在约旦青少年中探索不良童年经历和内化和外化症状之间的关系:网络分析方法
Ayoub Hamdan Al-Rousan1, Mohammad Nayef Ayasrah2, Mohamad Ahmad Saleem Khasawneh3
1Queen Rania Faculty for Childhood, Early Childhood Department, The Hashemite University, Zarqa, Jordan.
The Psychiatric quarterly
|February 27, 2025
概括
童年不良经历 (ACE) 显著影响青少年的心理健康,父母的丧失是关键因素. 网络分析揭示了ACE和内部化/外部化症状之间的联系,为目标干预提供了信息.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康研究 心理健康研究
- 心理学中的网络分析.
背景情况:
- 童年不良经历 (ACE) 很普遍,但它们与精神病症状的具体联系需要更深入的理解.
- 网络分析以前没有被应用来探索ACE与约旦高中生内化/外化症状之间的关系.
研究的目的:
- 研究各种类型的ACE之间的复杂相互联系及其导致的青少年内化和外化精神症状.
- 利用网络分析识别关键节点和途径,通过这些ACEs影响症状的发展.
主要方法:
- 共有517名高中生及其家长完成了修改后的ACE和儿童行为检查清单 (CBCL) 测量.
- 使用网络分析,包括使用iamb算法扩展贝叶斯信息标准 (EBIC) 和定向环形图 (DAG).
- 集中度指标 (强度,中间度,接近度) 用于识别症状网络中的有影响力的节点.
主要成果:
- 失去父母 (ACE.1) 成为最有影响力的ACE节点. 具体的内化 (无价值) 和外化 (冲动性,身体虐待) 症状显示出高度的中心性.
- 网络分析揭示了与ACE的显著联系,特别是父母的丧失,强烈预测情感问题和其他症状.
- YSR.35 (无价值) 和YSR.41 (冲动) 分别是关键的内化和外化症状节点.
结论:
- 研究结果强调了特定ACE的关键作用,比如父母的丧失,在驱动青少年精神症状方面.
- 该研究强调了需要及时,有针对性的干预措施,以减轻ACE的长期心理健康后果.
- 结果为开发更有效的预防和治疗策略提供了基础,以解决ACE对青少年心理健康的影响.
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