Do Recent Experiences of Sexual Violence and Co-Occurring Depression and Anxiety Symptoms Predict Poorer Functioning One Year Later During the Transition to Young Adulthood?

Do Recent Experiences of Sexual Violence and Co-Occurring Depression and Anxiety Symptoms Predict Poorer Functioning One Year Later During the Transition to Young Adulthood?
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DOI:
10.1177/0886260520913648
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发表时间:
2022-01
影响因子:
2.5
通讯作者:
D'Amico EJ
D'Amico EJ
中科院分区:
心理学3区
文献类型:
--
作者:
Davis JP;Pedersen ER;Rodriguez A;Tucker JS;Seelam R;Shih R;D'Amico EJ

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性暴力(SV)是青年人的一个公共卫生问题。很少有纵向研究涉及SV的经历以及年轻人早期同时出现的抑郁和焦虑症状如何导致年轻人的功能较差。使用2,416名年龄在18至20岁(时间1)的年轻人的样本,我们评估了过去一年的SV以及同时发生的抑郁和焦虑症状。一年后,当年轻人年龄在20岁至22岁之间时(时间2),参与者表示他们在四个领域的功能:身体健康和睡眠质量,物质使用后果,心理功能和社会功能。使用潜在的类分析,我们发现六个参与者类在时间1 SV的经验和共同发生的抑郁和焦虑症状的基础上。类别是可变的参与者的SV经验和共同发生的抑郁症和焦虑症的报告程度。纵向分析表明,青年在一个类,经历了高水平的SV和共同发生的抑郁和焦虑在时间1一般报告最差的功能在所有关键领域在时间2。然而,参与者报告更大的抑郁和焦虑的班级-最常见的是在存在的情况下,但有时在没有,SV-始终与身体健康,心理功能和社会健康的功能较差。在有抑郁症和焦虑症的情况下,参与者报告更大的SV的班级与更大的酒精和大麻后果有关。研究结果表明,预防SV,为那些经历过SV的人提供咨询,以及筛查以识别和干预以解决抑郁和焦虑问题,对于帮助预防年轻人的不良功能可能都是至关重要的。
Sexual violence (SV) is a public health concern for youth. Few longitudinal studies address how experiences of SV and co-occurring depression and anxiety symptoms in early young adulthood may contribute to poorer functioning in young adulthood. Using a sample of 2,416 youth aged 18 to 20 (Time 1), we assessed past year SV and co-occurring depression and anxiety symptoms. One year later, when youth were between the ages of 20 and 22 (Time 2), participants indicated their functioning in four domains: physical health and sleep quality, substance use consequences, psychological functioning, and social functioning. Using latent class analyses, we found six participant classes at Time 1 based on SV experiences and co-occurring depression and anxiety symptoms. Classes were variable by participants’ reported degree of SV experiences and co-occurring depression and anxiety symptomology. Longitudinal analyses indicated that youth in a class that experienced high levels of both SV and co-occurring depression and anxiety at Time 1 generally reported the poorest functioning in all key domains at Time 2. However, classes where participants reported greater depression and anxiety symptoms—most often in the presence of, but at times in the absence of, SV—were consistently associated with poorer functioning for physical health, psychological functioning, and social health. Classes where participants reported greater SV—in the presence of, but at times in the absence of, depression and anxiety symptoms—were associated with greater alcohol and marijuana consequences. Findings suggest prevention of SV, accessible counseling for those that have experienced SV, and screening to identify and intervene to address depression and anxiety may all be essential to help prevent poorer functioning in young adulthood.
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