背景:精神障碍的合并症在青少年中普遍存在,有证据表明,一种一般的精神病理学因素(“p”因素)反映了不同疾病的共同机制。然而,“p”因子与保护因子之间的关联仍未得到充分研究。本研究旨在探讨“p”因素,以及它与心理社会功能的联系,在中国青少年。
方法:2052名学生,9-17岁,从上海中小学招募,中国。使用多种评定量表评估心理症状和心理社会功能。进行了验证性因素分析,以验证涉及不同精神病理学领域的模型的适合性,例如外部化,内化,和“p”因子。随后,结构方程模型用于探索提取的因素与心理社会功能之间的关联,包括情绪调节,注意意识,自尊,自我效能感,弹性,和感知的支持。
结果:双因素模型表现出很好的拟合,“p”因子占症状变化的46%,表明中国青少年的心理症状可以通过内化来解释,外部化,和“p”因子。心理上,较高的“p”与情绪抑制呈正相关,与正念注意力意识呈负相关,情绪重新评估,自尊,和韧性。社会上,较高的“p”与感知支持减少有关。
结论:因为这项研究是在学校进行的,所以仅包括常见症状。此外,横断面设计限制了我们调查因果关系的能力.
结论:中国青少年存在“p”因素。具有较高“p”因子水平的个体容易经历较低水平的心理社会功能。
BACKGROUND: Comorbidity in mental disorders is prevalent among adolescents, with evidence suggesting a general
psychopathology factor (\"p\" factor) that reflects shared mechanisms across different disorders. However, the association between the \"p\" factor and protective factors remains understudied. The current study aimed to explore the \"p\" factor, and its associations with psycho-social functioning, in Chinese adolescents.
METHODS: 2052 students, aged 9-17, were recruited from primary and secondary schools in Shanghai,
China. Multiple rating scales were used to assess psychological symptoms and psycho-social functioning. Confirmatory factor analysis was conducted to verify the fit of models involving different
psychopathology domains such as externalizing, internalizing, and the \"p\" factor. Subsequently, structural equation models were used to explore associations between the extracted factors and psycho-social functioning, including emotion regulation, mindful attention awareness, self-esteem, self-efficacy, resilience, and perceived support.
RESULTS: The bi-factor model demonstrated a good fit, with a \"p\" factor accounting for 46 % of symptom variation, indicating that the psychological symptoms of Chinese adolescents could be explained by internalizing, externalizing, and the \"p\" factor. Psychologically, a higher \"p\" was positively correlated with emotion suppression and negatively correlated with mindful attention awareness, emotion reappraisal, self-esteem, and resilience. Socially, a higher \"p\" was associated with decreased perceived support.
CONCLUSIONS: Only common symptoms were included as this study was conducted at school. Furthermore, the cross-sectional design limited our ability to investigate causal relationships.
CONCLUSIONS: A \"p\" factor exists among Chinese adolescents. Individuals with higher \"p\" factor levels were prone to experience lower levels of psycho-social functions.