心理病理问题的同时发生在有风险的青少年中
June-Yung Kim1, Sonia Minnes2, Meeyoung O Min3
1University of North Dakota, College of Nursing and Professional Disciplines, Department of Social Work, Grand Forks, North Dakota.
Journal of psychopathology and behavioral assessment
|October 16, 2023
概括
这项研究确定了四个青少年心理病理模式在风险青年. 早期的易怒和社交排斥预测了这些模式和以后的生活结果,为更好的适应提供了干预信息.
科学领域:
- 发展心理学 发展心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 很少有研究研究风险青少年的精神病理并发症,特别是那些产前药物暴露的青少年.
- 来自城市,主要是非洲裔美国人的青少年往往面临着高风险的子宫内药物暴露.
- 了解并发症模式对于有针对性的干预和改善长期结果至关重要.
研究的目的:
- 在城市青少年中识别心理病理的并发症模式,有潜在的产前药物暴露.
- 检查易怒和社会消毒作为这些模式的前身的角色.
- 评估这些模式对新出现的成年期结果的预测有效性.
主要方法:
- 隐性类模型被用来识别358名城市青少年 (主要是非裔美国人) 的精神病理模式,来自21年的出生队列研究.
- 数据包括12岁时自我报告的易怒和社交失禁,15岁时的精神病理,21岁时的新兴成年期结果.
- 使用了研究领域标准 (RDoC) 的行为构造.
主要成果:
- 出现了四种不同的模式:规范性 (57%),物质使用 (SU; 24%),精神健康问题没有物质使用 (MH; 11%),以及物质使用和其他精神健康问题 (SUMH; 7%).
- 较高的易怒度预测了MH和SUMH模式;较高的社会消毒预测了SU和趋势级SUMH模式.
- 青少年的模式差异性地预测了新兴的成年期结果,如物质使用,心理健康问题和教育成就.
结论:
- 青春期前期的烦躁和社会消毒是青少年精神病理模式的重要预测因素.
- 这些模式对新兴的成年人适应有影响,包括物质使用和心理健康.
- 早期识别这些行为结构可以告知干预措施,以减轻精神病理,并改善风险青年的结果.
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