Girls' childhood trajectories of disruptive behavior predict adjustment problems in early adolescence.

Girls' childhood trajectories of disruptive behavior predict adjustment problems in early adolescence.
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女孩童年时期的破坏性行为轨迹预示着青春期早期的适应问题。

DOI:
10.1111/jcpp.12339
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发表时间:
2015
期刊:
Journal of child psychology and psychiatry, and allied disciplines
影响因子:
--
通讯作者:
Loeber,Rolf
Loeber,Rolf
中科院分区:
--
文献类型:
--
作者:
vanderMolen,Elsa;Blokland,ArjanAJ;Hipwell,AlisonE;Vermeiren,RobertRJM;Doreleijers,TheoAH;Loeber,Rolf

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背景人们普遍认为,在男性的晚年,早期的破坏性行为与各种有害后果有关。相比之下,关于女孩童年时期的破坏性行为轨迹与青春期早期适应问题之间的联系,人们知之甚少。方法本研究使用了正在进行的匹兹堡女孩研究的九波数据。一个基于半参数组的模型被用来确定1,513名6岁至12岁女孩的破坏性行为轨迹。在13岁和14岁时,适应问题的特点是抑郁、自我伤害、创伤后应激障碍(PTSD)、物质使用、人际攻击、性行为、与犯罪同龄人的关系和学习成绩。高年龄组的女孩患抑郁症、自残、创伤后应激障碍、非法使用药物、人际攻击、早期和危险的性行为以及学习成绩较低的风险较高。多重适应问题的可能性随着轨迹反映更高水平的破坏性行为而增加。结论遵循童年高破坏性行为轨迹的女孩需要早期干预计划,以防止青春期的多种不良后果和成年后的进一步升级。
BackgroundIt is widely recognized that early onset of disruptive behavior is linked to a variety of detrimental outcomes in males, later in life. In contrast, little is known about the association between girls’ childhood trajectories of disruptive behavior and adjustment problems in early adolescence.MethodsThis study used nine waves of data from the ongoing Pittsburgh Girls Study. A semiparametric group‐based model was used to identify trajectories of disruptive behavior in 1,513 girls from age 6 to 12 years. Adjustment problems were characterized by depression, self‐harm, Post Traumatic Stress Disorder (PTSD), substance use, interpersonal aggression, sexual behavior, affiliation with delinquent peers, and academic achievement at ages 13 and 14.ResultsThree trajectories of childhood disruptive behavior were identified: low, medium, and high. Girls in the high group were at increased risk for depression, self‐harm, PTSD, illegal substance use, interpersonal aggression, early and risky sexual behavior, and lower academic achievement. The likelihood of multiple adjustment problems increased with trajectories reflecting higher levels of disruptive behavior.ConclusionGirls following the high childhood trajectory of disruptive behavior require early intervention programs to prevent multiple, adverse outcomes in adolescence and further escalation in adulthood.