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Implementing open science and reproducible research practices in mental health research through registered reports 通过注册报告在心理健康研究中实施开放科学和可复制研究实践
Pub Date : 2024-09-02 DOI: 10.1002/jcv2.12275
Jessie R. Baldwin, Henrik Larsson

To increase the number of pre-registered observational studies, Journal of Child Psychology and Psychiatry (JCPP) Advances is delighted to now invite Registered Reports. Registered Reports are a format of article in which the study protocol is pre-registered and peer-reviewed before the research is conducted. If the protocol is of high quality and the proposed research topic is important, JCPP Advances will commit to publishing the study regardless of the results. This article format crucially addresses publication bias, as decisions on publication are entirely independent of the results.

为了增加预注册观察性研究的数量,《儿童心理与精神病学杂志》(JCPP)前进版现诚邀注册报告。注册报告是一种文章格式,其中的研究方案在研究开展之前已经过预先注册和同行评审。如果研究方案质量较高,且提议的研究课题非常重要,则无论研究结果如何,《JCPP Advances》都将承诺发表该研究。这种文章形式可以从根本上解决发表偏差问题,因为发表决定完全独立于研究结果。
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引用次数: 0
Special educational needs provision and academic outcomes for children with teacher reported language difficulties at school entry 教师报告入学时有语言障碍的儿童的特殊教育需求提供情况和学习成绩
Pub Date : 2024-07-23 DOI: 10.1002/jcv2.12264
Sarah Griffiths, Laura Lucas, Debbie Gooch, C. Norbury
Language ability predicts academic attainment across the curriculum. Teacher report of language difficulties may therefore help schools identify children that require Special Educational Needs (SEN) provision. Special Educational Needs provision is intended to enable children to reach their academic potential, however the effectiveness of this for children with language difficulties is unknown.We linked teacher‐ratings on a brief language difficulties questionnaire (13‐item) collected in the first year of primary school (N = 7013), with data on SEN provision until age 12–13 and scores on statutory assessments at ages 5–6, 6–7 and 10–11 years from the National Pupil Database (UK). We conducted a preregistered analysis to (a) test the association between teacher‐reported language difficulties and later academic outcomes, (b) identify predictors of subsequent SEN provision for monolingual children with language difficulties and (c) test whether SEN provision is associated with better academic outcomes for these children.Teacher‐reported language difficulties predicted achievement in phonics (rs > 0.41), reading (rs > 0.38), writing (rs > 0.32) and maths (rs > 0.40) assessments up to 7 years later. For those with language difficulties, having an existing diagnosis of a neurodevelopmental condition or sensory impairment was the strongest predictor of SEN registration (OR [95% CI] 8.33 [4.12, 19.24]) and special education placement (OR [95% CI] 18.89 [9.29, 42.01]) during primary school. However, 38% of children registered as having a primary speech, language and communication need, lost this registration during transition to secondary education. We could not estimate the effect of SEN provision on academic outcomes, as the majority of children with high propensity to receive SEN provision did receive provision, and very few children in SEN settings completed statutory assessments.Teacher perceptions of language difficulties at school entry, in the presence of additional risk factors, should prompt SEN provision. Recognition and support for language difficulties should be sustained throughout children's education.
语言能力预示着整个课程的学业成绩。因此,教师对语言障碍的报告可以帮助学校识别需要特殊教育需求(SEN)服务的儿童。我们将教师对小学一年级学生(7013 人)的简短语言障碍问卷(13 个项目)的评分、12-13 岁前特殊教育需要课程的数据以及英国国家学生数据库(National Pupil Database)中 5-6、6-7 和 10-11 岁法定评估的分数联系起来。我们进行了一项预先登记的分析,以(a) 检验教师报告的语言困难与日后学业成绩之间的关联,(b) 确定有语言困难的单语儿童日后接受特殊教育需求的预测因素,以及(c) 检验为这些儿童提供特殊教育需求是否与更好的学业成绩相关。教师报告的语言困难可预测 7 年后的语音(rs > 0.41)、阅读(rs > 0.38)、写作(rs > 0.32)和数学(rs > 0.40)评估成绩。对于有语言障碍的儿童来说,已有神经发育状况或感官障碍诊断是小学期间特殊教育需要登记(OR [95% CI] 8.33 [4.12, 19.24])和特殊教育安置(OR [95% CI] 18.89 [9.29, 42.01])的最强预测因素。然而,在登记为有小学言语、语言和沟通需求的儿童中,有 38% 的儿童在升入中学时失去了这一登记。我们无法估计提供特殊教育需要对学业成绩的影响,因为大多数倾向于接受特殊教育需要的儿童确实接受了特殊教育需要,而且在特殊教育需要环境中完成法定评估的儿童非常少。对语言困难的认识和支持应贯穿儿童教育的始终。
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引用次数: 0
Examining the association of neighborhood conditions on attention‐deficit/hyperactivity disorder symptoms in autistic youth using the child opportunity index 2.0 利用儿童机会指数 2.0 研究邻里条件与自闭症青少年注意力缺陷/多动障碍症状的关系
Pub Date : 2024-07-18 DOI: 10.1002/jcv2.12267
Catrina A. Calub, I. Hertz-Picciotto, Deborah H. Bennett, Julie B. Schweitzer
While neighborhood conditions have previously been shown to have substantial effects on later occupational, educational and health outcomes, this is the first study to examine the relation between neighborhood factors and attention‐deficit/hyperactivity disorder (ADHD) symptoms in children with autism and developmental delays.Children from the CHARGE (Childhood Autism Risks from Genetics and the Environment) Study were evaluated at ages 2–5 years and then later in the ReCHARGE (follow‐up) Study at ages 8–20 years (mid‐childhood/adolescence). Using linear regression, we assessed associations between the Child Opportunity Index 2.0 (COI) at birth, a multidimensional neighborhood measure of childhood opportunity, and ADHD symptoms on the Aberrant Behavior Checklist at mid‐childhood/adolescence.Participants included a total of 524 youth (401 males; 123 females), composed of 246 autistic children (AUT), 85 children with Developmental Delays (DD) without autism, and 193 Typically Developing (TD) children. Mean age was 3.8 years (SD = 0.79) when evaluated at CHARGE and 13.5 years (SD = 3.69) when evaluated at ReCHARGE. Regression analyses revealed COI at birth significantly predicted ADHD symptoms during mid‐childhood/adolescence and early childhood diagnosis modified the COI effect. More specifically, COI significantly predicted ADHD symptoms in the AUT group, but not the TD or DD groups. Additional regression analyses indicated that this interaction was only present in the Social and Economic COI domain. Secondary analyses revealed autistic youth with High and Low Social and Economic COI domain scores had similar levels of ADHD symptoms during early childhood, but by mid‐childhood/adolescence, those with low Social and Economic COI domain scores had higher ADHD symptoms.Among autistic, but not TD or DD youth, poorer neighborhood conditions at birth predict greater ADHD symptoms in later development. These findings have important clinical implications and highlight the need for increased and improved resources in poorer neighborhoods to reduce existing disparities in ADHD, a common neurodevelopmental impairment.
虽然邻里条件以前已被证明对日后的职业、教育和健康结果有很大影响,但这是第一项研究自闭症和发育迟缓儿童的邻里因素与注意力缺陷/多动障碍(ADHD)症状之间关系的研究。CHARGE(遗传和环境导致的儿童自闭症风险)研究对 2-5 岁的儿童进行了评估,随后在 ReCHARGE(后续)研究中对 8-20 岁(儿童中期/青春期)的儿童进行了评估。通过线性回归,我们评估了出生时的儿童机会指数 2.0 (COI)(儿童机会的多维邻里测量指标)与童年中期/青春期异常行为核对表上的多动症状之间的关联。参与者共包括 524 名青少年(401 名男性;123 名女性),其中包括 246 名自闭症儿童 (AUT)、85 名无自闭症的发育迟缓 (DD) 儿童和 193 名发育正常 (TD) 儿童。CHARGE评估时的平均年龄为3.8岁(SD = 0.79),ReCHARGE评估时的平均年龄为13.5岁(SD = 3.69)。回归分析表明,出生时的 COI 可显著预测儿童中期/青春期的多动症症状,而儿童早期诊断则会改变 COI 的影响。更具体地说,COI 对 AUT 组的 ADHD 症状有明显的预测作用,但对 TD 或 DD 组的 ADHD 症状没有影响。其他回归分析表明,这种交互作用只存在于社会和经济 COI 领域。二次分析表明,社会和经济COI领域得分高和低的自闭症青少年在儿童早期的多动症状水平相似,但到了儿童中期/青春期,社会和经济COI领域得分低的青少年的多动症状更严重。这些发现具有重要的临床意义,并强调需要增加和改善贫困社区的资源,以减少多动症这一常见神经发育障碍的现有差异。
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引用次数: 0
The trajectory of anxiety symptoms during the transition from childhood to young adulthood is predicted by IQ and sex, but not polygenic risk scores 从童年到青年时期的焦虑症状轨迹受智商和性别的影响,但不受多基因风险评分的影响
Pub Date : 2024-07-17 DOI: 10.1002/jcv2.12268
Ana Beatriz Ravagnani Salto, G. A. Salum, M. Hoffmann, Marcos L. Santoro, A. Zugman, Pedro M. Pan, S. Belangero, Lucas Toshio Ito, V. Doretto, M. S. Croci, Marcelo J A A Brañas, Carina de Giusti, Francisco Da Silva‐Jr, Sahâmia Martins Ribeiro, E. Miguel, J. Leckman
Understanding the factors that determine distinct courses of anxiety symptoms throughout development will better guide interventions. There are scarce data‐driven longitudinal studies, using multi‐modal predictors, investigating the chronicity of anxiety symptoms from childhood to young adulthood, particularly in a middle‐income country.2033 youths (ages 6–14 years [Mean age = 10.4 ± 1.94) at Baseline] were enrolled in the Brazilian High‐Risk Cohort for Mental Conditions longitudinal study, and assessed at three timepoints, between 2010 and 2019, using the Screen for Child Anxiety Related Disorders. Confirmatory Factor Analysis provided input to Growth Mixture Models to identify the best fitting trajectory model. Multinomial logistic regression analyses tested the effects of intelligence quotient (IQ), environmental factors and polygenic risk scores on internalizing symptomatology within trajectory class membership.The best model solution identified three classes: high‐decreasing, moderate/low‐stable and low‐increasing symptoms over time. The high‐decreasing class showed a higher incidence of anxiety symptoms at the second time point (Mean age = 13.8 ± 1.93); while anxiety symptoms were highest in the low‐increasing class at the third timepoint (Mean age = 18.35 ± 2.03). Further, lower IQ predicted membership in the high‐decreasing trajectory class (OR = 0.68, 95% CI [0.55, 0.85]), while higher IQ predicted membership in the low‐increasing trajectory class (OR = 1.95, 95% CI [1.42, 2.67]). Finally, females were more likely than males to be in the low‐increasing trajectory class. Polygenic risk scores were not associated with anxiety trajectory class membership.Recognizing that anxiety symptoms follow diverse paths over time will allow for more effective intervention strategies. Specifically, interventions could accommodate children for greater anxiety risk in early childhood (i.e., lower IQ) versus late adolescence (i.e., higher IQ). That said, the emotional needs of girls in late adolescence should be monitored, regardless of their cognitive abilities or high achievements.
了解决定焦虑症状在整个成长过程中的不同表现的因素,可以更好地指导干预措施。2033名青少年(6-14岁[基线时平均年龄=10.4 ± 1.94])参加了巴西精神状况高风险队列纵向研究,并在2010年至2019年期间的三个时间点接受了儿童焦虑相关障碍筛查评估。确证因子分析为成长混合模型提供了输入,以确定最合适的轨迹模型。多项式逻辑回归分析测试了智商(IQ)、环境因素和多基因风险评分对轨迹类别成员内化症状的影响。最佳模型解决方案确定了三个类别:随时间推移症状高度减轻、中度/低度稳定和低度加重。在第二个时间点(平均年龄 = 13.8 ± 1.93),高递减等级的焦虑症状发生率较高;而在第三个时间点(平均年龄 = 18.35 ± 2.03),低递增等级的焦虑症状发生率最高。此外,较低的智商预示着属于高递减轨迹等级(OR = 0.68,95% CI [0.55,0.85]),而较高的智商预示着属于低递增轨迹等级(OR = 1.95,95% CI [1.42,2.67])。最后,女性比男性更有可能属于低递增轨迹类。认识到焦虑症状随着时间的推移会呈现出不同的发展轨迹,将有助于制定更有效的干预策略。认识到焦虑症状随着时间的推移会出现不同的发展轨迹,就可以采取更有效的干预策略。具体来说,干预措施可以使儿童在幼儿期(即智商较低)和青春期后期(即智商较高)时面临更大的焦虑风险。也就是说,无论女孩的认知能力或成就如何,都应关注青春期后期女孩的情感需求。
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引用次数: 0
Effects of an elimination diet and a healthy diet in children with Attention‐Deficit/Hyperactivity Disorder: 1‐Year prospective follow‐up of a two‐arm randomized, controlled study (TRACE study) 消除性饮食和健康饮食对注意力缺陷/多动障碍儿童的影响:双臂随机对照研究(TRACE 研究)的 1 年前瞻性随访
Pub Date : 2024-07-08 DOI: 10.1002/jcv2.12257
Annick Huberts‐Bosch, M. Bierens, J. Rucklidge, Verena Ly, R. Donders, G. V. D. van de Loo-Neus, A. Arias-Vásquez, H. Klip, Jan K. Buitelaar, Saskia W. van den Berg, Nanda Rommelse
An Elimination Diet (ED) or Healthy Diet (HD) may be effective in reducing symptoms of Attention‐Deficit/Hyperactivity Disorder (ADHD), but long‐term maintenance effects and feasibility have never been examined.One‐year prospective follow‐up of a sample of 165 children (5–12 years) with ADHD randomized (unblinded; 1:1) to 5 weeks treatment with either ED (N = 84) or HD (N = 81) and a non‐randomized comparator arm including 58 children being treated with Care as Usual (CAU). Dietary participants were allowed to add or switch to CAU treatment after 5 weeks. The primary outcome was a 5‐point ordinal measure of improvement based on both parent and teacher ratings on ADHD and dysregulation problems, determined after 1 year prospective follow‐up. Ordinal regression analyses and linear mixed models analyses were conducted on an intention to treat basis. In addition, as‐treated analyses were performed. The trial is closed and registered in the Dutch trial registry, number NL5324.At 1 year follow‐up, 24% of the participants still complied with the ED and 37% still complied with the HD. In the ED (+CAU) trajectory, fewer participants showed (partial) improvement after 1‐year prospective follow‐up compared to the HD (+CAU) trajectory (47% vs. 64%, χ2 (4, N = 152) = 11.97, p = 0.018). The HD (+CAU) ‐ but not ED (+CAU) ‐ trajectory had comparable 1‐year outcomes compared to the non‐randomized CAU‐trajectory. Results for secondary outcomes (e.g. health, parental stress) did not differ between the ED (+CAU) and HD (+CAU) trajectories. The prevalence of psychostimulant use was lower in the ED (+CAU) and HD (+CAU) trajectories compared to the non‐randomized CAU‐trajectory (38%, 45%, 78%, respectively). Predictors for long‐term benefit from dietary treatments included high initial severity of ADHD problems, low severity of emotional problems and sufficient parental mental resources.In line with the short‐term effects, prospective 1‐year follow‐up outcomes are in favor of treatment with HD and not ED. Initial 5‐week treatment with HD and if needed/preferred followed by CAU may reduce psychostimulant use without negatively impacting 1‐year outcomes.
对165名患有注意力缺陷/多动障碍(ADHD)的儿童(5-12岁)进行了为期一年的前瞻性跟踪调查,这些儿童被随机(非盲法;1:1)安排接受为期5周的消除饮食(ED)(84人)或健康饮食(HD)(81人)治疗,另外58名儿童接受了非随机对比组的常规护理(CAU)治疗。饮食治疗参与者可在 5 周后增加或改用 CAU 治疗。主要研究结果是根据家长和教师对儿童多动症和调节障碍问题的评分,在为期一年的前瞻性随访后确定的5点序数改善程度。在意向治疗的基础上进行了序数回归分析和线性混合模型分析。此外,还进行了治疗分析。该试验已经结束,并在荷兰试验登记处进行了登记,编号为 NL5324。在一年的随访中,24% 的参与者仍在接受 ED 治疗,37% 的参与者仍在接受 HD 治疗。在 ED(+CAU)轨迹中,与 HD(+CAU)轨迹相比,在 1 年的前瞻性随访后出现(部分)改善的参与者较少(47% 对 64%,χ2 (4, N = 152) = 11.97, p = 0.018)。与非随机CAU轨迹相比,HD(+CAU)--而非ED(+CAU)--轨迹的1年疗效相当。次要结果(如健康、父母压力)在 ED(+CAU)轨迹和 HD(+CAU)轨迹之间没有差异。与非随机CAU轨迹相比,ED(+CAU)和HD(+CAU)轨迹的精神兴奋剂使用率较低(分别为38%、45%和78%)。从饮食治疗中长期获益的预测因素包括最初多动症问题严重程度高、情绪问题严重程度低以及父母有足够的精神资源。最初使用 HD 进行为期 5 周的治疗,必要时/首选 CAU,这样可以减少精神刺激剂的使用,而不会对 1 年的治疗结果产生负面影响。
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引用次数: 0
Anything goes for participant, patient and public involvement in youth mental health research 让参与者、患者和公众参与青年心理健康研究,一切皆有可能
Pub Date : 2024-07-03 DOI: 10.1002/jcv2.12258
M. Bakermans‐Kranenburg, Marinus H. van IJzendoorn
Participant and Public Involvement in youth mental health research aims at making research more responsive to the needs of youth struggling with mental health issues, their parents, and mental health professionals and other stakeholders. Do characteristics of Patient and Public Involvement (PPI) in youth mental health research align with transparency and replication prerequisites as necessary conditions for translation? Relatedly, the question is addressed whether co‐authorship should be assigned to youth involved in the study.Here we address these questions re‐visiting 50 PPI studies included in two recent systematic reviews of PPI on characteristics that are pertinent to questions about transparency, replicability, translatability, and co‐authorship in PPI research.Almost two‐third of the studies on youth mental health incorporating PPI translate their results to policy or practice, mostly as recommendations but sometimes also by dissemination of (online) interventions. At the same time the authors of a substantial majority of the studies (70%) also suggest the need for further work on their results, for example, in randomized controlled trials to validate the outcome of their exploratory inquiry. Only a quarter of the studies using PPI met the conditions for replicability, thus a majority of the PPI studies suggest premature translation of results. Authorship to involved participants was assigned in 24% of the studies.“Anything goes” for PPI in an exploratory stage to generate fruitful hypotheses. Translation of the findings of PPI studies however require a firm evidence base of replicated results. Radical merging of research and action in participatory action research seems incompatible with replicable and therefore translatable inquiry. Assigning co‐authorship to PPI representatives is often at odds with current guidelines for authorship. More evidence from randomized trials on the translational impact of PPI is needed before grant foundations should require PPI in grant proposals.
青少年心理健康研究中的 "患者和公众参与"(PPI)旨在使研究更能满足与心理健康问题作斗争的青少年、他们的父母、心理健康专业人员和其他利益相关者的需求。青少年心理健康研究中的 "参与者和公众参与"(Patient and Public Involvement,PPI)的特点是否与作为转化必要条件的透明度和复制前提相一致?在此,我们针对这些问题,重新研究了最近两篇关于患者和公众参与的系统性综述中包含的 50 项患者和公众参与研究,这些研究的特点与患者和公众参与研究中的透明度、可复制性、可转化性和共同作者等问题相关。在纳入了患者和公众参与的青少年心理健康研究中,几乎有三分之二的研究将其结果转化为政策或实践,大部分是作为建议,但有时也通过传播(在线)干预措施。与此同时,绝大多数研究(70%)的作者还建议有必要进一步研究其结果,例如通过随机对照试验来验证其探索性研究的结果。只有四分之一的使用 PPI 的研究符合可复制性的条件,因此大多数 PPI 研究建议过早地转化结果。24%的研究指定了参与研究者的作者身份。在探索阶段,PPI "无所不能",以产生富有成果的假设。然而,PPI 研究结果的转化需要有一个坚实的、可重复结果的证据基础。在参与式行动研究中,研究与行动的激进融合似乎与可复制的、因而也是可转化的探究不相容。为参与式行动研究的代表指定共同作者往往与现行的作者资格准则相悖。在资助基金会要求在资助提案中加入参与式行动研究之前,需要从随机试验中获得更多关于参与式行动研究的转化影响的证据。
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引用次数: 0
The contribution of childhood trauma to irritability symptoms 童年创伤对易怒症状的影响
Pub Date : 2024-07-01 DOI: 10.1002/jcv2.12260
L. Grasser, Ruiyu Yang, M. Brotman, J. Wiggins
Irritability is a transdiagnostic psychiatric phenotype defined as an increased proneness to anger relative to peers. Trauma is defined as actual or threatened death, serious injury, or sexual violence while adversity more broadly describes difficult or challenging situations including abuse, neglect, and household dysfunction. Irritability [or aggression] is symptom of posttraumatic stress disorder (PTSD) and may arise in response to trauma or traumatic events. Responses to negative early life experiences may differ based on the type of exposure, for example, threat (abuse) versus deprivation (neglect), with implications for development of psychopathology. Therefore, the objective of this study was to investigate the relation between exposure to threat and deprivation, and irritability in a predominantly Hispanic/Latin sample. We hypothesized unique effects of threat versus deprivation on irritability.We investigated relations between threat and deprivation aspects of childhood trauma (within each dimension) and later irritability in a sample of n = 48 (26F) youth ages 9–19 (Mage = 14.89, SD = 2.04) recruited based on trauma exposure. Multivariate regression tested the unique effects of threat and deprivation (measurement: Childhood Trauma Questionnaire) on irritability (measurement: Affective Reactivity Index).Greater threat exposure was associated with more severe self‐reported irritability, F(1,46) = 8.64, B = 0.40, R2 = 0.14, p = 0.005. Findings remained significant after controlling for values of excessive influence and the non‐significant effect of gender (B = 0.25, t = 1.88, p = 0.067). When looking at the unique effects of threat adjusted for deprivation, the relation between threat and irritability remained significant, B = 0.35, t = 2.45, p = 0.019. There was no significant association between deprivation and irritability, F(1,46) = 3.35, B = 0.26, R2 = 0.05, p = 0.074.Exposure to threat, but not deprivation, may increase risk for irritability in youth. Early life experiences should be considered in assessment and treatment of youth with clinically impairing irritability. Transdiagnostic treatments targeting irritability should be tested for youth with trauma exposure who do not meet criteria for post‐traumatic stress disorder.
易怒是一种跨诊断的精神病表型,被定义为相对于同龄人更容易发怒。创伤被定义为实际或威胁的死亡、严重伤害或性暴力,而逆境更广泛地描述了困难或具有挑战性的情况,包括虐待、忽视和家庭功能失调。暴躁[或攻击性]是创伤后应激障碍(PTSD)的症状,可能是对创伤或创伤事件的反应。对早期负面生活经历的反应可能会因接触类型的不同而不同,例如威胁(虐待)与剥夺(忽视),这对精神病理学的发展有影响。因此,本研究旨在调查以西班牙裔/拉丁裔为主的样本中暴露于威胁和剥夺与易怒之间的关系。我们调查了童年创伤的威胁性和剥夺性方面(在每个维度内)与日后易怒性之间的关系,研究对象是根据创伤暴露程度招募的 n = 48(26F)名 9-19 岁的青少年(Mage = 14.89,SD = 2.04)。多变量回归测试了威胁和匮乏(测量方法:童年创伤问卷)对易怒性(测量方法:情感反应指数)的独特影响。在控制了过度影响值和不显著的性别影响(B = 0.25,t = 1.88,p = 0.067)后,研究结果仍然显著。在对威胁的独特影响进行调整后,威胁与烦躁之间的关系仍然显著,B = 0.35,t = 2.45,p = 0.019。贫困与易怒之间没有明显关系,F(1,46) = 3.35, B = 0.26, R2 = 0.05, p = 0.074。在评估和治疗患有临床损伤性暴躁症的青少年时,应考虑其早年的生活经历。对于有创伤暴露但不符合创伤后应激障碍标准的青少年,应测试针对易怒的跨诊断治疗。
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引用次数: 0
Social anxiety symptoms and their relationship with suicidal ideation and depressive symptoms in adolescents: A prospective study 青少年的社交焦虑症状及其与自杀意念和抑郁症状的关系:前瞻性研究
Pub Date : 2024-06-10 DOI: 10.1002/jcv2.12249
Kenny Chiu, A. Stringaris, E. Leigh
Social anxiety disorder typically emerges in adolescence and its symptoms often co‐occur with depression and suicidal ideation. It is important to understand whether social anxiety symptoms precede depression and suicidal ideation in youth. This study aimed to investigate the temporal associations between baseline social anxiety and later suicidal ideation and depressive symptoms in a community youth sample.The Wellcome Trust NSPN (Neuroscience in Psychiatry Network) study recruited 2397 youth aged 14–24 in the United Kingdom to participate in a prospective observational study. Participants were assessed for symptoms of social anxiety, generalised anxiety, depression and suicidal ideation at baseline, 1‐year follow‐up, and 2‐year follow‐up. We conducted multiple linear regression analyses and mediation analyses to examine whether baseline social anxiety was associated with 2‐year suicidal ideation and depressive symptoms (excluding suicide‐related items), and whether these associations were mediated by 1‐year depressive symptoms. The study was preregistered on the Open Science Framework.Results from multiple linear regression analyses indicated that baseline social anxiety symptoms were associated with 2‐year suicidal ideation (β = 0.07, p < 0.05, 95% CI [0.02, 0.12]) and 2‐year depressive symptoms (β = 0.08, p < 0.05, 95% CI [0.02, 0.13]), after controlling for baseline predicted variable. Furthermore, 1‐year depressive symptoms significantly mediated the relationship between baseline social anxiety symptoms and 2‐year suicidal ideation (β = 0.04, 95% CI [0.02, 0.05]), and the relationship between baseline social anxiety symptoms and 2‐year depressive symptoms (β = 0.06, 95% CI [0.03, 0.08]) after adjusting for age, sex, and other covariates.We found evidence that baseline social anxiety symptoms were associated with 2‐year suicidal ideation and 2‐year depressive symptoms via 1‐year depressive symptoms in non‐clinical adolescents. These results may have important implications for targeted psychological interventions.
社交焦虑症通常出现在青少年时期,其症状往往与抑郁症和自杀倾向同时出现。了解青少年的社交焦虑症状是否先于抑郁和自杀意念的出现非常重要。威康信托基金会 NSPN(精神病学网络中的神经科学)研究在英国招募了 2397 名 14-24 岁的青少年参与一项前瞻性观察研究。在基线、1 年随访和 2 年随访期间,我们对参与者的社交焦虑、广泛焦虑、抑郁和自杀意念症状进行了评估。我们进行了多元线性回归分析和中介分析,以研究基线社交焦虑是否与2年自杀意念和抑郁症状(不包括自杀相关项目)有关,以及这些关联是否受1年抑郁症状的中介影响。多元线性回归分析结果表明,在控制基线预测变量后,基线社交焦虑症状与2年自杀意念(β = 0.07,p < 0.05,95% CI [0.02,0.12])和2年抑郁症状(β = 0.08,p < 0.05,95% CI [0.02,0.13])相关。此外,1 年抑郁症状对基线社交焦虑症状与 2 年自杀意念之间的关系(β = 0.04,95% CI [0.02,0.05])以及基线社交焦虑症状与 2 年抑郁症状之间的关系(β = 0.我们发现有证据表明,在非临床青少年中,基线社交焦虑症状通过 1 年抑郁症状与 2 年自杀意念和 2 年抑郁症状相关。这些结果可能会对有针对性的心理干预产生重要影响。
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引用次数: 0
The diminishing association between adolescent mental disorders and educational performance from 2006–2019 2006-2019 年间青少年精神障碍与学习成绩之间的关联逐渐减弱
Pub Date : 2024-05-31 DOI: 10.1002/jcv2.12239
Magnus Nordmo, Thomas H. Kleppestø, Bjørn-Atle Reme, Hans Fredrik Sunde, Tilmann von Soest, Fartein Ask Torvik

Background

A rising prevalence of adolescent mental disorders in the Western world has been widely reported, raising concerns for adolescent development and well-being. Mental disorders are known to negatively impact educational performance. Yet it remains uncertain whether the relationship between mental disorders and educational outcomes has also changed over time and if the change is more pronounced among high compared to low performing students. The aims of this paper are to (1) describe the change over time in the prevalence of common mental disorders in adolescence; (2) determine whether the change in prevalence of common mental disorders differs between high and low performing students; and (3) assess whether the associations between mental health disorders and educational performance have changed over time.

Methods

To address these issues, this study examines potential shifts in the associations between diagnoses of ADHD and internalizing disorders and educational performance among 843,692 Norwegian students graduating from lower secondary education between 2006 and 2019. We utilize population-wide register data on ADHD and internalizing disorders from primary and specialist care combined with educational outcomes.

Results

Our analysis revealed a marked rise in ADHD prevalence, from 1.0% in 2006 to 2.6% in 2019. Concurrently, diagnoses of internalizing disorders also increased from 1.9% to 4.2%. This increasing trend in diagnoses spanned across all high school grade point average (GPA) categories, thereby not supporting the notion that the rise is predominantly observed among high-performing adolescents. Importantly, the strength of the associations of internalizing disorders and ADHD with GPA diminished significantly over time. For instance, the difference between the average GPA standardized score for boys with and without an ADHD diagnosis shrunk from 1.0 in 2006 to 0.73 in 2019.

Conclusions

We discuss various potential explanations for this observation and suggest that changes in diagnostic thresholds is a contributing factor.

背景 在西方国家,青少年精神障碍的发病率不断上升,引起了人们对青少年发展和福祉的关注。众所周知,精神障碍会对学习成绩产生负面影响。然而,精神障碍与教育成果之间的关系是否也随着时间的推移而发生变化,以及这种变化在成绩优秀的学生中是否比成绩较差的学生中更为明显,目前仍不确定。本文的目的是:(1)描述青少年时期常见精神障碍患病率随时间推移而发生的变化;(2)确定成绩好的学生和成绩差的学生之间常见精神障碍患病率的变化是否存在差异;以及(3)评估精神障碍与教育成绩之间的关系是否随时间推移而发生变化。 方法 为了解决这些问题,本研究对2006年至2019年期间即将从初中毕业的843,692名挪威学生的多动症和内化障碍诊断与学习成绩之间关系的潜在变化进行了研究。我们利用来自初级和专科医疗机构的有关多动症和内化障碍的全人口登记数据,并结合教育成果进行分析。 结果 我们的分析表明,多动症患病率明显上升,从 2006 年的 1.0% 上升到 2019 年的 2.6%。与此同时,内化障碍的诊断率也从 1.9% 上升到 4.2%。这种诊断率上升的趋势跨越了所有高中平均学分绩点(GPA)类别,因此并不支持这种上升主要出现在成绩优秀的青少年中的观点。重要的是,随着时间的推移,内化障碍和多动症与 GPA 的关联强度明显减弱。例如,被诊断为多动症的男生与未被诊断为多动症的男生的平均 GPA 标准分之差从 2006 年的 1.0 缩小到 2019 年的 0.73。 结论 我们讨论了这一观察结果的各种潜在解释,并认为诊断阈值的变化是一个促成因素。
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引用次数: 0
Diverging trends in alcohol use and mental health in Australian adolescents: A cross-cohort comparison of trends in co-occurrence 澳大利亚青少年酗酒和心理健康的不同趋势:共同发生趋势的跨队列比较
Pub Date : 2024-05-23 DOI: 10.1002/jcv2.12241
Tim Slade, Cath Chapman, Jillian Halladay, Matthew Sunderland, Anna Smout, Katrina E. Champion, Nicola C. Newton, Maree Teesson

Background

In recent years, psychological distress in Western countries has rapidly increased among older adolescents while alcohol use has declined, though little is known about younger adolescents. It is also unclear if and how these trends relate to co-occurring alcohol use and distress. This study sought to examine temporal changes in the prevalence of distress, alcohol use, and their co-occurrence among young Australians.

Methods

This study used data from 13,388 youth in their early teens (aged 12–14). Differences in the prevalence of high psychological distress (Kessler-6 ≥ 13), any alcohol use (standard drink in past 3/6 months), and their co-occurrence across cohorts (2007, 2012, 2014, 2019) were tested through log-binomial regression models. Changes in co-occurrence across cohorts were tested with cohort-by-alcohol interactions predicting distress, and vice-versa. Differential trends by sex were evaluated.

Results

From 2007 to 2019, the prevalence of high distress more than doubled (4.6%–13.5%) while alcohol use decreased by ∼90% (11.8%–3.1%). Distress increased more-so among females, while alcohol use decreased more-so among males. The prevalence of high distress was significantly greater among adolescents who used alcohol compared to those who had not (>2 times higher), with this co-occurrence remaining consistent across cohorts.

Conclusions

Psychological distress appears to be increasing similarly among youth in their early teens who do and do not use alcohol. At the same time, alcohol use is decreasing similarly among youth with and without distress. While alcohol use does not appear to be a driver of increases in distress, rates of co-occurring alcohol use and distress remain high. Addressing co-occurrence and distress-specific mechanisms remain necessary.

近年来,在西方国家,年龄较大的青少年的心理困扰迅速增加,而饮酒则有所减少,但对年龄较小的青少年却知之甚少。目前还不清楚这些趋势是否以及如何与同时出现的饮酒和心理困扰相关联。本研究试图探究澳大利亚青少年的心理困扰、饮酒及其共存情况的时间变化。本研究使用了 13,388 名十几岁(12-14 岁)青少年的数据。通过对数二项式回归模型,检验了不同组群(2007 年、2012 年、2014 年、2019 年)中高度心理困扰(Kessler-6 ≥ 13)、酗酒(过去 3/6 个月中标准饮酒量)及其共同发生率的差异。通过组群与酒精的交互作用来预测困扰,反之亦然。评估了不同性别的差异趋势。从 2007 年到 2019 年,高度痛苦的发生率增加了一倍多(4.6%-13.5%),而酒精使用率下降了 90%(11.8%-3.1%)。女性的苦恼增加较多,而男性的饮酒减少较多。与不酗酒的青少年相比,酗酒青少年的高困扰率明显更高(高出2倍以上),而且这种并发症在不同组群中保持一致。与此同时,在有和没有心理困扰的青少年中,酒精的使用也在减少。虽然酗酒似乎并不是导致心理困扰增加的原因,但酗酒和心理困扰同时发生的比例仍然很高。仍有必要解决共存问题和特定困扰机制。
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引用次数: 0
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