反对性挑性障碍的发展轨迹,从青春期到青春期的严重程度,以及物质使用,心理健康和行为问题
Bonnie J Leadbeater1, Gabriel J Merrin2, Alejandra Contreras1
1University of Victoria, Victoria, British Columbia.
概括
这项研究确定了年轻人的三种对抗性挑战性障碍 (ODD) 轨迹:症状严重程度低,中等和高. 较高的ODD轨迹与青少年和年轻成人中增加的物质使用和心理健康问题有关.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 反对抗性障碍 (ODD) 通常被视为一种破坏性行为障碍.
- 新出现的证据凸显了易怒的情绪作为ODD的核心症状.
- 了解ODD症状异质性对于有效干预至关重要.
研究的目的:
- 根据ODD子维度 (易怒,抗拒) 或整体症状严重程度,纵向区分个人群.
- 检查ODD轨迹类与共患病状况之间的关联.
- 评估ODD轨迹对从青春期到年轻成年期的物质使用,心理健康和行为问题的长期影响.
主要方法:
- 对662名加拿大年轻人的长度研究 (T1年龄为12-18岁,T6年龄为22-29岁).
- 在10年内每两年收集一次的数据.
- 用于识别ODD症状轨迹的生长混合模型.
主要成果:
- 一个三类的ODD轨迹解决方案出现:低 (18%),中等 (71.5%),和高 (10.6%) 症状严重程度.
- 轨迹的差异是基于症状严重程度,而不是子维度 (易怒性与抗拒性).
- 高ODD类与中等和低级别相比,青少年和年轻成年人中药物使用,心理健康和行为问题显著增加. 与低级相比,中等级的患者也表现出较高的并发症症状.
结论:
- 这些发现支持早期识别中度至高ODD症状严重程度的儿童和青少年.
- 干预措施应同时解决ODD中挑战性和易怒性的问题.
- 准ODD轨迹可能会减轻伴随疾病的长期风险.
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