profiles of family-focused adverse experiences through childhood and early adolescence the roots project a community investigation of adolescent mental health配置文件支持家庭的不良经历的童年和青春期早期根项目社区对青少年心理健康的调查.pdfVIP

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2017-09-11 发布于上海
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profiles of family-focused adverse experiences through childhood and early adolescence the roots project a community investigation of adolescent mental health配置文件支持家庭的不良经历的童年和青春期早期根项目社区对青少年心理健康的调查.pdf

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profiles of family-focused adverse experiences through childhood and early adolescence the roots project a community investigation of adolescent mental health配置文件支持家庭的不良经历的童年和青春期早期根项目社区对青少年心理健康的调查

Dunn et al. BMC Psychiatry 2011, 11:109 /1471-244X/11/109 RESEARCH ARTICLE Open Access Profiles of family-focused adverse experiences through childhood and early adolescence: The ROOTS project a community investigation of adolescent mental health 1* 1 1 1 1 2 Valerie J Dunn , Rosemary A Abbott , Tim J Croudace , Paul Wilkinson , Peter B Jones , Joe Herbert and Ian M Goodyer1* Abstract Background: Adverse family experiences in early life are associated with subsequent psychopathology. This study adds to the growing body of work exploring the nature and associations between adverse experiences over the childhood years. Methods: Primary carers of 1143 randomly recruited 14-year olds in Cambridgeshire and Suffolk, UK were interviewed using the Cambridge Early Experiences Interview (CAMEEI) to assess family-focused adversities. Adversities were recorded retrospectively in three time periods (early and later childhood and early adolescence). Latent Class Analysis (LCA) grouped individuals into adversity classes for each time period and longitudinally. Adolescents were interviewed to generate lifetime DSM-IV diagnoses using the K-SADS-PL. The associations between adversity class and diagnoses were explored. Results: LCA generated a 4-class model for each time period and longitudinally. In early childhood 69% were allocated to a low adversity class; a moderate adversity class (19%) showed elevated rates of family loss, mild or moderate family discord, financial difficulties, maternal psychiatric illness and higher risk for paternal atypical parenting; a severe class (6%) experienced higher rates on all indicators and almost exclusively accounted for incidents of child abuse; a fourth