Trajectories of Depressive Symptoms from Adolescence to Young Adulthood: The Role of Self-esteem and Body-Related Predictors

Trajectories of Depressive Symptoms from Adolescence to Young Adulthood: The Role of Self-esteem and Body-Related Predictors
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从青春期到青年期的抑郁症状轨迹:自尊和身体相关预测因素的作用

DOI:
--
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发表时间:
2013
影响因子:
4.9
通讯作者:
A. Morgan
A. Morgan
中科院分区:
心理学1区
文献类型:
--
作者:
J. Rawana;A. Morgan

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尽管抑郁症是青少年中的一个常见问题,但目前尚不清楚身体质量指数 (BMI)、自尊、饮食和体重相关障碍等发育因素与整个青春期和成年早期抑郁症的发展之间的关系有多重要。这些关系中的性别差异以及青春期男孩和年轻男性中这些关系的具体性质需要进一步研究。本研究使用多级生长曲线模型,利用加拿大全国儿童和青少年纵向调查(N = 4,359 名 12-21 岁,48.7% 女性),检验了 BMI、自尊以及饮食和体重相关障碍(即身体不满意和体重管理努力)的影响,以及它们与性别对抑郁症状发展轨迹的交互影响。平均而言,抑郁症状在 12 至 14 岁期间略有下降,从 14 至 17 岁开始增加,然后到 21 岁开始下降。与男孩相比,青春期女孩在整个青春期和成年早期出现抑郁症状的风险更高。青春期和成年早期的自尊水平较低,加剧了这种影响。参与体重管理工作与青春期早期抑郁症状的初始水平较低有关。该研究的结果有助于有关青春期和青年期抑郁症状轨迹的基础病因学研究,表明与其他青少年年龄组相比,青少年中期可能最容易患抑郁症。研究结果还强调了培养青春期女孩和年轻女性积极的自尊以预防抑郁症的重要性,并在未来的研究中探索特定体重管理策略的保护作用。
Although depression is a common issue among youth, it is unclear how important developmental factors, such as body mass index (BMI), self-esteem, and eating-and weight-related disturbances relate to the development of depression across adolescence and into young adulthood. Gender differences in these relationships and the specific nature of these relationships among adolescent boys and young men require further study. Using multilevel growth curve modeling, this study examined the effects of BMI, self-esteem, and eating- and weight-related disturbances (i.e., body dissatisfaction and weight management effort) and their interactive effects with gender on the developmental trajectory of depressive symptoms using the Canadian-based National Longitudinal Survey of Children and Youth (N = 4,359 ages 12–21, 48.7 % female). On average, depressive symptoms decreased slightly at ages 12 through 14, began to increase from ages 14 through 17, and then began to decrease through age 21. Adolescent girls were at increased risk for depressive symptoms throughout adolescence and young adulthood compared to boys. This effect was compounded by low levels of self-esteem across adolescence and young adulthood. Engaging in weight management effort was associated with lower initial levels of depressive symptoms in early adolescence. The study’s findings contribute to basic etiologic research regarding the trajectory of depressive symptoms in adolescence and young adulthood suggesting that mid-adolescents may be most vulnerable to depression compared to other adolescent age groups. The findings also underscore the importance of fostering positive self-esteem among adolescent girls and young women to prevent depression and exploring the protective effect of specific weight management strategies in future research.
DOI: 10.1111/j.1532-7795.2010.00646.x
发表时间: 2010
期刊: Journal of research on adolescence : the official journal of the Society for Research on Adolescence
影响因子: --
作者:
Vaughan,ChristineA;Halpern,CarolynT
通讯作者: Halpern,CarolynT
低自尊前瞻性地预测青春期和成年早期的抑郁症
DOI: 10.1037/0022-3514.95.3.695
发表时间: 2008-09-01
影响因子: 7.6
作者:
Orth, Ulrich;Robins, Richard W.;Roberts, Brent W.
通讯作者: Roberts, Brent W.
DOI: 10.1037/0012-1649.37.5.597
发表时间: 2001-09-01
影响因子: 4
作者:
Stice, E;Bearman, SK
通讯作者: Bearman, SK
身体形象和饮食失调预测女性青少年抑郁症的发作:一项纵向研究。
DOI: --
发表时间: 2000
影响因子: 4.6
作者:
Stice,E;Hayward,C;Cameron,RP;Killen,JD;Taylor,CB
通讯作者: Taylor,CB