Network structure of adolescent social, emotional, and behavioral difficulties and their differential relationships with suicidality

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2024-03-21 DOI:10.1111/camh.12693

Tong Xie, Wanyue Jiang, Xiaoyan Liu, Jianping Wang

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引用次数: 0

Abstract

Background

Social, emotional, and behavioral difficulties (SEBDs) tend to develop during adolescence. Their presence and especially co-occurrence induce numerous disrupting consequences, including suicidality. A recently developed network analysis is suitable to investigate the symptom-level structure of comorbid psychopathology. Rather than pairwise comorbidity networks, the current study investigated a comprehensive network of SEBDs at the symptom level and explored the differential relationships between symptoms of SEBDs and suicidality.

Methods

Recruited from four public schools in China, a sample of adolescents (N = 6974, mean age = 15.84, 50.1% boys) were assessed with the Strengths and Difficulties Questionnaire (SDQ) and one suicidality-related item. The cross-sectional network structure of the SEBD symptoms was investigated. The differential associations between individual symptoms of SEBDs and suicidality were also explored with a relative importance analysis.

Results

The results showed that constantly fidgeting, worry a lot, unhappy, down-hearted, tearful, and easily scared emerged as the most central symptoms in the network of SEBDs. Worry a lot, constantly fidgeting, lose my temper, and being bullied served as bridge symptoms, connecting various domains of SEBDs. In addition, the centrality of symptoms was positively associated with the variance shared with suicidality, with worry a lot and unhappy, down-hearted, and tearful explaining a large portion of the variance of suicidality.

Conclusions

Taken together, the results were indicative of close connections among emotional, hyperactivity-inattention, peer, and conduct aspects of adolescent mental health difficulties, as well as the central role of emotional difficulties in the SEBDs network.

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青少年社交、情绪和行为困难的网络结构及其与自杀的不同关系。

背景：社交、情绪和行为障碍（SEBD）往往在青春期形成。它们的出现，尤其是同时出现，会引起许多破坏性后果，包括自杀。最近开发的一种网络分析方法适用于研究合并精神病理学的症状级结构。本研究不是研究成对的合并症网络，而是研究SEBDs在症状层面的综合网络，并探讨SEBDs症状与自杀倾向之间的不同关系：从中国四所公立学校招募的青少年样本（样本数=6974，平均年龄=15.84，50.1%为男生）接受了优势与困难问卷（SDQ）和一个自杀相关项目的评估。研究调查了 SEBD 症状的横截面网络结构。此外，还通过相对重要性分析探讨了SEBD的个别症状与自杀倾向之间的不同关联：结果表明，经常烦躁不安、经常担心、不开心、情绪低落、爱流泪和容易害怕是 SEBDs 网络中最核心的症状。非常担心、经常焦虑不安、发脾气和被欺负是连接 SEBD 各领域的桥梁症状。此外，症状的中心性与自杀倾向的变异呈正相关，经常担心、不开心、沮丧和流泪在自杀倾向的变异中占很大比例：总之，研究结果表明，青少年心理健康问题中的情绪、过度活跃-注意力、同伴和行为等方面存在密切联系，情绪问题在 SEBDs 网络中起着核心作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.