青少年前瞻性临床队列中与三年内焦虑和抑郁减少相关的促进因素:检验复原力的补偿和保护模式。

IF 3.1 2区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Development and Psychopathology Pub Date : 2024-10-07 DOI:10.1017/S0954579424001469
Ingunn Ranøyen, Jan L Wallander, Stian Lydersen, Per Hove Thomsen, Thomas Jozefiak
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引用次数: 0

摘要

焦虑症和抑郁症的发病率在整个青春期都在上升,许多人在接受治疗后又复发了,但有关促进因素的纵向研究却很少。我们以临床样本为研究对象,前瞻性地考察了结构化风格、个人和社会能力、家庭功能和社会资源等促进因素在三年内焦虑和抑郁的同型和异型连续性和不连续性中的作用。参与者为患有焦虑症或抑郁症的青少年,T1时年龄为13-18岁(人数=717,初始参与率为44%),T2时年龄为16-21岁(人数=549,后续参与率为80%)。在 T1 阶段,从医疗记录中收集诊断结果,参与者回答问卷。在第二阶段,进行了半结构化诊断访谈。所有促进因素的水平越高,三年后患焦虑症或抑郁症的概率就越低。这些促进因素与焦虑的同型持续性无关,而个人能力信念、社会能力和家庭功能则与抑郁的同型持续性降低和从抑郁到焦虑的异型持续性降低有关,但后者的相关性较低。对交互项的分析并未显示促进因素的调节作用。我们的研究结果表明,加强促进因素对于提高治疗成功率以及防止焦虑和抑郁在成年过渡期复发至关重要。
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Promotive factors associated with reduced anxiety and depression across three years in a prospective clinical cohort of adolescents: Examining compensatory and protective models of resilience.

The rates of anxiety and depression increase across adolescence, many experience recurrence after treatment, yet longitudinal studies examining promotive factors are scarce. We prospectively examined the role of the promotive factors structured style, personal and social competencies, family functioning, and social resources in homotypic and heterotypic continuity and discontinuity of anxiety and depression across three years in a clinical sample. Participants were adolescents with anxiety or depressive disorders aged 13-18 years at T1 (N = 717, 44% initial participation rate) and aged 16-21 years at T2 (N = 549, 80% follow-up participation rate). At T1, diagnoses were collected from medical records and participants responded to questionnaires. At T2, semi-structured diagnostic interviews were conducted. Higher levels of all promotive factors were associated with reduced probability of anxiety or depression three years later. The promotive factors were not associated with homotypic continuity of anxiety, whereas personal competence beliefs, social competence, and, less strongly, family functioning were associated with reduced homotypic continuity of depression and heterotypic continuity from depression to anxiety. Analyses with interaction terms did not indicate moderation by the promotive factors. Our findings suggest that bolstering promotive factors may be vital for increasing treatment success and preventing recurrence of anxiety and depression in the transition toward adulthood.

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来源期刊
Development and Psychopathology
Development and Psychopathology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
7.20
自引率
9.10%
发文量
319
期刊介绍: This multidisciplinary journal is devoted to the publication of original, empirical, theoretical and review papers which address the interrelationship of normal and pathological development in adults and children. It is intended to serve and integrate the field of developmental psychopathology which strives to understand patterns of adaptation and maladaptation throughout the lifespan. This journal is of interest to psychologists, psychiatrists, social scientists, neuroscientists, paediatricians, and researchers.
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