Developmental Trajectories of Irritability across the Transition to Toddlerhood: Associations with Effortful Control and Psychopathology.
Developmental Trajectories of Irritability across the Transition to Toddlerhood: Associations with Effortful Control and Psychopathology.
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从幼儿期过渡到易怒的发展轨迹：与努力控制和精神病理学的关联。
DOI：
10.1007/s10802-023-01098-1
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发表时间：
2024
影响因子：
2.5
通讯作者：
Wakschlag,LaurenS
中科院分区：
文献类型：
--
作者：
Zhang,Yudong;MacNeill,LeighaA;Edwards,ReneeC;Burns,JamesL;Zola,AnneR;Poleon,RoshayeB;Nili,AmandaN;Giase,GinaM;Ahrenholtz,RachelM;Wiggins,JillianLee;Norton,ElizabethS;Wakschlag,LaurenS
学龄前儿童易激惹是内化和外化问题的转诊断标志。然而，研究人员通常不愿意在临床上突出的框架内检查年轻时的易怒，因为在“可怕的两个”时期有些不稳定。发展敏感和密集的测量，以捕捉内和个体间的变异，以及预测变化的发展过程的探索，是必要的。本研究的目的是：（1）使用重复测量法，研究儿童向幼儿期（12-24月龄）过渡时的易怒轨迹;（2）努力控制是否与易怒水平和增长速度的个体差异相关;（3）易怒轨迹的个体差异是否与后来的精神病理学相关。在儿童12-18个月时招募家庭（N= 333，45.65%女性）。母亲们在基线时和每两个月报告一次他们幼儿的易怒，直到大约一年后的随访实验室评估。在基线时测量有效控制。在随访评估时测量临床内化/外化症状。分层线性模型显示，随着时间的推移，易怒的增加，但有相对较小的人内变异。努力控制只与应激水平有关，而与生长速度无关。易怒程度与内化、外化和综合症状有关，但生长速度与之无关。研究结果表明，在过渡到幼儿期的易怒和可能性，在幼儿年龄的易怒升高的筛查是有意义的个体内稳定。
Preschool-age irritability is a transdiagnostic marker of internalizing and externalizing problems. However, researchers have generally been reluctant to examine irritability within a clinically salient framework at younger ages due to some instability during the “terrible twos” period. Developmentally sensitive and dense measurements to capture intra- and inter-individual variability, as well as exploration of developmental processes that predict change, are needed. This study aimed to examine (1) the trajectories of irritability at the transition to toddlerhood (12–24 months of age) using repeated measures, (2) whether effortful control was associated with individual differences in level and growth rate of irritability, and (3) whether individual differences in the irritability trajectories were associated with later psychopathology. Families were recruited when the child was 12–18 months old (N= 333, 45.65% female). Mothers reported on their toddler’s irritability at baseline and every two months until a follow-up laboratory assessment approximately one year later. Effortful control was measured at baseline. Clinical internalizing/externalizing symptoms were measured at the follow-up assessment. Hierarchical linear models revealed an increase in irritability over time, yet there was relatively little within-person variability. Effortful control was only associated with the level of irritability and not growth rate. Level of irritability was associated with internalizing, externalizing, and combined symptoms, but growth rate was not. Findings suggest intraindividual stability in irritability at the transition to toddlerhood and the possibility that screening for elevated irritability at toddler age is meaningful.
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影响因子：
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作者：
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影响因子：
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发表时间：
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影响因子：
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作者：
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通讯作者：
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