聚类和早期生活压力暴露的时间对情绪问题,多动症症状和问题饮酒的影响
Jeremy W Luk1, Noa Leiter2, Jared C Axelowitz2
1Office of the Clinical Director, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA.
Journal of psychiatric research
|September 28, 2023
概括
早期生活压力 (ELS) 影响长期健康. 这项研究发现,通过早期生活压力问卷 (ELSQ) 测量ELS的更大和更早的暴露与增加的内化和外化症状有关.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 早期生活压力 (ELS) 与不利的长期健康结果有关.
- 早期生活压力调查问卷 (ELSQ) 测量了多个ELS及其时间.
- 隐性类分析 (LCA) 尚未广泛应用于ELSQ数据,并且很少探索ELS的时间.
研究的目的:
- 检查ELS暴露的聚类和时间对内部化和外部化症状的影响.
- 将LCA应用于ELSQ数据,以识别ELS暴露的不同模式.
- 调查已识别的ELS类,社会人口统计学变量和临床结果之间的关联.
主要方法:
- 隐性类分析 (LCA) 对来自NIAAA自然历史协议的1095名参与者的18个ELS项目进行.
- 回归和相关性分析检查了潜在类与社会人口统计学变量和临床结果之间的关联.
主要成果:
- 在LCA中确定了三个ELS类:最小ELS (54.2%),中度ELS (33.2%),多重和高ELS (12.6%).
- 特定的人口群体 (黑人/非裔美国人,低家庭收入) 和有问题的酒精使用家族史与更高的ELS班级有关.
- 更高的ELS暴露和更早的ELS时间与增加的焦虑,抑郁症状,多动症症状,问题饮酒和整体精神病理症状显著相关.
结论:
- 该ELSQ有效地捕捉了多个ELS曝光的集群和时间.
- ELS的程度和时间都是影响内化和外化症状的关键因素.
- 研究结果强调了早期及时干预的重要性,以减轻ELS的长期健康后果.
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