与青少年焦虑症相关的症状和心理因素

IF 1.7 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL
Vincent Dion, Nicolas Brizard, Jonathan Jalbert, Patricia Sirois, Patrick Gosselin, Mallorie Brisson, Julie Lane, Danyka Therriault, Pasquale Roberge
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引用次数: 0

摘要

背景焦虑会损害青少年的发育,是导致精神病理学的风险因素之一。本研究旨在记录青少年不同领域的焦虑障碍,并研究相关因素(社会人口学因素、特定焦虑和抑郁症状、心理脆弱性)。方法11至17岁的青少年(N = 4616)参与了这项横断面相关研究。结果与社会和家庭领域相比,学校领域的焦虑障碍程度更高。分别有 9.64%、5.23% 和 2.02% 的青少年报告在这些领域中遇到中度或高度障碍。在控制症状严重程度的前提下,女性、来自常规项目的青少年和刚上高中的青少年的焦虑障碍程度似乎更高。除强迫症(OC)症状外,所有类型的症状都会导致学业受损。恐慌、广泛性焦虑、创伤后应激(PTS)症状以及抑郁症状与学业障碍有中度关系,而其他症状则关系不大。只有 OC 和创伤后应激反应症状不能预测社交领域的障碍,只有创伤后应激反应、分离焦虑和抑郁症状能预测家庭领域的障碍。在控制了症状的严重程度后,完美主义、对不确定性的不容忍和消极的问题导向预测了受损程度。它提供了可能的解释因素,这些因素可能有助于建立更详细的模型和干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Symptoms and Psychological Factors Linked to Anxiety Impairment in Adolescents

Background

Anxiety impairs adolescent development and is a risk factor for psychopathology. However, factors related to anxiety impairment’s severity remain poorly studied.

Objective

This study aims to document anxiety impairment across different domains in adolescents and to study associated factors (sociodemographic, specific anxiety, and depressive symptoms, psychological vulnerabilities).

Methods

Adolescents aged 11 to 17 (N = 4616) participated in this cross-sectional correlational study. They were recruited from several schools in Canada and answered questionnaires.

Results

Anxiety impairment was higher in the school domain, compared to the social and family domains. Respectively, 9.64%, 5.23% and 2.02% of adolescents reported experiencing moderate or high impairment in these domains. Controlling for symptom severity, anxiety impairment seemed higher in females, adolescents from regular programs and those starting high school. All types of symptoms predicted school impairment, except the obsessive–compulsive (OC) ones. Symptoms of panic, generalized anxiety, post-traumatic stress (PTS), as well as depressive symptoms were moderately related to impairment, while the other symptoms were weakly related. Only OC and PTS symptoms did not predict impairment in the social domain, and only PTS, separation anxiety and depressive symptoms predicted impairment in the family domain. Perfectionism, intolerance of uncertainty and negative problem orientation predicted impairment levels after controlling for symptom severity.

Conclusions

This study notes relatively high rates of anxiety impairment in high school and suggests more school impairment. It offers possible explanatory factors that could be useful to establish more detailed models and interventions.

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来源期刊
Child & Youth Care Forum
Child & Youth Care Forum PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
3.60
自引率
5.60%
发文量
54
期刊介绍: Child & Youth Care Forum is a peer-reviewed, multidisciplinary publication that welcomes submissions – original empirical research papers and theoretical reviews as well as invited commentaries – on children, youth, and families. Contributions to Child & Youth Care Forum are submitted by researchers, practitioners, and clinicians across the interrelated disciplines of child psychology, early childhood, education, medical anthropology, pediatrics, pediatric psychology, psychiatry, public policy, school/educational psychology, social work, and sociology as well as government agencies and corporate and nonprofit organizations that seek to advance current knowledge and practice. Child & Youth Care Forum publishes scientifically rigorous, empirical papers and theoretical reviews that have implications for child and adolescent mental health, psychosocial development, assessment, interventions, and services broadly defined. For example, papers may address issues of child and adolescent typical and/or atypical development through effective youth care assessment and intervention practices. In addition, papers may address strategies for helping youth overcome difficulties (e.g., mental health problems) or overcome adversity (e.g., traumatic stress, community violence) as well as all children actualize their potential (e.g., positive psychology goals). Assessment papers that advance knowledge as well as methodological papers with implications for child and youth research and care are also encouraged.
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