早期的环境风险以及从出生到青春期内化和外部化问题的发展动态
Kehui Wu1, Francesca Zecchinato2, Canghai Guan3
1Department of Sociology, Faculty of Social Sciences, University of Macau, Macau, China.
European child & adolescent psychiatry
|November 6, 2025
概括
早期的生活逆境影响青少年的心理健康,内部化和外部化问题在整个发展过程中相互作用不同. 这些问题从童年到青春期都有联系,受到早期风险和性别的影响,需要量身定制的干预.
科学领域:
- 发展心理学 发展心理学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
背景情况:
- 内部化和外部化问题经常同时发生,受共同的早期环境风险的影响.
- 现有的研究往往忽视了这些问题如何随着年龄的增长而演变,限制了对逆境长期心理健康影响的理解.
- 内部化和外部化症状及其发展轨迹之间的相互作用需要进一步调查.
研究的目的:
- 检查5岁至17岁之间内部化和外部化问题的双向关联.
- 评估早期环境风险对这些症状领域在整个发展过程中的持久影响.
- 在这些关系中识别潜在的性别差异.
主要方法:
- 利用了来自7377名英国千年队列研究 (MCS) 参与者的7个波段的数据.
- 采用随机截断交叉滞后面板分析来调查纵向关联.
- 检查了早期的环境风险,包括产前,新生儿,母亲的心理健康,育儿和社会经济地位.
主要成果:
- 随着时间的推移,在内部化和外部化问题中观察到高稳定性.
- 从童年到青春期早期的内部化和外部化问题之间存在积极的双向关系.
- 这种关系在青春晚期发生了转变,外部化问题负面预测了内部化症状,而内部化问题不再预测外部化症状. 早期风险影响了这两个领域,通常随着年龄的增长而下降,观察到明显的性别差异.
结论:
- 早期的环境逆境对青少年的心理健康有持久的影响.
- 内部化和外部化问题的相互作用是动态的,并在整个发展过程中发生变化.
- 这些发现支持了早期,持续的干预措施的需要,这些干预措施应对多种风险,并适应不断变化的青少年心理健康需求.
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