Young adulthood

年轻的成年
  • 文章类型: Journal Article
    目的:调查从青春期到年轻成年志愿服务的变化是否与成年后的健康和福祉结果相关。
    方法:纵向队列研究。
    方法:全国青少年对成人健康的纵向研究。
    方法:来自第四波(2008/2009;N=12,234)和第五波(2016-2018;N=9,971)的美国成年人。
    方法:任何志愿服务和九种类型的志愿服务(独立变量)以及41种健康和福祉结果(因变量)使用具有多个线性的结果范围方法,逻辑-,和广义线性回归。
    结果:青年时期的志愿服务与更好的健康行为有关(例如,暴饮暴食的风险降低了34%,95%CI[0.54,0.81])和改善的社会心理和公民结果(例如,成年期抑郁症状降低(β=-0.08,95%CI[-0.14,-0.02])。志愿服务几乎没有证据表明与其他健康和福祉成果有关联(例如,孤独,(β=-0.04,95%CI[-0.09,0.01])。按组织类型评估志愿服务显示出一系列积极和消极的结果。例如,在医院/疗养院做志愿者与高胆固醇风险增加36%相关(95%CI[1.06,1.73]),在政治俱乐部做志愿者与焦虑诊断风险增加52%相关(95%CI[1.13,2.05]).
    结论:我们的研究结果表明,需要更多的工作来确定志愿服务促进健康的条件,并尽量减少与某些类型的志愿服务相关的潜在不利影响。
    OBJECTIVE: To investigate whether changes in volunteering from adolescence to young adulthood are associated with subsequent health and well-being outcomes in adulthood.
    METHODS: Longitudinal cohort study.
    METHODS: National Longitudinal Study of Adolescent to Adult Health.
    METHODS: U.S. adults from Wave IV (2008/2009; N = 12,234) and Wave V (2016-2018; N = 9,971).
    METHODS: Any volunteering and nine types of volunteering (independent variables) and 41 health and well-being outcomes (dependent variables) using an outcome-wide approach with multiple linear-, logistic-, and generalized linear regressions.
    RESULTS: Volunteering in young adulthood was associated with better health behaviors (e.g., 34% decreased risk of binge drinking, 95% CI [0.54, 0.81]) and improved psychosocial and civic outcomes (e.g., lower depressive symptoms (β = -0.08, 95% CI [-0.14, -0.02]) in adulthood. Volunteering showed little evidence of associations with other health and well-being outcomes (e.g., loneliness, (β = -0.04, 95% CI [-0.09, 0.01])). Assessing volunteering by organization types showed a range of positive and negative outcomes. For example, volunteering in hospitals/nursing homes was associated with a 36% increased risk of high cholesterol (95% CI [1.06, 1.73]) and volunteering with political clubs was associated with a 52% increased risk of an anxiety diagnosis (95% CI [1.13, 2.05]).
    CONCLUSIONS: Our findings suggest more work is needed to determine the conditions under which volunteering is health promoting and to minimize potential adverse effects associated with some types of volunteering.
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  • 文章类型: Journal Article
    先前的研究表明,不同的儿童和青少年脆弱性与青少年犯罪之间存在密切的联系。然而,这些调查主要针对来自高收入西方国家的年轻人。因此,这些发现能否更好地为全球司法政策提供信息仍不确定.本研究旨在通过研究个体之间的关系来解决这一差距,家族性,以及青少年时期的情境脆弱性和犯罪多功能性,考虑社会人口因素和跨国差异。数据来自来自5大洲10个国家的4,182名年轻人(67%为女性;平均年龄=18.96;SD=0.81)的不同样本,他们参加了国际青少年亲/反社会行为研究。社会心理和家庭脆弱性问卷和儿童不良经历问卷被用来评估社会和家庭逆境,过去一年的犯罪多样性是用犯罪品种指数衡量的。结果表明,虐待儿童,药物滥用,犯罪同行是犯罪多样性的全球风险因素。此外,他们在男性和女性之间以及生活在人类发展指数(HDI)排名不同的国家的年轻人中都是独立的。此外,一些童年脆弱性在性别之间表现出不同的预测能力(例如,学校失败),各国在人类发展指数上的排名不同(例如,家庭功能障碍)。这些发现表明,某些童年因素通过跨文化机制促成了犯罪行为。此外,他们强调了制定循证政策的重要性,这些政策侧重于跨文化风险因素,以在全球范围内防止犯罪行为。
    Previous research has shown a robust association between different childhood and adolescent vulnerabilities and youth offending. However, these investigations have primarily focused on youths from high-income Western countries. Consequently, the generalizability of these findings to better inform global justice policies remains uncertain. This study aimed to address this gap by examining the relationship between individual, familial, and contextual vulnerabilities and criminal versatility during young adulthood, accounting for sociodemographic factors and cross-national differences. Data were derived from a diverse sample of 4,182 young adults (67% female; mean age = 18.96; SD = 0.81) residing in 10 countries across 5 continents who participated in the International Study of Pro/Antisocial Behavior in Young Adults. The Psychosocial and Family Vulnerability Questionnaire and the Adverse Childhood Experiences questionnaire were used to assess social and family adversity, and past-year criminal diversity was measured with the Criminal Variety Index. Results indicate that child maltreatment, substance abuse, and delinquent peers are global risk factors for criminal variety. Moreover, they are independent across males and females and among youths living in countries that are ranked differently on the Human Development Index (HDI). In addition, some childhood vulnerabilities showed different predictive ability across sexes (e.g., school failure), and across countries ranked differently on the HDI (e.g., family dysfunction). These findings suggest that certain childhood factors contribute to criminal behavior through transcultural mechanisms. Moreover, they highlight the importance of developing evidence-based policies that focus on transcultural risk factors to globally prevent criminal behavior.
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  • 文章类型: Journal Article
    向青年期的过渡可能是一个动荡的生活阶段,对于自闭症青年来说,这通常会被放大。年轻人经常自称与父母不同的目标和价值观。虽然自闭症研究表明父母是如何,在较小程度上,自闭症的年轻人,感受这种转变,很少有研究利用对这两种人群的二元访谈,或者对黑人和/或低收入家庭使用这种方法。
    我们对生活在一起的自闭症年轻人和他们的父母进行了四组二元访谈。
    我们确定了两个群体都认为对过渡很重要的三个关键主题:独立性,结构化过渡,和人际关系。然而,我们发现,小组如何概念化这些主题是不同的,并揭示了目标和价值观的差异。父母更倾向于长期规范的实现观点,而年轻人则谈到了目前对他们有意义的事情。
    这项工作对自闭症研究如何概念化向年轻成年的过渡以及我们如何为该人群创造更好的社会机会具有影响。
    为什么这是一个重要的问题?:自闭症成年人面临工作和教育困难的风险,这可能会导致他们感到疏远或不满足。大多数关于自闭症患者成年的研究都是基于拥有更多文化和财政资源的白人,而不是问自闭症患者自己或他们的家人。需要进行研究以改善这些研究不足和服务不足的群体的过渡结果。这项研究的目的是什么?:这项研究探讨了自闭症青年和他们的父母如何思考和经历从城市到成年的过渡,资源匮乏的学区。研究人员做了什么?:研究人员采访了四位父母和四位自闭症青年。三个家庭是黑人,一个家庭是白人,来自一个低收入家庭。所有自闭症青年都接受过特殊教育服务,需要过渡到成年的支持,并且在学习前1到6年完成了高中学业。年轻人与母亲住在一起,并在日常工作中得到他们的支持。我们采访了父母,然后采访了年轻人。在某些情况下,青年加入父母的面试或父母加入青年的面试,以帮助记住信息或给出答案。研究结果如何?:研究人员确定了三个主题。首先,父母和年轻人对独立的看法不同。父母更注重工作和经济独立。年轻人更多地关注工作的社会方面,并在购物等日常活动中具有独立性。第二个主题是,青年和父母以不同的方式对待正在进行的结构化支持。年轻人报告了一系列服务的积极经历,但没有像父母那样讨论持续支持的必要性。第三,青年强调社会关系和通过共同利益与同龄人联系的机会的重要性。这些发现对已经知道的内容有什么补充?:我们了解到,关于过渡的标准问题可能并不能反映出自闭症青年及其父母对成年的看法。采访来自黑人和低收入城市学区的家庭帮助我们了解这些群体如何经历和思考向成年的过渡,即使他们没有使用这些身份作为他们如何看待年轻成年的逻辑。这表明,父母和青年的观点在与自闭症青年过渡有关的研究中通常没有很好地代表的群体中有所不同。这项研究的潜在弱点是什么?:这项研究只包括少数年轻人和父母。这些结果并不代表来自城市学区的所有黑人自闭症青年或低收入自闭症青年。与服务联系较少的家庭可能不太可能听说或参与这项研究。这些发现将如何帮助现在或将来的自闭症成年人:这些发现可以为更好的访谈方法和研究的发展提供信息,以满足进入成年的各种自闭症青年的需求。这项工作可以改善过渡支持。父母,青春,支持提供商,研究人员可能会对成年有不同的看法。改善的支持可以帮助围绕青年和他们的家庭目标建立相互理解和协调。
    UNASSIGNED: The transition to young adulthood can be a turbulent life stage, and this is often magnified for autistic youth. Young adults frequently profess different goals and values than their parents. While there is some indication in autism research about how parents, and to a lesser extent, autistic young adults, feel about this transition, little research leverages dyadic interviews with both populations or has used this method with Black and/or low-income families.
    UNASSIGNED: We conducted four sets of dyadic interviews with autistic young adults and their parents who live together.
    UNASSIGNED: We identified three key themes that both groups found important to the transition: independence, structured transition, and interpersonal relationships. However, we found that how the groups conceptualized these themes were divergent and revealed differences in goals and values. Parents were more oriented toward long-term normative views of fulfillment, whereas young adults spoke about what was meaningful to them currently.
    UNASSIGNED: This work has implications for changes to how autism research will conceptualize the transition to young adulthood and how we can create better social opportunities for this population.
    UNASSIGNED: Why is this an important issue?: Autistic adults are at risk for difficulties getting work and education, which can lead to them feeling alienated or unfulfilled. Most research on autistic people becoming adults is based on White people with more cultural and financial resources and does not ask autistic people themselves or their families with them. Research is needed to improve transition outcomes for these underresearched and underserved groups.What was the purpose of this study?: This study explored how autistic youth and their parents thought about and experienced the transition to adulthood out of an urban, low-resourced school district.What did the researchers do?: Researchers interviewed four parents and four autistic youth. Three families were Black, and one family was White and from a low-income household. All autistic youth had received special education services, needed support to transition to adulthood, and had finished high school 1 to 6 years before the study. The young adults lived with their mothers and received support from them for daily tasks. We interviewed the parents and then the youth. In some cases, youths joined parents\' interviews or parents joined youths\' interviews to provide help with remembering information or giving answers.What were the results of the study?: Researchers identified three themes. First, parents and youth thought about independence differently. Parents focused more on work and financial independence. Youth focused more on social aspects of work and having independence in daily activities such as shopping. The second theme was that youth and parents approached ongoing structured supports differently. Youth reported positive experiences with a range of services but did not discuss the need for ongoing supports like their parents did. Third, youth emphasized the importance of social relationships and opportunities to connect with peers through shared interests.What do these findings add to what was already known?: We learned that standard questions about transition may not reflect how autistic youth and their parents think about becoming an adult. Interviewing families coming out of a predominantly Black and low-income urban school district helped us to understand how these groups experience and think about the transition to adulthood, even though they did not use these identities as a logic for how they thought about young adulthood. This suggests that parent and youth perspectives differ in groups that are not usually well represented in research studies related to transition for autistic youth.What are potential weaknesses in the study?: This study only included a small number of youth and parents. These results do not represent all Black autistic youth or low-income autistic youth coming from urban school districts. Families who are less connected to services may have been less likely to hear about or take part in the study.How will these findings help autistic adults now or in the future?: These findings could inform the development of better interviewing approaches and research to address the needs of diverse autistic youth entering adulthood. This work could improve transition support. Parents, youth, support providers, and researchers may think about adulthood differently. Improved support could help build mutual understanding and coordination around youths\' and their families\' goals.
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  • 文章类型: Journal Article
    目的:关于青少年饮酒和认知的研究通常无法将饮酒对认知的潜在因果影响与共同的病因影响分开。包括遗传影响或其他物质使用合并症,也已知与认知有关,例如尼古丁的使用。本研究旨在填补这一空白,并通过考虑已测量和未测量的混杂因素来阐明青少年饮酒与青少年认知之间的关系。
    方法:使用考虑家庭嵌套的随机效应模型来控制测量的混杂因素。接下来,在完整样本和单卵双生对(MZ)中进行了双胞胎比较,以控制双胞胎共有的未测量的遗传和环境混杂因素。
    方法:参与者为812名个体(58.6%为女性,361个完整的对,146MZ对)来自芬兰的纵向FinnTwin12研究。
    方法:用14岁和17岁年龄段的平均使用频率和中毒率对青少年饮酒进行索引。认知结果在平均年龄22岁时进行测量,包括跟踪测试,加州Stroop测试,韦克斯勒成人智力子测验(词汇,块设计,数字符号),WechslerMemoryScale的数字跨度子测试,心理旋转测试和对象位置记忆测试。协变量包括性别,父母教育,一般认知能力,目前使用酒精和尼古丁。
    结果:整个青春期饮酒频率和中毒频率的增加与同胎对照[freq:stndbeta=-0.12,95%置信区间(CI)=-0.234,-0.013]和仅MZ同胎对照模型(freq:stndbeta=-0.0.95%CI=-0.523,-0.087%CI=0.5301,
    结论:在芬兰,似乎几乎没有证据表明青少年饮酒会导致成年后的认知缺陷,除了适度的证据表明青少年饮酒较高与年轻成人词汇得分较低有关。
    OBJECTIVE: Studies on adolescent alcohol use and cognition are often unable to separate the potential causal effects of alcohol use on cognition from shared etiological influences, including genetic influences or other substance use comorbidities also known to be associated with cognition, such as nicotine use. The present study aimed to fill this gap and clarify the relationship between adolescent alcohol use and young adult cognition by accounting for both measured and unmeasured confounders.
    METHODS: A random effects model accounting for nesting in families was used to control for measured confounders. Next, co-twin comparisons were conducted within the full sample and in monozygotic twin pairs (MZ) to control for unmeasured genetic and environmental confounders shared by co-twins.
    METHODS: Participants were 812 individuals (58.6% female, 361 complete pairs, 146 MZ pairs) from the longitudinal FinnTwin12 study in Finland.
    METHODS: Adolescent alcohol use was indexed with measures of frequency of use and intoxication averaged across ages 14 and 17. Cognitive outcomes were measured at average age 22 and included Trail Making Test, California Stroop test, Wechsler Adult Intelligence subtests (Vocabulary, Block Design, Digit Symbol), Digit Span subtest of Wechsler Memory Scale, Mental Rotation Test and Object Location Memory test. Covariates included sex, parental education, general cognitive ability, current alcohol use and nicotine use.
    RESULTS: Greater frequency of alcohol use and frequency of intoxication across adolescence was associated with decreased vocabulary scores in the co-twin control [freq: stnd beta = -0.12, 95% confidence interval (CI) = -0.234, -0.013] and MZ only co-twin control models (freq: stnd beta = -0.305, 95% CI = -0.523, -0.087; intox: stnd beta = -0.301, 95% CI = -0.528, -0.074).
    CONCLUSIONS: In Finland, there appears to be little evidence that adolescent alcohol use causes cognitive deficits in young adulthood, except modest evidence for association of higher adolescent alcohol use with lower young adult vocabulary scores.
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  • 文章类型: Journal Article
    背景:职业参与被认为对个人的健康和福祉至关重要。参与是一种多维结构,包含了在生命过程中转变的客观和主观维度。尽管如此,缺乏全面的措施来检查年轻人参与适合年龄的活动。因此,我们开发了青少年每日参与量表(YADAPS),并旨在探讨其心理测量特性。
    方法:在研究1中,基于9位专家建立了YADAPS的内容效度。其内部一致性,判据,convergent,并在115名典型青年(21-35岁)中探索了结构效度。使用不同的样本,研究2检查了YADAPS在33名患有发育协调障碍(DCD)的年轻成年人和52名典型同龄人中的判别效度。
    这些研究中没有包括消费者和社区的参与。
    结果:YADAPS项目的相关性是足够的。内部一致性在大多数尺度(.74≤α≤.89)上是可以接受的。主观参与量表与幸福感之间的相关性支持了标准效度。所有量表都有收敛效度。未观察到性别效应(p≥0.05)。然而,有和没有DCD的个体之间存在显着差异(p≤0.05)。
    结论:YADAPS似乎是对年轻人参与的客观和主观维度的一种有希望的衡量标准。结果支持审查各种参与层面的重要性,包括职业经验。因此,它可以用于年轻人的临床目的以及职业科学研究,扩大我们对青年时期各种生活情况下参与维度之间相互作用的理解。然而,需要进一步研究心理测量特性,最适合的评分方法,并巩固他们在不同群体的年轻人中的稳健性。
    结论:参与,或者一个人如何参与日常生活活动,极大地影响福祉。一个人的日常活动在生命周期中发生变化,按照一个人的发展阶段。现有的参与评估有局限性,比如不考虑年轻人的担忧,或者只关注参与的某些方面。通过关注参与的客观可观察和主观体验方面,青年成人每日参与量表(YADAPS)致力于成为一种全面的评估工具,专门设计用于反映与青年有关的活动。本手稿为YADAPS提供了初步的有效性和可靠性,一份新的问卷,评估参与与年轻成年个体相关的活动的客观和主观方面。此外,问卷能够区分有和没有参与困难的年轻人;因此,它适合研究和临床使用。
    BACKGROUND: Participation in occupations is considered essential for individuals\' health and wellbeing. Participation is a multidimensional construct that encompasses objective and subjective dimensions that transform over the course of life. Nonetheless, there is a lack of comprehensive measures that examine young adults\' participation in age-appropriate activities. Therefore, we developed the Young Adults\' Daily Participation Scale (YADAPS) and aimed to explore its psychometric properties.
    METHODS: In Study 1, the content validity of the YADAPS was established based on nine experts. Its internal consistency, criterion, convergent, and construct validity were explored among 115 typical young adults (21-35 years). Using a different sample, Study 2 examined YADAPS discriminant validity among 33 young adults with developmental coordination disorder (DCD) and 52 typical peers.
    UNASSIGNED: No consumer and community involvement was included in these studies.
    RESULTS: The relevance of YADAPS items was sufficient. Internal consistency was acceptable to excellent in most scales (.74 ≤ α ≤ .89). Criterion validity was supported by correlations between the subjective participation scales and a wellbeing measure. Convergent validity was found for all scales. No gender effect was observed (p ≥ .05). However, significant differences (p ≤ .05) were found between individuals with and without DCD.
    CONCLUSIONS: The YADAPS appears to be a promising measure of objective and subjective dimensions of participation in young adults. The results support the importance of examining various participation dimensions, including occupational experience. Thus, it may be used for clinical purposes among young adults as well as for occupational science research, to broaden our understanding on the interplay between participation dimensions in various life situations in young adulthood. However, further research is needed on psychometric properties, the most suited scoring method, and to consolidate their robustness among diverse populations of young adults.
    CONCLUSIONS: Participation, or how one engages in daily life activities, greatly affects wellbeing. The activities in one\'s routine change over the lifespan, in accordance with one\'s developmental phase. Existing assessments of participation have limitations, like not considering young adults\' concerns or only focussing on certain aspects of participation. By focussing on both the objective-observable and subjective-experiential aspects of participation, the Young Adults\' Daily Participation Scale (YADAPS) strives to be a comprehensive assessment tool designed specifically for reflecting activities relevant in young adulthood. This manuscript provides preliminary validity and reliability for the YADAPS, a new questionnaire that assesses objective and subjective aspects of participation in activities relevant for individuals in young adulthood. Furthermore, the questionnaire is able to distinguish between young adults with and without participation difficulties; therefore, it is suitable for research and clinical use.
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  • 文章类型: Journal Article
    年轻人面临着压力大的角色转变,以及心理健康差的风险增加,但对此类事件的反应“自然过程”知之甚少。我们使用PHQ-2来表征之前抑郁症状的轨迹,during,在关系破裂后,作为主持人检查主观评价和控制感。在我们的参与者样本中,在2年的研究期间报告了一次分手(N=156),分手与抑郁症状暂时增加相关,抑郁症状在3个月内恢复到分手前水平.我们观察到负面评价中的症状增加,但不是积极或中立的,事件。在所有时间点,普遍的低控制感与较高的抑郁症状有关。我们的结果表明,对年轻成人分手的自然反应过程的特征是在三个月内恢复,而主观评价和控制感则有助于这种适应性反应。
    Young adults face stressful role transitions as well as increased risk for poor mental health, but little is known about a \"natural course\" of response to such events. We used the PHQ-2 to characterize the trajectory of depressive symptoms before, during, and after relationship breakup and examined subjective appraisal and sense of control as moderators. In our sample of participants reporting a single breakup during the 2-year study period (N=156), breakup was associated with a temporary increase in depressive symptoms that returned to pre-breakup levels within three months. We observed increased symptoms among negatively appraised, but not positive or neutral, events. A general low sense of control was associated with higher depressive symptoms at all time points. Our results suggest that a natural course of response to young adult breakups is characterized by recovery within three months and that subjective appraisal and sense of control contribute to this adaptive response.
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  • 文章类型: Journal Article
    估计饮酒应对COVID-19大流行和经历大流行相关的生活压力与年轻人饮酒增加有关的程度。
    洛杉矶的受访者,CA,美国(N=2,130)在COVID-19爆发之前(基线;2018年10月至2019年11月;平均年龄:19.7[SD=0.4)和期间(随访;2020年5月至8月)完成了前瞻性队列研究调查。从基线到随访评估过去30天的饮酒日和每个饮酒日的饮酒量。在后续行动中,参与者报告饮酒是为了应对社会孤立和与大流行相关的应激源.
    与大流行相关的压力源患病率从5.5%(被驱逐/失去家园)到72.6%(担心教育)和27.1%的人喝酒以应对大流行期间的社会孤立。做了(与没有)报告与大流行相关的应对饮酒更有可能增加过去30天饮酒日和每个饮酒日的饮酒量,从基线到调整可能的混杂因素后的随访.就业损失/减少,财务问题,和认为感染COVID-19或对大流行处理不力的可能性均与饮酒天数或每个饮酒日的饮酒量增加相关.
    经历某些生活压力和饮酒以应对社会孤立可能与COVID-19大流行期间年轻人的饮酒升级有关。
    UNASSIGNED: To estimate the extent to which drinking to cope with the COVID-19 pandemic and experiencing pandemic-related life stressors are associated with alcohol use escalation among young adults.
    UNASSIGNED: Respondents in Los Angeles, CA, USA (N=2,130) completed prospective cohort study surveys before (baseline; October 2018-November 2019; mean age: 19.7[SD=0.4) and during (follow-up; May-August 2020) the COVID-19 outbreak. Past 30-day drinking days and number of drinks per drinking day were assessed from baseline to follow-up. At follow-up, participants reported drinking to cope with social isolation and pandemic-related stressors.
    UNASSIGNED: Pandemic-related stressor prevalence ranged from 5.5% (evicted/lost home) to 72.6% (worried about education) and 27.1% drank to cope with social isolation during the pandemic. Respondents who did (vs. did not) report pandemic-related coping drinking were more likely to increase past 30-day drinking days and drinks per drinking day from baseline to follow-up after adjustment for possible confounders. Employment loss/reduction, financial problems, and perceived likelihood of contracting COVID-19 or handling the pandemic poorly were each associated with increases in drinking days or drinks per drinking day.
    UNASSIGNED: Experiencing certain life stressors and drinking to cope with social isolation may be associated with drinking escalation among young adults during the COVID-19 pandemic.
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  • 文章类型: Journal Article
    目的:父母伴侣间冲突是一种非常普遍的家庭风险形式,对青少年的睡眠造成压力。多项研究表明,来自高冲突家庭的青少年有睡眠问题的风险。在这些文献的基础上,我们进行了新的分析,并调查了青春期暴露于伴侣间冲突是否会预测成年后随后发育期的睡眠问题。
    方法:我们使用了长达8年的严格的四波设计(收集于2012-2020年之间)。在第1波时,参与者是来自不同背景的245名青少年(M年龄=15.74岁;67%的白人/欧洲裔美国人,33%的黑人/非洲裔美国人;52%的女孩)。个体在第2波(M年龄=16.77)和第3波(M年龄=17.69)再次参与青春期。参与者在成年初期返回第4波(M年龄=22.97)。青少年报告了父母的伴侣冲突(激烈和频繁的冲突)。睡眠时间(分钟)和质量(效率,长时间的觉醒发作)使用活动记录进行测量。
    结果:在控制了自回归效应和几个协变量之后,结构方程模型的研究结果表明,青春期父母伴侣间冲突的暴露程度较高,预示成年后睡眠效率降低,觉醒时间较长.
    结论:结果建立在考虑家庭背景下的睡眠的文献基础上,并且是最早说明青春期暴露于父母伴侣间冲突可以预测成年后睡眠问题的文献之一。对成年后睡眠问题的前兆的持续调查可能会受益于过去暴露于家庭风险的考虑。
    OBJECTIVE: Parental interpartner conflict is a highly prevalent form of family risk that is stressful for adolescents with ramifications for their sleep. Multiple studies have demonstrated that adolescents from high-conflict homes are at risk for sleep problems. Building on this literature, we conducted novel analyses and investigated whether exposure to interpartner conflict in adolescence predicts sleep problems in the subsequent developmental period of emerging adulthood.
    METHODS: We used a rigorous four-wave design spanning 8years (collected between 2012-2020). At wave 1, participants were 245 adolescents from diverse backgrounds (M age=15.74years; 67% White/European American, 33% Black/African American; 52% girls). Individuals participated again in their adolescence at wave 2 (M age=16.77) and wave 3 (M age=17.69). Participants returned for wave 4 in emerging adulthood (M age=22.97). Adolescents reported on their parents\' interpartner conflict (intense and frequent conflict). Sleep duration (minutes) and quality (efficiency, long wake episodes) were measured using actigraphy.
    RESULTS: After controlling for autoregressive effects and several covariates, findings from a structural equation model revealed that greater exposure to parental interpartner conflict in adolescence predicted reduced sleep efficiency and more long wake episodes in emerging adulthood.
    CONCLUSIONS: Results build on the literature to consider sleep in the family context and are among the first to illustrate that exposure to parental interpartner conflict in adolescence predicts sleep problems in emerging adulthood. Continued investigations into the antecedents of sleep problems in emerging adulthood may benefit from considering past exposure to family risk.
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  • 文章类型: Journal Article
    抑郁症,焦虑,在儿童创伤性脑损伤(TBI)的幸存者中,压力是持续的和共同发生的症状,并经常影响健康相关生活质量(HRQoL)。本文探讨了儿童TBI年轻人的情绪困扰症状群及其相关因素。
    我们包括54名持续轻度(n=14)的年轻人,中等(n=27),和严重(n=13)儿童TBI,受伤后20年。采用抑郁焦虑应激量表。使用两步聚类和层次聚类方法识别聚类组成员,和相关因素用多元回归模型进行评估。
    确定了两个症状类群组,包括无危难(n=66%)和高度危难(n=33%)组,后者表现出明显更高的抑郁症状,焦虑,和压力(所有p<.001)。增加的痛苦组成员资格与烟草使用和睡眠质量差有关,而不良的HRQoL与受伤时年龄较小和严重的痛苦组成员资格有关。
    使用集群方法,我们发现,1/3的儿童TBI患者的情绪困扰症状升高.这强调了这个亚组复杂的情绪特征和评估的必要性,分析,以及针对一系列症状而不是依赖单一诊断方案的治疗方法。
    UNASSIGNED: Depression, anxiety, and stress are persistent and co-occurring symptoms in survivors of childhood traumatic brain injury (TBI), and often impact on health-related quality of life (HRQoL). This paper explored emotional distress symptom clusters and associated factors in young adults with childhood TBI.
    UNASSIGNED: We included 54 young adults who sustained mild (n = 14), moderate (n = 27), and severe (n = 13) childhood TBI, at 20 years post-injury. The Depression Anxiety Stress Scale was administered. Cluster group membership was identified using two-step clustering and hierarchical clustering methods, and associated factors were assessed with multiple regression models.
    UNASSIGNED: Two symptom cluster groups were identified, including a No Distress (n = 66%) and an Elevated Distress (n = 33%) group, with the latter showing significantly higher symptoms of depression, anxiety, and stress (all p < .001). Elevated Distress group membership was linked to tobacco use and poor sleep quality, while poor HRQoL was associated with younger age at injury and Elevated Distress group membership.
    UNASSIGNED: Using cluster methodology, we showed that one-third of young adults with childhood TBI had elevated emotional distress symptoms. This underscores the complex emotional profile of this subgroup and the need for assessment, analysis, and treatment methods that target a range of symptoms rather than relying on single-diagnostic protocols.
    UNASSIGNED: ANOVA: Analysis of Variance; CT: Computed Tomography; DASS: Depression Anxiety Stress Scale; GCS: Glasgow Coma Scale; HREC: Human Research Ethics Committee; HRQoL: Health-Related Quality of Life; IBM: International Business Machines Corporation; MRI: Magnetic Resonance Imaging; PTA: Post-Traumatic Amnesia; QoL: Quality of Life; QOLIBRI: Quality of Life after Brain Injury Scale; REDCap: Research Electronic Data Capture; SES: Socioeconomic Status; SPSS: Statistical Package for the Social Sciences; TBI: Traumatic Brain Injury.
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  • 文章类型: Journal Article
    背景:这项研究采用个人和社会层面的方法来检查2526名美国年轻人的儿童期危险因素对重度抑郁发作(MDE)的影响。
    方法:使用多变量方法分析了来自2017年美国收入动态小组研究-过渡到成年补充的具有全国代表性的数据,以评估父母精神疾病的影响,童年的逆境,儿童精神障碍,和童年的身体状况。计算调整后的优势比和人群归因风险比例(PARP),以估计与风险因素相关的MDE病例的比例。
    结果:MDE阳性筛查的12个月患病率为25.4%。其中约34%可归因于儿童精神障碍,24%的儿童身体状况,21%的儿童逆境,和16%的父母精神疾病。童年和父母的抑郁是关键的危险因素,在个人(比值比超过2)和社会(PARP约24%)水平上。确定了性别特异性风险因素,儿童身体虐待和儿童焦虑症构成女性的危险因素,儿童外化障碍和儿童头痛是男性的危险因素。大约60%的美国年轻成人MDE病例可归因于18岁之前的危险因素。
    结论:可能的MDE过度报告可能对预测因素与抑郁之间的关联产生偏差。
    结论:在年轻时暴露于抑郁——一个人自己或父母的抑郁——对两种性别都是一个强有力的危险因素。旨在减轻抑郁症社会负担的政策和干预措施应重视其代际传播。
    BACKGROUND: This study adopts individual and societal-level approaches to examine the contribution of childhood risk factors to major depressive episodes (MDE) in 2526 American young adults.
    METHODS: Nationally representative data from the 2017 U.S. Panel Study of Income Dynamics - Transition into Adulthood Supplement (PSID-TAS) were analyzed using multivariate methods to assess the impact of parental mental illness, childhood adversities, childhood mental disorders, and childhood physical conditions. Adjusted odds ratios and population attributable risk proportions (PARPs) are calculated to estimate the proportion of MDE cases related to risk factors.
    RESULTS: The 12-month prevalence of positive screens for MDE was 25.4 %. Approximately 34 % of these were attributable to childhood mental disorders, 24 % to childhood physical conditions, 21 % to childhood adversities, and 16 % to parental mental illness. Childhood and parental depression were critical risk factors, both at the individual (odds ratio exceeding 2) and societal (PARP approximately 24 %) levels. Gender-specific risk factors were identified, with childhood physical abuse and childhood anxiety disorders constituting risk factors for females, and childhood externalizing disorders and childhood headaches as risk factors for males. Approximately 60 % of U.S. young adult MDE cases are attributable to risk factors before age 18.
    CONCLUSIONS: Possible over reporting of MDE may have biased the associations between predictors and depression.
    CONCLUSIONS: Exposure to depression at a young age-one\'s own or parental depression-is a robust risk factor for both genders. Policies and interventions focused at alleviating the societal burden of depression should value its generational transmission.
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