青少年心理健康中的月经前障碍和性别差异
Yuchen Li1, Jingwen Jiang2, Thorhildur Halldorsdottir3
1Department of Mental Health Center, Sichuan University, Chengdu, China; Department of Mental Health Center and West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China; Med-X Center for Informatics, Sichuan University, Chengdu, China.
Journal of affective disorders
|August 5, 2023
概括
月经前障碍 (PMD) 显著增加了青少年女孩患抑郁症和焦虑症等心理健康问题的风险. 这些发现强调PMD是导致青少年心理健康性别差异的一个关键因素.
科学领域:
- 青少年心理健康 青少年心理健康
- 性别在健康方面的差异.
- 生殖健康 生殖健康
背景情况:
- 心理健康的性别差异在青春期显而易见,与月经前障碍 (PMD) 的出现相吻合.
- 了解PMD和青少年心理健康之间的联系对于解决性别特异性健康结果至关重要.
研究的目的:
- 调查月经前障碍 (PMD) 与青少年心理健康之间的关联.
- 检查PMD和没有PMD的青少年心理健康结果的性别差异.
主要方法:
- 对来自中国圣泰青年心理健康促进队伍的21,239名青少年 (10至19岁) 的横截面分析.
- 标准问卷评估了可能的PMD,主要抑郁症 (MDD),一般焦虑症 (GAD),自我伤害史和高自杀风险状态.
- 逻辑回归被用来比较PMD和没有PMD的女孩和男孩之间的结果流行率.
主要成果:
- 与没有PMD的女孩和男孩相比,患有PMD的青少年女孩的MDD (OR 4.76) 和GAD (OR 3.86) 患病率显著更高.
- 在月经前的女孩和男孩之间,MDD/GAD的患病率是可比的,这表明PMD加剧了性别差异.
- 与没有PMD的女孩相比,患有PMD的女孩自我伤害的几率 (OR 4.70) 和高自杀风险 (OR 7.49) 的几率要高得多.
结论:
- 月经前障碍 (PMD) 与青春期女孩患抑郁症,焦虑症,自我伤害和高自杀风险的风险增加密切相关.
- 这些发现支持这样一个假设,即PMDs在青少年心理健康,特别是抑郁和焦虑方面的性别差异方面有着显著的贡献.
- 需要进一步的研究来探索症状重叠,并完善青少年PMD的诊断标准.
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