患有多动症的青少年中不良童年经历和精神疾病的模式:潜伏类分析
Jihee Song1,2
1Florida Department of Children and Families, Tallahassee, FL, 32303, USA. ssong@ufl.edu.
Child psychiatry and human development
|December 19, 2023
概括
不良童年经历 (ACE) 的特定组合会影响患有多动症的青少年的心理健康. 高风险的ACE和暴露于歧视/暴力与增加的行为问题,焦虑和抑郁有关.
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
- 公共卫生 公共卫生
背景情况:
- 有限的研究存在于特定的不良童年经历 (ACE) 组合和青少年注意力缺陷/多动症障碍 (ADHD) 的精神疾病.
- 了解这些协会对于有针对性的干预和支持至关重要.
研究的目的:
- 在患有ADHD的青少年中识别不同类别的ACE.
- 检查这些ACE类与行为问题,焦虑和抑郁症之间的关联.
主要方法:
- 利用了2018年全国儿童健康调查 (NSCH) 对1,806名被诊断患有多动症的青少年 (年龄11-17岁) 的数据.
- 采用隐性类别分析来对ACE暴露模式进行分类.
主要成果:
- 确定了四个ACE类:低风险 (61.6%),中等风险 (25.2%),高歧视/邻居暴力 (7.6%) 和高风险 (5.6%).
- "高风险ACE"类与增加的行为问题和抑郁症有关.
- "高度受到歧视和邻居暴力的暴露"类与更高的焦虑和抑郁率有关.
结论:
- 特定的ACE模式,特别是高风险和涉及歧视或暴力的ACE模式,与ADHD青少年的不良心理健康结果有显著的关联.
- 调查结果突出了考虑到这些年轻人的独特 ACE 个人资料,需要提供量身定制的心理健康支持.
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