青春期非自杀性自我伤害和抑郁症状:测试方向性
Lauree Tilton-Weaver1, Rebecca Schwartz-Mette2
1Örebro University, Örebro, Sweden. lauree.tilton-weaver@oru.se.
Journal of youth and adolescence
|April 13, 2025
概括
青少年非自杀性自我伤害 (NSSI) 和抑郁症显示出交易联系,NSSI在抑郁症之前,反之亦然. 早期青少年干预对于应对伴随疾病的痛苦至关重要.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 青春期是非自杀性自我伤害 (NSSI) 和抑郁症开始的关键时期.
- 之前关于NSSI和抑郁症时间顺序的研究已经产生了模两可的结果.
- 之前的研究的局限性包括数据波的少量以及未能解释人内差异.
研究的目的:
- 检查青春期非自杀性自我伤害 (NSSI) 和抑郁症状的时间顺序.
- 通过使用多个数据波和计算人内差异来解决过去研究的局限性.
主要方法:
- 使用了瑞典青少年的两个独立样本 (N=799和N=2760).
- 采用了两部分交叉滞后面板模型 (CLPM) 和随机交叉滞后面板模型 (RI-CLPM).
- 用RI-CLPM来解释NSSI半连续分布和个人内部变异.
主要成果:
- 传统的CLPM显示数据不合适.
- RI-CLPMs揭示了抑郁症状和NSSI之间的显著的人内,交易关联.
- 13岁时的NSSI预测了14岁时抑郁症状的增加,这反过来预测了15岁时NSSI的增加,这表明周期性模式.
结论:
- 研究结果表明,NSSI与青春期抑郁症状之间存在双向的交易关系.
- 针对适应性应对情绪困扰的早期青少年干预是必不可少的.
- 干预措施应侧重于防止在整个青春期保持并发性痛苦.
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