Late adolescent outcomes of childhood trajectories of internalizing symptoms: an 8-year follow-up of depressive and anxiety symptoms and cognitive, emotion- and behavior-related self-regulation facets.

IF 4.6 3区 医学 Q1 PEDIATRICS
Johanna Lilian Klinge, Petra Warschburger, Annette Maria Klein
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引用次数: 0

Abstract

Background: Internalizing symptoms are highly prevalent in childhood and adolescence. Several studies have demonstrated heterogeneity in symptom trajectories and examined their predictors. However, little is known about their outcomes in late adolescence. Building on a previous study that identified a stable low, an increasing and an (early high) decreasing trajectory of internalizing symptoms in childhood, this follow-up study examines their outcomes, including mental health-related measures and self-regulation facets.

Methods: Trajectories of internalizing symptoms were identified using parent reports at three measurement points in a community sample of N = 1453 children aged 6-13 years, based on the Emotional Problems Scale of the Strengths and Difficulties Questionnaire. At the 8-year follow-up, n = 556 adolescents aged 16-21 years participated, providing self-reports on mental health-related measures and self-regulation facets (emotional reactivity, emotion regulation, planning behavior, risk taking, impulsiveness, delay discounting). Additionally, three self-regulation facets (working memory updating, inhibition, risk taking) were assessed behaviorally.

Results: Adolescents in the increasing trajectory reported significantly greater internalizing symptoms, more specific anxiety symptoms, greater distress and social impairment, and more impaired personality functioning than those in the stable low trajectory, and more specific depressive symptoms than those in the stable low and decreasing trajectories. Regarding SR facets, they reported lower planning behavior and less use of the emotion regulation strategies reappraisal and positive reappraisal than those in the stable low trajectory, and greater use of the emotion regulation strategy catastrophizing than those in the stable low and decreasing trajectories.

Conclusions: Children with increasing internalizing symptoms in childhood present internalizing symptoms and self-regulation deficits in late adolescence that can hinder further development. In contrast, the differences observed in childhood between the decreasing and the stable low trajectories are no longer detectable. Promoting self-regulation could be a promising prevention and intervention target. Future research should investigate protective factors contributing to symptom remission.

Abstract Image

儿童期内化症状轨迹的青春期晚期结局:抑郁和焦虑症状以及认知、情绪和行为相关自我调节方面的8年随访
背景:内化症状在儿童期和青春期非常普遍。一些研究已经证明了症状轨迹的异质性,并检查了它们的预测因子。然而,他们在青春期后期的结果却知之甚少。先前的一项研究确定了儿童期内化症状的稳定低、增加和(早期高)减少轨迹,在此基础上,本后续研究考察了他们的结果,包括心理健康措施和自我调节方面。方法:在社区样本N = 1453名6-13岁儿童的三个测量点上,采用家长报告的方法,基于《优势与困难问卷》中的情绪问题量表,确定内化症状的发展轨迹。在8年的随访中,n = 556名年龄在16-21岁的青少年参与其中,提供了关于心理健康措施和自我调节方面(情绪反应、情绪调节、计划行为、冒险、冲动、延迟折扣)的自我报告。此外,三个自我调节方面(工作记忆更新,抑制,风险承担)进行了行为评估。结果:上升轨迹的青少年比稳定低轨迹的青少年报告了更多的内化症状,更具体的焦虑症状,更严重的痛苦和社交障碍,以及更严重的人格功能受损,比稳定低和下降轨迹的青少年报告了更多具体的抑郁症状。在情绪调节方面,与稳定低轨组相比,他们的计划行为更少,情绪调节策略重评和积极重评的使用更少,而与稳定低轨组和下降轨组相比,情绪调节策略灾难化的使用更多。结论:儿童期内化症状加重的儿童在青春期后期出现内化症状和自我调节缺陷,可能阻碍其进一步发展。相比之下,在儿童时期观察到的下降和稳定的低轨迹之间的差异不再是可检测的。促进自我调节可能是一个有希望的预防和干预目标。未来的研究应探讨有助于症状缓解的保护因素。
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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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