The role of stressful events in the development of behavioural and emotional problems from early childhood to late adolescence
The role of stressful events in the development of behavioural and emotional problems from early childhood to late adolescence
复制标题
压力事件在儿童早期至青春期后期行为和情绪问题发展中的作用
作者：
M. Timmermans;P. Lier;H. Koot
背景越来越多的证据表明，压力事件的经历在精神病理学发展中的重要性。本研究旨在探讨压力性事件在儿童早期至青少年后期内在化和外在化问题持续性中的作用，以及这些问题的交叉影响。方法数据来自396名3 ~ 18岁儿童的一般人群样本。父母在3岁，5岁，10岁和18岁的内化和外化问题的评级。父母还报告了3至5岁以及5至10岁之间的压力事件。使用了10-18岁青少年关于压力事件的报告。结构方程模型被用来解开/分析压力事件的作用，在发展中的内化和外化的问题。结果从3岁起，外化症状可以预测压力事件的经历。反过来，这些经验预示了后来的外部化问题。压力事件也部分解释了从10岁开始的内化问题的连续性，但不是在童年时期。从童年开始，从外部化问题到随后的内部化问题的交叉影响被发现贯穿于压力事件中。只有在青春期，才发现从内化问题到外化问题的交叉影响，同样是通过压力事件。结论从儿童期开始到青春期后期，压力事件在外化和内化问题的连续性和共同发生中起着重要作用。这些研究结果的理论和方法的影响进行了讨论。
Background There is growing evidence on the importance of experiences of stressful events in the development of psychopathology. This study aimed to investigate the role of stressful events in the continuity of internalizing and externalizing problems, as well as the cross-influence of these problems from early childhood to late adolescence. Method Data came from a general population sample of 396 children followed from the ages of 3 to 18 years. Parent-ratings of internalizing and externalizing problems at ages 3, 5, 10 and 18 years were used. Parents also reported on the presence of stressful events between the ages of 3 and 5 years, and 5 and 10 years. Adolescent reports on stressful events over the ages of 10–18 years were used. Structural equation models were used to disentangle/analyse the role of stressful events in the development of internalizing and externalizing problems. Results From the age of 3 years onwards externalizing symptoms predicted experiences of stressful events. In turn, these experiences predicted later externalizing problems. Stressful events also explained part of the continuity of internalizing problems from the age of 10 years onwards, but not during childhood. From childhood onwards, cross-influences from externalizing problems to subsequent internalizing problems were found to run through stressful events. Only in adolescence cross-influences from internalizing problems to externalizing problems were found, again via stressful events. Conclusions From childhood onwards to late adolescence, stressful events play a significant role in both the continuity and the co-occurrence of externalizing and internalizing problems. Theoretical and methodological implications of these findings are discussed.
登录
查看更多内容
儿童和青少年的抑郁合并症：经验、理论和方法论问题。
DOI：
10.1176/ajp.150.12.1779
发表时间：
1993
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Angold,A;Costello,EJ
通讯作者：
Costello,EJ
离婚儿童的应对、压力和心理症状：横断面和纵向研究。
影响因子：
4.6
作者：
Sandler,IN;Tein,JY;West,SG
通讯作者：
West,SG
影响因子：
7
作者：
MacKinnon, DP;Lockwood, CM;Sheets, V
通讯作者：
Sheets, V
影响因子：
4.6
作者：
Kim, KJ;Conger, RD;Lorenz, FO
通讯作者：
Lorenz, FO