Depression symptom trajectories and associated risk factors among adolescents in Chile.
Depression symptom trajectories and associated risk factors among adolescents in Chile.
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DOI：
10.1371/journal.pone.0078323
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Araya R
中科院分区：
文献类型：
--
作者：
Stapinski LA;Montgomery AA;Heron J;Jerrim J;Vignoles A;Araya R
青春期是研究抑郁症发展的关键时期，欧洲和北美的研究表明，风险增加的模式始于青春期早期，并随着青少年年龄的增长而继续增加。很少有研究研究低收入和中等收入国家青少年抑郁症的病程和相关的风险因素。这项纵向队列研究调查了智利社会经济弱势青少年的抑郁症状轨迹和危险因素(n=2,508)。数据是在为期18个月的时间里收集的，作为针对12至18岁(中位年龄14岁)的中学生的临床试验的一部分。在基线时，抑郁的临床水平在该样本中很普遍(女孩为35%，男孩为28%)；然而，症状轨迹的潜在增长模型显示了随着时间的推移症状逐渐减少的模式。有证据表明，女孩有一条焦虑-抑郁的发展道路，焦虑水平的升高最初预示着后来更糟糕的抑郁结果。糟糕的问题解决能力与最初的抑郁水平有关，但不能预测抑郁症状的过程。关键的是，症状轨迹的下降提出了关于纵向研究中重复评估的效果的重要方法学问题。
Adolescence is a key period for studying the development of depression, with studies in Europe and North America showing a pattern of elevated risk that begins in early adolescence and continues to increase as adolescents age. Few studies have examined the course of adolescent depression and associated risk factors in low and middle-income countries. This longitudinal cohort study examined depression symptom trajectories and risk factors in a sample of socio-economically disadvantaged adolescents in Chile (n = 2,508). Data were collected over an 18-month period as part of a clinical trial for secondary students aged 12 to 18 (median age 14). Clinical levels of depression were prevalent in this sample at baseline (35% for girls and 28% for boys); yet latent growth models of symptom trajectories revealed a pattern of decreasing symptoms over time. There was evidence of an anxiety-depression developmental pathway for girls, with elevated anxiety levels initially predicting poorer depression outcomes later on. Poor problem-solving skills were associated with initial depression levels but did not predict the course of depressive symptoms. Critically, the declining symptom trajectories raise important methodological issues regarding the effects of repeated assessment in longitudinal studies.
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影响因子：
3.1
作者：
Andrade, L;Caraveo-Anduaga, JJ;Wittchen, HU
通讯作者：
Wittchen, HU
DOI：
10.1177/0272431608320125
发表时间：
2009-04-01
期刊：
The Journal of early adolescence
影响因子：
--
作者：
Chaplin TM;Gillham JE;Seligman ME
通讯作者：
Seligman ME
影响因子：
4.6
作者：
Cole, DA;Tram, JM;Maschman, TL
通讯作者：
Maschman, TL
DOI：
10.1111/j.1469-7610.1996.tb01463.x
发表时间：
1996-09-01
影响因子：
7.6
作者：
Adams, J;Adams, M
通讯作者：
Adams, M
影响因子：
--
作者：
Bierut, LJ;Heath, AC;Martin, NG
通讯作者：
Martin, NG