Co-occurring Trajectories of Symptoms of Anxiety, Depression, and Oppositional Defiance From Adolescence to Young Adulthood
Co-occurring Trajectories of Symptoms of Anxiety, Depression, and Oppositional Defiance From Adolescence to Young Adulthood
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DOI：
10.1080/15374416.2012.694608
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发表时间：
2012-11-01
影响因子：
4.2
通讯作者：
Gruppuso, Vincenza
中科院分区：
文献类型：
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作者：
Leadbeater, Bonnie;Thompson, Kara;Gruppuso, Vincenza
本研究采用队列序贯纵向设计，探讨从青春期后期到青年期的焦虑、抑郁和对立违抗症状（ODS）的变化和共同发展模式。每两年一次通过个人访谈收集四波数据，在时间1时随机抽取662名12至18岁（时间4时为18-26岁）的社区青年样本。使用潜在增长曲线模型，我们研究了焦虑，抑郁和对立违抗症状的水平，变化率和变异性的共同发生的变化。还评估了性别差异。焦虑、抑郁和ODS水平在每个时间点都有相关性。此外，在一个领域的初始水平高的青少年往往有高的初始水平在其他领域。此外，抑郁症状的增加与焦虑和ODS的增加显著相关，但青少年症状水平并不能预测随着时间的推移而增加。焦虑（女性和男性）和抑郁（男性）的症状在青年期继续增加，而ODS稳定或下降。这些问题的青少年水平有一个显着的影响，以后的水平，这表明，预防性干预措施可能需要在青春期推迟青年人的心理健康问题的负面影响。
This study uses a cohort-sequential longitudinal design to examine the patterns of change and codevelopment of anxiety, depression, and oppositional defiant symptoms (ODS) from late adolescence to young adulthood. Four waves of data were collected biennially by individual interview with a random, community-based sample of 662 youth ages 12 to 18 years at Time 1 (18-26 years at Time 4). Using latent growth curve modeling, we examined co-occurring changes in the levels, rates of change, and variability in symptoms of anxiety, depression, and oppositional defiance. Sex differences were also assessed. Levels of anxiety, depression, and ODS were correlated at each time point. Moreover, adolescents with high initial levels in one domain tended to have high initial levels in the other domains. In addition, increases in depressive symptoms were significantly correlated with increases in anxiety and in ODS, but adolescent levels of symptoms did not predict increases over time. Symptoms of anxiety (for female and male individuals) and depression (for male individuals) continue to increase in young adulthood, whereas ODS stabilize or decline. Adolescent levels of these problems have a significant impact on later levels, suggesting that preventive interventions may be needed in adolescence to defer negative consequences of mental health problems in young adults.