青少年青春早中期心理社会应激与1年后情绪行为问题的关联

Associations between psychosocial stress in early and middle adolescence with emotional and behavioral problems one year later

目的探究青少年青春早中期心理应激对后续情绪行为问题的预测作用,为青春后期情绪行为问题的及早预防提供科学依据。方法研究对象来自重庆市中小学的911名男女童组成青春发育队列,于青春早中期测量心理应激水平,并在1年后随访情绪行为问题水平,采用多因素Logistic回归分析青春早中期心理应激对后续情绪行为问题的影响。结果所有对象青春早中期的心理应激平均得分为(27.96±24.95)分,1年后的内、外化行为问题和整体问题平均得分分别为(8.21±8.46)(6.21±5.87)和(37.90±24.68)分。女生在焦虑抑郁、退缩、身体不适、思想问题、内化问题和整体问题的得分和情绪行为检出率均高于男生(t/Z值分别为-6.38,-5.63,-6.06,-3.74,-6.80,-5.47,χ^(2)值分别为15.88,12.01,3.92,6.64,24.67,15.88,P值均<0.05)。Logistic回归分析结果显示,心理应激量表得分与内、外化行为问题和整体问题检出均呈正相关(P值均<0.05)。结论青春早中期心理应激水平对随后1年的情绪行为问题的检出具有正向预测作用。

Objective This study explored the predictive effects of psychological stress in early and middle puberty on subsequent emotional and behavioral problems.Methods A cohort of 911 boys and girls from primary and secondary schools in Chongqing was studied.Psychological stress was measured in early and middle adolescence,and the levels of emotional and behavioral problems were determined in one-year follow-up.Logistic regression analysis was used to analyze the effects of psychological stress in early and middle adolescence on subsequent emotional and behavioral problems.Results The average psychological stress score in early and middle adolescence was(27.96±24.95),and the average scores of internalized and externalized behavioral problems and overall problems one year later were(8.21±8.46)(6.21±5.87)and(37.90±24.68)respectively.When grouped by gender,these scores,as well as the detection rate of anxiety and depression,withdrawal,physical discomfort,thinking problems,internalization problems and overall problems,were higher in girls than boys(t/Z=-6.38,-5.63,-6.06,-3.74,-6.80,-5.47,χ~2=15.88,12.01,3.92,6.64,24.67,15.88,P<0.05).Logistic regression showed that the psychological stress scale score was a risk factor for internalized and externalized behavioral problems and overall problems(P<0.05).Conclusion Psychological stress levels in early and middle puberty have a positive predictive effect on emotional and behavioral problems in the following year.