症状を内在化させる子供の経路の遅い青春期の結果:うつ病および不安症状と認知,感情および行動に関連する自己調節面の8年間の追跡
Johanna Lilian Klinge1, Petra Warschburger2, Annette Maria Klein3
1International Psychoanalytic University Berlin, Stromstr. 1, 10555, Berlin, Germany. johanna.klinge@ipu-berlin.de.
Child and adolescent psychiatry and mental health
|August 31, 2025
まとめ
内部化症状が増える子供たちは 精神的な健康問題と 自己規制の欠陥に直面しています しかし,幼少期の早期の高度な内化症状は,思春期の終わりまでに解消し,寛解の可能性を示唆します.
科学分野:
- 子ども と 青少年 の 心理学
- 発達心理学
- 臨床心理学
背景:
- 内部化症状は青年期に多く見られ 発達の軌跡は様々です
- 以前の研究では 幼児期の軌跡が特定されましたが 長期的な結果のデータはありませんでした
- ターゲットを絞った介入には 遅い青春期の結果を理解することが重要です
研究 の 目的:
- 精神的健康と自己調節の長期的成果を調査する
- 青春期後半の安定した低,増加し,減少する内化症状群での結果を比較する.
主な方法:
- 親の報告を通じて内化症状を追跡した1453人の子供 (6~13歳) の長期的研究.
- 自己報告と行動課題を用いた556人の青少年 (16歳から21歳) のフォローアップ評価
- メンタルヘルス,自己調節面 (感情的反応性,調節,計画,リスクを負う,衝動性) と行動評価が含まれていた.
主要な成果:
- 児童期内化症状が増加した青年は,現在の内化症状,不安,うつ,苦痛,および社会/人格障害を多く示しました.
- このグループはまた,安定した低値グループと比較して,より悪い計画行動と適応性の低い感情調節戦略 (再評価) を示しました.
- 小児期の低減と安定した低減の差異は,思春期後半には検出されなかった.
結論:
- 子どもの頃の 内部化症状の増加は 青春期後半の 持続的な課題と自己規制の欠陥を予測します
- 高度な内部化症状は早期に収束し,青春期後半には安定した低度な経路から検出可能な違いはありません.
- 自己規制を促進することは,予防と介入の重要な目標であり,寛解因子に関するさらなる研究が必要である.
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