负面生活事件和情绪症状 从2岁到30岁
William E Copeland1, Ryan Keen2, Guangyu Tong3
1Department of Psychiatry, University of Vermont, Burlington.
JAMA network open
|August 29, 2024
概括
对创伤和压力生活事件的脆弱性及其与情绪症状的关联在童年,青春期和年轻成年期保持一致. 这些发现表明,在整个发育过程中,对压力事件的反应是稳定的.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 对包括创伤在内的负面生活事件的暴露是常见的,并且与心理健康问题有关.
- 了解这些事件的脆弱性如何在整个发展过程中发生变化,对于有针对性的干预至关重要.
研究的目的:
- 调查是否对负面生活事件的脆弱性在五个发育时期有所不同:学前,童年,青春期,青春晚期和年轻成人期.
- 检查创伤和压力生活事件与这些发展阶段的情绪症状之间的关联.
主要方法:
- 一项队列研究分析了美国东南部 (1992-2015) 三项社区代表性研究的数据.
- 包括13,775个2-30岁的个体的评估,随访时间长达21年.
- 评估了使用结构化访谈对创伤事件和最近压力事件的终身暴露.
主要成果:
- 创伤和最近的压力事件都与所有发育时期的情绪症状 (焦虑和抑郁) 有关.
- 压力事件和情绪症状之间的关联在年轻成年期 (横截面) 和青春期 (纵向) 最强.
- 创伤事件和情绪症状之间的关联在青春期 (横截面) 和青春期晚期 (纵向) 最强.
结论:
- 对创伤和压力事件的脆弱性,以及它们与情绪功能之间的独立关联,在生命的前三十年中似乎是相似的.
- 这些发现表明,对压力生活事件的反应从童年到成年都是相对一致的.
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