心理病理学与儿童和青少年精神病类似经验轨迹之间的发展和动态关系
Luxia Jia1, Ziqian Wei2, Bowen Liu3
1School of Education, Guangzhou University, Guangzhou, China; Vanke School of Public Health, Tsinghua University, Beijing, China.
Journal of affective disorders
|September 21, 2024
概括
持久性精神病类经历 (PLEs) 与早期和不断增长的精神病理学有关. 解决早期发病和恶化的心理健康问题对于预防过渡到精神病至关重要.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 之前的研究将精神病理与精神病类似经历 (PLEs) 联系起来.
- PLEs和精神病理学的纵向关联和发展轨迹仍未得到充分探索.
- 了解这些动态关系是早期干预的关键.
研究的目的:
- 研究PLEs的发展轨迹与精神病理学之间的纵向关联.
- 检查随着时间的推移心理病理的变化如何与不同的PLEs轨迹有关.
- 为了确定心理病理学的特定模式,预测持续的PLE.
主要方法:
- 利用了来自青少年大脑认知发展 (ABCD) 研究的四个数据波.
- 用于PLEs轨迹的隐性类增长建模 (LCGM) 和用于精神病理学的隐性增长曲线建模 (LGCM).
- 使用多项逻辑回归来分析心理病理变化和PLE轨迹之间的动态关系.
主要成果:
- 确定了三个不同的PLE轨迹:低降 (84.7%),持久 (7.01%),高降 (8.29%).
- 发现焦虑/抑郁和总体问题的早期水平 (截止) 以及社会问题的增长 (斜率) 与持续的PLE有关.
- 突出了心理病理的发病和进展与持续的PLEs相关的临床意义.
结论:
- 持续的PLE与某些精神病理问题的初始严重程度和随着时间的推移的恶化有关.
- 这些发现强调了对早期发病和不断升级的精神病理学的临床关注的需要.
- 针对持久性PLE的干预措施应考虑解决早期和不断发展的精神病理,以防止发展为精神病障碍.
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