Development of Internalizing Mental Health Symptoms from Early Childhood to Late Adolescence.

Ioannis G Katsantonis
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Abstract

Children's mental health symptoms' development can be characterized by both continuity and discontinuity. However, existing studies ignore the potential discontinuity in children's internalizing symptoms' development. Hence, the current study examines continuous and discontinuous developmental trajectories using representative data from a sample of 2792 children (49.10% females) from the Growing Up in Australia cohort assessed seven times (ages 4, 6, 8, 10, 12, 14, 16). Longitudinal measurement invariance analyses revealed that internalizing symptoms were comparable over time. Linear, quadratic, and piecewise latent growth curve models were deployed to estimate the trajectory of internalizing symptoms from early childhood to late adolescence. The analyses showed that internalizing symptoms were characterized by a quadratic-quadratic piecewise growth curve comprising two distinct phases of upward concave growth. Internalizing scores reduced steadily between ages 4 and 8 years but exhibited a slight upward curvature between ages 8 and 10 years. By age 14 years, the trajectory remained relatively stable but spiked between age 14 and 16 years. The two phases of internalizing symptoms' development were largely unrelated. Overall, the study adds to the knowledge about the development of internalizing mental health from early childhood to late adolescence and highlights the need for additional support in late adolescence.

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从幼儿期到青春期后期内化心理健康症状的发展。
儿童心理健康症状的发展既有连续性,也有不连续性。然而,现有研究忽视了儿童内化症状发展中潜在的不连续性。因此,本研究通过对澳大利亚成长队列中 2792 名儿童(49.10% 为女性)进行七次评估(4 岁、6 岁、8 岁、10 岁、12 岁、14 岁和 16 岁)后得出的代表性数据,对连续和不连续的发展轨迹进行了研究。纵向测量不变性分析表明,内化症状在不同时期具有可比性。采用线性、二次和片断潜伏增长曲线模型来估计内化症状从幼儿期到青春期后期的发展轨迹。分析表明,内化症状的特点是二次-二次片断增长曲线,包括两个不同的向上凹增长阶段。内化症状得分在 4 至 8 岁期间稳步下降,但在 8 至 10 岁期间出现轻微的上升曲线。到 14 岁时,这一轨迹保持相对稳定,但在 14 至 16 岁期间出现飙升。内化症状发展的两个阶段在很大程度上是不相关的。总之,这项研究增加了人们对内化心理健康从幼儿期到青春期后期发展的了解,并强调了在青春期后期提供额外支持的必要性。
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来源期刊
CiteScore
4.40
自引率
12.50%
发文量
111
审稿时长
8 weeks
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