takahashi Fumito;Ishikawa Shin-ichi
背景烦躁是一种跨诊断症状，伴随着内化和外化问题。然而，关于儿童和青少年的烦躁与心理健康状况之间关系的研究还很少。目的本研究旨在利用焦虑、抑郁、对立和烦躁来识别儿童和青少年的潜在状况。此外，还进一步检查了这些资料与心理健康症状的关系。 方法该研究分析了日本儿童和青少年 COVID-19 在线调查 (J-COSCA) 中 1867 名 6-15 岁儿童和青少年的数据。本研究使用了家长报告的问卷。结果潜在概况分析检测到五个潜在概况。第一份资料的特点是高度反对（“反对”：n= 405，22%）。第二个特征是高度抑郁和其他不太明显的症状（“抑郁”：n= 276，15%）。第三个概况（“平均”：n= 602，33%）表现出焦虑、抑郁、对立和低烦躁的平均症状。第四个配置文件（“调整良好”：n= 235，13%）对所有适用的症状表现出较低的值。最后一个概况（“共病”：n = 308，17％）在所有症状上都表现出高值，并且在五个概况中烦躁程度最高。局限性我们在使用家长报告的问卷捕获后仅分析了社区样本的数据。结论这项研究表明，确定了五个概况（对立，抑郁，平均，良好调整和共病），共病概况中的儿童和青少年具有高烦躁性以及高度焦虑、抑郁和对立。
BackgroundIrritability is a transdiagnostic symptom that accompanies both internalizing and externalizing problems. However, there has been a scarcity of research concerning the relationships between irritability and mental health profiles among children and adolescents.AimThis study aimed to identify latent profiles in children and adolescents using anxiety, depression, oppositionality, and irritability. In addition, the profiles were further examined in their relationships with mental health symptoms.MethodThe study analyzed data from 1867 children and adolescents aged 6–15 years from the COVID-19 Online-Survey for Children and Adolescents in Japan (J-COSCA). Parent-reported questionnaires were used in this study.ResultsA latent profile analysis detected five latent profiles. High oppositionality characterized the first profile (“oppositional”:n= 405, 22%). High levels of depression and other less pronounced symptoms characterized the second profile (“depressed”:n= 276, 15%). The third profile (“average”:n= 602, 33%) presented average symptoms of anxiety, depression and oppositionality and low irritability. The fourth profile (“well-adjusted”:n= 235, 13%) presented low values for all the applicable symptoms. The last profile (“comorbid”:n= 308, 17%) exhibited high values for all the symptoms and the highest level of irritability of the five profiles.LimitationWe analyzed the data from a community sample alone after capturing it using parent-reported questionnaires.ConclusionThis study revealed that the five profiles (oppositional, depressed, average, well-adjusted, and comorbid) were identified, and children and adolescents in the comorbid profiles had high irritability as well as high anxiety, depression, and oppositionality.