Stability and change in a predictive model of emotional and behavioural problems from early adolescence to middle adulthood

被引:1
|
作者
Spitz, Andrea [1 ,3 ]
Aebi, Marcel [2 ]
Metzke, Christa Winkler [1 ]
Walitza, Susanne [1 ]
Steinhausen, Hans-Christoph [1 ,3 ,4 ,5 ]
机构
[1] Psychiat Univ Hosp, Dept Child & Adolescent Psychiat & Psychotherapy, Neumunsterallee 9, CH-8032 Zurich, Switzerland
[2] Dept Justice & Home Affairs, Res & Dev, Correct & Rehabil, Canton Of Zurich, Switzerland
[3] Univ Basel, Inst Psychol, Clin Psychol & Epidemiol, Basel, Switzerland
[4] Univ Southern Denmark, Dept Child & Adolescent Psychiat, Odense, Denmark
[5] Child & Adolescent Mental Hlth Ctr, Capital Reg Psychiat, Copenhagen, Denmark
关键词
Life-events; Self-esteem; Coping; Behavioural problems; Adolescence; Adulthood; STRESSFUL LIFE EVENTS; LOW SELF-ESTEEM; MENTAL-HEALTH; RISK-FACTORS; EXTERNALIZING PROBLEMS; DEPRESSIVE SYMPTOMS; COPING STRATEGIES; SUICIDAL IDEATION; YOUNG ADULTHOOD; SOCIAL SUPPORT;
D O I
10.1016/j.jpsychires.2022.03.029
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The impact of negative life events, self-esteem, and coping behaviour are considered to be contributing factors in the development of emotional and behavioural problems. Differences in the predictive value of these three factors on emotional and behavioural problems from adolescence to adulthood have not yet been studied. Multiple linear regressions separate for the two sexes were used to assess whether the impact of negative life-events, self-esteem, and coping behaviour predicted emotional and behavioural problems at four discrete mea-surement points from early adolescence to middle adulthood in a cohort of N = 366 participants from a Swiss longitudinal community study. Mostly irrespective of sex, negative life-events and low self-esteem were signif-icant predictors of internalizing problems, externalizing problems and total problem scores in adolescence as well as in adulthood. The explained variance in the model increased steadily from early adolescence to middle adulthood. While the impact of negative life-events was on the same level across all measurements until adulthood, the contribution of self-esteem increased steadily. There was a significant association, particularly in adolescent males, between avoidant coping and emotional and behavioural problems. The cross-sectional find-ings from this community study reflect long-term robust patterns in the associations of negative life-events, self-esteem, and avoidant coping with emotional and behavioural problems from adolescence to adulthood. Clini-cally, the three constructs represent actionable targets for optimizing assessment and intervention strategies across the adolescent life-span.
引用
收藏
页码:8 / 16
页数:9
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